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September 05-06, 2019 | London, UK
7
th
International Conference on
2
nd
International Conference on
Otolaryngology: ENT Surgery
Dental Health and Oral Hygiene
Joint Event
&
Otolaryngology Online Journal | ISSN: 2250-0359 | Volume 9
Prevalance of micro-organisms and current trends of antibiotics for treatment of
chronic suppurative otitis media in developing countries
Vijay Vitore
G G Hospital, India
C
hronic suppurative otitis media (CSOM) is a persistent,
insidious and potentially dangerous disease because of
its various fatal complications. It is still a significant health
problem in developing countries. It is the common cause of
conductive deafness.
Change in the bacteriological scenario with indiscriminate
use of antimicrobial agents has been associated with the
emergence of multiple drug resistant strains. Information
regarding the common pathogens and their antibiotic
sensitivities is essential for the proper choice of antibiotics.
Hence the present study is undertaken to know the aerobic
bacteriological flora of CSOM and their antibiogram.
One hundred and nine clinically diagnosed cases of CSOM
of all age groups and both the sexes attending ENTOPD and
admitted in ENTwardswere studied. Ear swabwas taken from
each patient, further subjected to Gram staining and culture
onto blood agar, MacConkey's agar and Chocolate agar.
The bacterial isolates were identified by standard biochemical
reactions. Antibiotic susceptibility testing was done by Kirby-
Bauer disc diffusion method.
A random selection of 109 CSOM cases were studied,
of which 71 were males and 38 were females. Majority
of the patients were in the age group of 11 to 20 years.
Predominance of Pseudomonas aeruginosa (53.91%) followed
by Staphylococcus aureus (28.69%), Proteus mirabilis (6.09%),
Klebsiellapneumoniae (5.23%), Citrobacterfreundii (4.35%) and
E.coli (1.73%). ntibiotics like Imipenem, Piperacillin-tazobactum,
Amikacin, ciprofloxacin and Levofloxacinwere found to bemore
effective against all Grampositive and Gram-negative isolates.
Pseudomonas aeruginosa was the predominant organism
followed by Staphylococcus aureus, Proteusmirabilis, Klebsiella
pneumoniae, Citrobacterfreundii and E coli. The most effective
drugs were Imipenem, Piperacillin-tazobactum, Amikacin,
ciprofloxacin and Levofloxacin.
Speaker Biography
Vijay Vitore is the chief ENT Surgeon at GGHospital, Aurangabad, INDIA. He
is having vast clinical experience in the field of Otorhinolaryngology. He has
completed his post-graduation in 2000 from MGM medical college India.
Sincethenhe isdoing lotofsurgeriesandalsohasexpertise inLASERsurgery.
He worked as consultant at MGM medical college. He has attended and
deliveredlotoflecturesinnational/internationalconferencesandworkshops
inIndia.Hehasalsopublishedhisworkinnationalandinternationaljournals.
He has a very good clinical acumen with the interest of updating himself
to new innovative and advanced technologies and scientific upgradation.
e:
drvijayvitore@gmail.comVijay Vitore
,
Otolaryngology online, Volume 9
ISSN: 2250-0359