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ORIGINAL ARTICLE
Year : 2012  |  Volume : 18  |  Issue : 4  |  Page : 208-211

Bacterial flora of infected unsafe CSOM


1 Department of ENT, Subharti Medical College, Subharti Puram, Meerut, India
2 Department of Microbiology, Subharti Medical College, Subharti Puram, Meerut, India
3 Department of Paediatrics, Subharti Medical College, Subharti Puram, Meerut, India

Correspondence Address:
Sanjay Kumar
Department of ENT, Subharti Medical College, Meerut
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-7749.104800

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Aim: Chronic suppurative otitis media (CSOM) is a common cause of hearing impairment, especially in rural population. This study was carried out to know about the bacterial flora and antibiotic sensitivity for better management of the disease and to reduce morbidity due to CSOM. Materials and Methods: This study was undertaken in a tertiary care center of western UP with an aim to study the bacterial flora and their sensitivity to a series of antibiotics in cases of CSOM (unsafe) with active purulent discharge. There was no history of topical or systemic antibiotic therapy in these patients in the last 3 months. Aural swabs were taken and cultured for aerobic bacteria. For cases showing growth on culture media, sensitivity for a series of antibiotics was studied to have an understanding of the antibiotics showing sensitivity and resistance. Results: A total of 62 (mean age 17.38 years) diagnosed cases of CSOM unsafe were included in the study. The study group included 38 males (61.29%) and 24 (38.71%) females. Fifty-four patients (87.09%) had unilateral diseases, while 8 patients (12.90%) had bilateral diseases. 94.28% of the ears showed growth on culture media. Majority of these ears showed monomicrobial growth (90.90%). Conclusion: The most common bacteria isolated in descending order were Pseudomonas, Klebsiella, Staphylococcus, Proteus, and Escherichia coli. Majority of the patients showed sensitivity to cefoperazone and salbactum (90.69%), ofloxacin (79.06%), and ciprofloxacin (79.06%). 95.35% of the patients showed resistance to amoxicillin.


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