Surgical Results of MRSA(Methicillin-resistant S. aureus)-Isolated Chronic Otitis Media / 대한이비인후과학회지
Korean Journal of Otolaryngology - Head and Neck Surgery
;
: 1238-1243, 1999.
Artigo
em Coreano
| WPRIM
| ID: wpr-648631
ABSTRACT
OBJECTIVE:
Although MRSA has been considered as a nosocomial pathogen, it is the most prevalent causative agent in COM (chronic otitis media) patients recently, even community-acquired cases in Korea. To evaluate the effect of MRSA infection on the surgical outcome of COM, we compared the surgical outcome of MRSA-isolated patients with those of patients infected by other bacterial agents. Subjects andMethods:
Two hundred and ninty-eight COM patients operated by same surgeon from January 1997 to December 1998 were reviewed for the bacterial cultures and their operation procedures. Among them, we analyzed the patients operated by using canal wall-up (CWU) procedures retrospectively, including 78 patients of MRSA group and 132 patients with other bacterial agents, to study the incidence of post-operative otorrhea and re-perforation, the duration of dressing period, and the degree of hearing improvement according to tympanoplasty types. The mean follow-up period was 9.1 months (5-26 months).RESULTS:
MRSA was most frequently isolated, in 88 (29%) of 298 patients, followed by MSSA (Methicillin-sensitive S. aureus) in 42 (14%), Pseudomonas sp. 31 (10%). Post-operative otorrhea and re-perforation were significantly more frequent in MRSA-group as 9 (11.5%) vs. 10 (7.6%) and 4 (5.1%) vs. 2 (1.5%). There was no significant difference of the duration of post-operative dressing and the degree of hearing improvement.CONCLUSION:
The MRSA-group showed higher incidence of post-operative otorrhea and re-perforation compared to the control-group, even though there was no difference in the results of hearing improvement and the duration of dressing period.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Otite
/
Otite Média
/
Pseudomonas
/
Bandagens
/
Timpanoplastia
/
Incidência
/
Estudos Retrospectivos
/
Seguimentos
/
Staphylococcus aureus Resistente à Meticilina
/
Audição
Tipo de estudo:
Estudo de incidência
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Humanos
País/Região como assunto:
Ásia
Idioma:
Coreano
Revista:
Korean Journal of Otolaryngology - Head and Neck Surgery
Ano de publicação:
1999
Tipo de documento:
Artigo
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