Pathological analysis of 596 cases of chronic otitis media in Karachi
JCPSP-Journal of the College of Physicians and Surgeons Pakistan. 2000; 10 (1): 33-35
in English
| IMEMR
| ID: emr-53978
ABSTRACT
Chronic otitis media may cause permanent damage to the ear, mastoid pathologies and extra-cranial complications. Selection of an effective drug by culture analysis of discharge may reduce the risk of serious complications. In a multicentre study of 596 ear-swabs, Staphylococcus aureus and Pseudomonas were found in 40% and 29.6% respectively among 11 types of bacteria, Aspergillus [6.2%] and Candida [3.1%] were additional irritants. However, approximately 14.4% of swabs were culture-negative, suggesting a viral or non-infective etiology. The finding that Pseudomonas was increasingly implicated in recent years and that 37.9% of our Staphylococci isolates were betalactamase producers and Methicillin-resistant, necessitate the choice of 'enzyme-stable' antibiotics as first-line treatment. The high number of gram-negative aerobes isolated suggests faeco-aural route as a major contributor to this infective process which is consistent with our environmental conditions
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Otitis Media, Suppurative
/
Pseudomonas
/
Staphylococcus aureus
/
Microbial Sensitivity Tests
/
Chronic Disease
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
J. Coll. Physicians Surg. Pak.
Year:
2000
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