Skip to main content
Log in

Chronic Suppurative Otitis Media — A prospective study

  • Leading Article
  • Published:
Indian Journal of Otolaryngology and Head and Neck Surgery Aims and scope Submit manuscript

Abstract

A random selection of 120 cases of Chronic Suppurative otitis Media (CSOM) were investigated for bacterial and fungal isolates at the Department of Microbiology and Parsitology, Benghazi. The specimens were obtained from the out- patient department of Otolaryngology of 28th March Polyclinic. The incidence of CSOM in Benghazi was found to be 23.7%. A total of 145 bacterial isolates were identified and their susceptibility to various antibiotics was tested. Staphylococcus aureus was the predominant pathogen isolated (42.5%), followed by Pseudomonas aeruginosa (21.6%) and proteus species (18.33%). Fungi were isolated from 7.5% of cases, but no growth was observed in 10% of specimens collected. The majority of the bacterial isolates showed multiple drug resistance. Gentamycin still formed the drug of choice in treating the causative strains of either Gram positive or Gram negative bacteria, while tetracycline was found to be the least effective.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Bluestone, C.D., and Berry, C.C. (1976): Concepts on the pathogenesis of middle ear effusions.Annals of Otolaryngology, Rhinology, Larynogology (Suppl.)25: 182.

    Google Scholar 

  2. Changani, D.L. and Goyal, O.P. (1976): Bacteriological study in Chronic suppurative Otitis media.Indian Journal of Otology, Larynogology.28: 41.

    Google Scholar 

  3. Chaturvedi, V.N., Grewal, B.S. and Cad, M.S. (1980): Bacterial flora in chronic suppurative otitis media in Benghazi.,Garyounis Medical Journal.6 (2): 161.

    Google Scholar 

  4. Colle, J.G., Dugvid, J.P., Fraser, A.G. and Narnion, B.P. (1989): Meckie and McCartney Practical Medical Microbiology, 13th ed., Churchill Livingstone, Edinburgh.

  5. Conant, N.P., Smith, D.T. Baker, P.D., Gallaway, J.L. (1971): Manual of Mycology, W.B. saunders, Philadelphia.

    Google Scholar 

  6. Crowther, J.A. and Simpson, D. (1991): Medical treatment of Chronic Otitis Media: Steroid or antibiotic with steroid ear drops?Clinical Otolaryngol. 16: 142.

    Article  CAS  Google Scholar 

  7. Handerson, F.W., Collier, A.M. and Sanyal, M. et al (1982): A longitudinal study of respiratory viruses and bacteriae in the aetiology of acute otitis media with effusion.New England Journal of Medicine.,306: 1377.

    Google Scholar 

  8. Hussain, M.T., Karim, D.N., Zaida, H. and Abdulla, E.M. (1980): An evaluation of Pseudomonas infection in a burn unit.Caryounis Medical Journal,3: 115.

    Google Scholar 

  9. Karim, O.N., Haesan, D.N., and Abdulla, E.M. (1981): Ear infections among children in Benghazi. An analysis of 177 cases.Garyounis Medical Journal,4 (1): 85.

    Google Scholar 

  10. Milton, D.U. and Edson, R.R. (1989): Bacteriology of Chronic Otitis Media affecting children living in Rio de Janeiro.Ear. Nose and Throat Journal,68: 448.

    Google Scholar 

  11. Mowson, S.R. (1963): Disease of the ear. Arnold Publishers, London.

    Google Scholar 

  12. Narasinga Rao, B. and Jayakar, P.A. (1985): Incidence of Proteus infections in Visakhapatnam and their antibiotic sensitivity pattern.The Indian Practitioner,38: 461.

    Google Scholar 

  13. Narasinga Rao, B. and Jayakar, P.A. (1986): A study of Proteocine sensitivity and antibiogram of 200 strains of Proteus in Visakhapatnam.Indian Journal of Medical, Microbiology.3: 237.

    Google Scholar 

  14. Ralphs, D. and Feigin, M.D. (1982): Otitis Media: closing the information gap.New England Journal of Medicine.,306: 1417.

    Article  Google Scholar 

  15. Rama Rao, M.V. and Jayakar, P.A. (1980): Bacteriological study of chronic suppurative otitis Media.Journal of Indian Medical Association,75: 30.

    Google Scholar 

  16. Riding, K. H., Bluestone, C.D., Michaels, R.H., Cantekin, E.L., Doyle, W.J. and Poziviak, C.S. (1978): Microbiology of Chronic and recurrent otitis media with effusion in young infants.J. Paediatr. 93: 739.

    Article  CAS  Google Scholar 

  17. Santuria, B.H., Bluestone, C.D., Klein, J.D., Lim, D.J. and Paradise, J.L. (1980): Report of the Ad Hoc committee on definition and classification of otitis media and Otitis media with effusion.Annals of Otology, Rhinology, Laryngology (suppl)68: 3.

    Google Scholar 

  18. Shambaugh, G.F. (1967): Surgery of the Ear., W.B. Saunders., Philadelphia.

    Google Scholar 

  19. Siraj, H. and El-Shaik Mahgoub (1980): Otitis media in Saudi Arabia: Bacteriological and Clinical study.Saudi Medical Journal.,6: 317.

    Google Scholar 

  20. Sachdev, V.P. and Bhatia, J. N. (1965): A study of chronic suppurative otitis media.Indian Journal of Otolaryngology,17: 165.

    Google Scholar 

  21. Sweeny, G., Picozzi, G.L and Browning, C.G. (1982): A quantitative study of aerobic and anaerobic bacteria in chronics suppurative otitis media.Journal of Infection.5: 47.

    Article  Google Scholar 

  22. Tulsidas, Singh, M., Taneja, G.H., Khanna, S. and Chadda, M.R. (1954): Bacterial flora of chronic suppurative otitis media.Archives of Otolaryngology,60: 154.

    Google Scholar 

  23. Varitainen, E. Karjalainen, S. and Karja, J. (1986): Postoperative evaluation of Chronic Otitis media caused by Pseudomonas aeruginosa.Journal of Larynoglogy, Otology.,100: 141.

    Google Scholar 

  24. W.H.O. (1961):World Health Organisation Technical Report series 10: 12.

    Google Scholar 

  25. Zaida, H. and Abdulla, E.N. (1979): Incidence of potential Pathogens in Microbial infections in Benghazi and an antibiotic policy.Garyounis, Medical Journal.2 (2): 27.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rao, B.N., Reddy, M.S. Chronic Suppurative Otitis Media — A prospective study. IJO & HNS 46, 72–77 (1994). https://doi.org/10.1007/BF03048875

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03048875

Keywords

Navigation