To Study the Microbiological Flora in Chronic SuppurativeOttis Media At Tertiary Care Center

Abstract

Introduction: Indiscriminate use of antibiotics multi-drug resistant bacterial strains has increased disease complications. Changes in bacterial flora seen in the last decade which has been verified by various authors.Knowledge of the causative organisms and their antibiotic sensitivity is important in deciding the medical management of both safe and unsafe types of CSOM.Materials and method: It’s a descriptive prospective observational type of study conducted at department of ENT and head & neck surgery, A.B.V Government Medical College, Vidisha, M.P, India it is a tertiary care center. The duration of study was 1 year from April 2018- May 2019; 100 patients were included in the study,Observation and results: In our study we have taken samples from 100 patients, 65 patients (65%) had tubotympanic type while 35 patients (35%) had atticoantral type of CSOM. Microbial growth was obtained in 85 (85%) samples, 15 had no growth (15%) being mono-microbial in 81 (81%) while mixed growth was obtained in 4 (4%) samples. P. aeruginosa (32.30%) and S. aureus was most common isolates in patients with tubotympanic CSOM.In atticoantral type of CSOM most common isolates were P. aeruginosa (42.82%) followed by S.aureus Fungal positivity was observed in 06 (9.23%) cases of tubotympanic CSOM only.