The Utility of Antibiogram in Prevention of Hearing Impairment Caused by Chronic Suppurative Otitis Media (CSOM): A Prospective Study from Rural Area of Maharashtra, India

Authors

  • Sabiha Saleem Tamboli Associate Professor, Department of Microbiology, Indian Institute of Medical Science & Research Jalna (IIMSR Jalna), Maharashtra, India-431202
  • Saleem B Tamboli Professor, Dept of Pharmacology, Grant Government Medical College & Sir J J Hospital, Byculla, Mumbai, India

DOI:

https://doi.org/10.31344/ijhhs.v7i1.502

Keywords:

Chronic suppurative otitis media, hearing impairment, antibiogram

Abstract

Background: Chronic suppurative otitis media (CSOM) is a common cause of hearing impairment, especially in rural population.

Objective: To determine the bacteria associated with CSOM and their antibiotic sensitivity pattern for better management of the disease and to reduce morbidity due to CSOM.

Methods: Patients with clinical diagnosis of CSOM were included in the study. Ear swabs were collected from the discharging ear. Culture and sensitivity studies were done as per conventional methods.Patients with hearing impairment were tested using the tuning fork examination to determine whether the impairment was conductive or sensorineural.

Results: The present study consists of 789 clinically diagnosed patients of CSOM. Mostof the patients (62.73%) were in pediatric age group. Otorrhea was a constant presentation among all patients, followed by hearing loss. Majority of the patients were having conductive hearing loss (87%) followed by sensorineural hearing loss (9%) and mixed hearing loss (4%). Analysis of isolated organisms showed preponderance of Gram-negative bacilli. The most commonly isolated organism was Pseudomonas aeruginosa (40 %) followed by Staphylococcus aureus (33%) and Klebsiella species (10%). Gentamicin and Ciprofloxacin commonly used topical agents showed good activity against most of the isolates.

Conclusion: With the development and widespread use of antibiotics, the type of pathogenic microorganism and their resistance to antibiotics have changed. Continuous and periodic evaluation of microbiological patterns and antibiotic sensitivity of isolates is necessary to decrease the potential risk of complications by early institutions of appropriate treatment.

International Journal of Human and Health Sciences Vol. 07 No. 01 Jan’22 Page: 78-82

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Published

2023-01-11

How to Cite

Tamboli, S. S., & Tamboli, S. B. (2023). The Utility of Antibiogram in Prevention of Hearing Impairment Caused by Chronic Suppurative Otitis Media (CSOM): A Prospective Study from Rural Area of Maharashtra, India. International Journal of Human and Health Sciences (IJHHS), 7(1), 78–82. https://doi.org/10.31344/ijhhs.v7i1.502

Issue

Vol. 7 No. 1 (2023)

Section

Original Articles

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Copyright (c) 2023 Sabiha Saleem Tamboli, Saleem B Tamboli

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