PROSPECTIVE STUDY OF AEROBIC BACTERIOLOGICAL AND MYCOLOGICAL PATTERN IN CHRONIC SUPPURATIVE OTITIS MEDIA PATIENTS

Document Type : Preliminary preprint short reports of original research

Authors

1 Departments of Otorhinolaryngology, Faculty of Medicine, Alexandria University

2 Department of Medical Microbiology and Immunology, Faculty of Medicine, University of Alexandria

3 Department of Otorhinolaryngology, Faculty of Medicine, Alexandria University.

Abstract

Chronic Suppurative Otitis Media (CSOM) is significant health problem and is an important cause of preventable hearing loss. The WHO estimates that up to 28 000 yearly deaths can be attributed to CSOM on a global basis. .The disease is classified into tubotympanic and atticoantral depending upon where the disease affects. Tubotympanic is called safe type as there is no serious complication whereas, attico antral is called the unsafe type because of higher rate of complications that may be life threatening . Various studies reported different bacteriological and mycological patterns of predominance in CSOM. Commonly isolated aerobic bacteria are Pseudomonas aeruginosa, Escherichia coli, Staphylococcus aureus, Streptococcus pyogenes, Proteus mirabilis and Klebsiella spp also Fungi like Candida species and Aspergillus species. The type of organism isolated varies between geographical areas and other factors. Inadequate treatment can result in severe, life-threatening adverse effects such as mastoid abscess, facial nerve paralysis, lateral sinus thrombosis, meningitis, and intracranial abscess. The identification of the microorganisms responsible for CSOM can help in the selection of the most appropriate antibiotic for the treatment regimen.

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