Opinion Article - Otolaryngology Online Journal (2021) Volume 11, Issue 2
Current Trends of Antibiotics for Treatment of Chronic Suppurative Otitis Media in Developing Countries
G G Hospital, India
- *Corresponding Author:
- Vijay Vitore
GG Hospital, India
E-mail: [email protected]
Received Date: February 22, 2021; Accepted Date: February 23, 2021; Published Date: February 28, 2021
Chronic otitis media suppurative (CSOM) is a chronic one, Insidious and potentially dangerous illness due to the multiple fatal complications therein. It is also a big health issue. In developed countries, issue, it is the prevalent cause of Deafness conductive.
Shift in the indiscriminate bacteriological scenario with the use of antimicrobial agents was related to emergence of several strains resistant to drugs. Data Popular pathogenic agents and their antibiotics sensitivities are necessary for the proper selection of antibiotics. The present research is therefore undertaken to understand the aerobic CSOM's bacteriological flora and their antibiograms.
109 cases of CSOM with a clinical diagnosis, both age groups and both sexes who engage in ENTOPD and studies have been performed on ENT wards. The ear swab was removed from the patient. furthermore, each patient underwent Gram staining and culture, MacConkey's agar and Chocolate agar on blood agar.
Random choices of 109 cases of CSOM were studied, of these, 71 were men and 38 were women. The Bulk the patients were in the 11-20 age range. Pseudomonas aeruginosa predominance (53.91 percent) was followed by Proteus mirabilis, Staphylococcus aureus (28.69 percent) (6.09 %), Klebsiellapneumoniae (5.23%), Citrobacterfreundii (4.35%) and Citrobacterfreundii E.coli a.coli (1.73 percent ). Such antibiotics as Imipenem, Piperacillin-tazobactum, Amikacin, ciprofloxacin and Levofloxacin were found to be more effective against all Gram positive and Gram-negative isolates. The bacterial isolates were recognized by standard biochemical isolates for responses. The Kirby-Method of Bauer disk diffusion was carried out to search for antibiotic resistance.
The dominant organism, Pseudomonas aeruginosa, was staphylococcus aureus, Proteus mirabilis, Klebsiella are followed by Citrobacterfreundii, Pneumoniae and E coli. The Most Powerful drugs were Imipenem, Tazobactum-piperacillin, Amikacin, Levofloxacin and Ciprofloxacin.