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International Journal of Applied Research
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ISSN Print: 2394-7500, ISSN Online: 2394-5869, CODEN: IJARPF

g-index: 90

Vol. 4, Issue 4, Part F (2018)

A tertiary hospital's clinical investigation on chronic suppurative otitis media in school-aged children

A tertiary hospital's clinical investigation on chronic suppurative otitis media in school-aged children

Author(s)
Dr. P Narendra Goud and Dr. Karuku Shrikanth
Abstract
Introduction and Background: Recurrent ear discharge and hearing loss are symptoms of chronic suppurative otitis media (CSOM), a middle ear infection that persists over time. This study is designed to assess the frequency, symptoms, microbiome, and antibiotic resistance trends of CSOM in paediatric patients seen at a tertiary care hospital.
Materials and Methods: At the ENT department of the I-Care Institute of Medical Sciences and Research in Haldia, West Bengal, India from September 2017 to August 2018, 200 school-aged children (ranging from 5 to 15 years old) with CSOM were the subjects of a 12-month prospective observational study. We took a thorough medical history and did an otoscopic examination as well as audiological evaluations. In order to conduct sensitivity testing and microbiological culture, samples of middle ear discharge were obtained. We used SPSS software to conduct statistical analysis on the data, setting a significance level at p<0.05.
Results: In a sample of 200 youngsters, 60% exhibited CSOM that was only present in one side of the body, whereas 40% showed signs of both sides. Persistent otorrhea was reported by 85% of patients, with hearing loss and ear pain following at 72% and 30%, respectively. Staphylococcus aureus (35%), Pseudomonas aeruginosa (15%), Klebsiella pneumoniae (10%), and Proteus mirabilis were the most commonly isolated species. Among the antibiotics tested, Pseudomonas aeruginosa was highly sensitive to gentamicin (78%), ciprofloxacin (85%), and amoxicillin-clavulanate (60%). While 90% of Staphylococcus aureus bacteria were sensitive to vancomycin, 75% of same bacteria were resistant to penicillin.
Conclusion: A great deal of morbidity, including hearing loss, results from CSOM, which is common among school-aged children. To lessen its impact, early diagnosis is essential, as is appropriate antimicrobial treatment and preventative measures including better hygiene and vaccination. Research like this highlights the need for community awareness campaigns and regular screenings for kids to lessen the severity of CSOM's long-term effects.

Pages: 507-510  |  25 Views  11 Downloads


International Journal of Applied Research
How to cite this article:
Dr. P Narendra Goud, Dr. Karuku Shrikanth. A tertiary hospital's clinical investigation on chronic suppurative otitis media in school-aged children. Int J Appl Res 2018;4(4):507-510.
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