Paediatric chronic suppurative otitis media in the Free State Province: clinical and audiological features.
نویسندگان
چکیده
BACKGROUND Chronic suppurative otitis media (CSOM) is a chronic infection of the middle ear cleft. In sub-Saharan Africa >50% of cases occur in children <10 years of age. OBJECTIVES To describe the otological, audiological and bacteriological findings in children with CSOM. METHODS We conducted a prospective study at the Ear, Nose and Throat (ENT) Clinic at Universitas Academic Hospital between August 2009 and December 2010. We included all children with CSOM over this period. Patients underwent ENT and paediatric examination, and were tested for HIV. Pus swabs were taken after an ear toilet for routine microbiology, fungal and Mycobacterium tuberculosis culture. We performed audiological testing after the otorrhoea had resolved. RESULTS Eighty-six children (113 ears) were included, with a median age of 4.6 years (range 1 - 12 years). The mean duration of otorrhoea was 161.7 weeks (range 4 - 572 weeks). Nine patients (10.5%) presented with coalescent mastoiditis and/or intracranial complications of CSOM. Of the 153 organisms identified; Gram-negative bacteria were present in 93 (82.3%) ears, with 94.8% of these being sensitive to quinolones. Only 1 case of tuberculous otitis media was identified. HIV infection was present in 54.6% of patients tested. There was a hearing loss in 44 (66.7%) of the tested affected ears. CONCLUSIONS There was a long delay between the onset of symptoms and accessing ENT services. Most cases of CSOM were due to quinolone-sensitive Gram-negative aerobes. There was a high prevalence of cholesteatoma, hearing loss and other complications in children in this study.
منابع مشابه
An Otogenic Trapezius Abscess: A Case Report
Introduction: An otogenic brain abscess is a common ENT problem but an otogenic trapezius abscess can also be experienced in otolaryngological practice, particularly in patients with chronic suppurative otitis media. Case Report: We report a rare case of a trapezius abscess in an eight-year-old girl who presented at the ENT, Head and Neck Surgery Postgraduate Medical Institute, Lady Readi...
متن کاملAllergic Rhinitis in Adults with Chronic Suppurative Otitis Media
Introduction: Chronic suppurative otitis media (CSOM) is considered one of the most common causes of acquired hearing impairment in developing countries. CSOM is a multifactorial persistent inflammatory disease of the middle ear. A distinct pathophysiologic mechanism linking allergic rhinitis (AR) and CSOM remains to evolve. The purpose of this study was to investigate the association between A...
متن کاملPROPOSAL FOR SURGICAL CLASSIFICATION OF CHRONIC SUPPURATIVE OTITIS MEDIA
The authors presented a proposal for surgical classification of chronic suppurative otitis media which may be used' for evaluating the surgical outcome of the disease.
متن کاملAsurvey on the incidence of chronic suppurative otitis media(C.S.O.M) in Kermanian school children aged 12 to 15 years
chronic suppurative otitis media(C.S.O.M) in a chronic infective and chronic inflammatory process of middle ear and mastoid that may be with or without cholesteatoma.Due to its significant problems and complications such as hearing loss,labyrinthitis,facial nerve paralysis,meningitis,brain abscess,extra and subdural BSCESS AND LATERAL SINUS THROMBOSIS IS A FATAL AND IMPORTANT DISEASE.IN THIS S...
متن کاملTHE. ROUND WINDOW NICHE AND MEMBRANE IN CHRONIC SUPPURATIVE OTITIS MEDIA
This study evaluated the histopathologic changes in the round window niche. , and membrane in cases of chronic suppurative otitis media. The pathologic process was found in all subjects. Fibrocystic or fibrous tissue was most commonly seen, while active granulation was less developed. The round window membrane was thicker and inflamed throughout its layers. Inflammatory invasion of the inne...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
دوره 103 7 شماره
صفحات -
تاریخ انتشار 2013