Bacterial Etiology of Otitis Media and their Antibiotic Susceptibility Pattern among Patients coming to a Tertiary Care Hospital, Jaipur, India
Mohit Agrawal, Gunjan Pandey
Citation Information :
Agrawal M, Pandey G. Bacterial Etiology of Otitis Media and their Antibiotic Susceptibility Pattern among Patients coming to a Tertiary Care Hospital, Jaipur, India. J Mahatma Gandhi Univ Med Sci Tech 2017; 2 (1):7-9.
The aim of the study was to identify the microorganisms associated with the chronic discharging ears and their antimicrobial susceptibility pattern.
Materials and methods
A total of 251 samples of ear swabs were received at Mahatma Gandhi Medical College & Hospital, Jaipur, Rajasthan, India. Pus samples were taken from external auditory canal using sterile cotton swabs and then cultured on different microbiological media. Antibiotic sensitivity was tested and interpreted by method according to Clinical and Laboratory Standards Institute standards.
Results
Out of 251 samples received, 135 (53.78%) samples had growth. The microbiology of these 135 samples was studied. Pseudomonas aeruginosa was the major organism isolated from 88 samples followed by Staphylococcus aureus (37), and other coliforms (10). Drug susceptibility of P. aeruginosa showed that colistin was active against all isolates followed by piperacillin-tazobactam and imipenem. Approximately 60% S. aureus isolates were methicillin-resistant S. aureus. Vancomycin, linezolid, and teicoplanin were 100% sensitive.
Conclusion
From the current study, it was concluded that P. aeruginosa is the potential cause of ear-associated infections. All isolates of P. aeruginosa were susceptible to colistin, and S. aureus was susceptible to vancomycin, linezolid, and teicoplanin.
How to cite this article
Agrawal M, Gupta N, Pandey G. Bacterial Etiology of Otitis Media and their Antibiotic Susceptibility Pattern among Patients coming to a Tertiary Care Hospital, Jaipur, India. J Mahatma Gandhi Univ Med Sci Tech 2017;2(1):7-9.
Anatomy and ultrastructure of the human ear. In: Band BJ, Kerr AG, editors. Scott-Brown's otolaryngology, Basic science. 6th ed. London: Butterworth-Heinemann; 1997. p. 1/1/7-1/1/26.
The incidence of otitis media with effusion in Menoufiya school children [MD thesis]. Faculty of Medicine, Menoufiya University; 1998.
Risk factors for otitis media and carriage of multiple strains of Haemophilus influenza and Streptococcus pneumonia. Emerg Infect Dis 2000 Nov-Dec;6(6):622-630.
Otitis media-related antibiotic prescribing patterns, outcomes and expenditures in a pediatric medicaid population. Pediatrics 1997 Oct;100(4):585-592.
Spectrum of organisms associated with suppurative otitis media and their antibiotic sensitivity pattern. Pak J Otolaryngol 1990;6:99-104.
Antibiotics for the prevention of acute and chronic suppurative otitis media in children. Cochrane Database Syst Rev 2006 Oct 18;(4):CD004401.
Mohammed AM, Gulnaz K, Mustafa K. Pseudomonas aeruginosa in chronic suppurative otitis media: sensitivity spectrum against various antibiotics in Karachi. J Ayub Med Coll Abbottabad 2009 Apr-Jun;21(2):120-123.
Otitis media in children. N Eng J Med 1995;332(23):1560-1565.
Bacteriology of chronic suppurative otitis media – a multicentre study. Acta Otolaryngol 2007 Oct;127(10):1062-1067.
Chronic suppurative otitis media in Nigerian children. J Paediatr 1985;12:17-19.
Bacterial agents of discharging ears and antimicrobial sensitivity pattern in children in Ibadan, Nigeria. West Afr J Med 2001 Apr-Jun;20(2):131-135.
25th Informational Supplement, M100-S25. Wayne (PA): CLSI. p. 1-236.
Prevalence of chronic suppurative otitis media (CSOM) among school children in a rural community in Nigeria. Niger Postgrad Med J 2002 Jun;9(2):63-66.
Microbial dynamics of persistent purulent otitis media in children. J Pediatr 1996 Feb;128(2):237-240.
Pathogenesis and epidemiology of chronic otitis media. WHO/CIBA Foundation Workshop, Report on prevention of hearing impairment for chronic otitis media held at CIBA foundation, London; 1996. p. 14-17.