A Study of The Bacteriological Profile of Chronic Suppurative Otitis Media In Tertiary Facility of Moinabad Belt (Rangareddy District, Telangana State, India)

Introduction: Chronic suppurative otitis media is one of the most common infectious disease worldwide. Also its known for its recurrence and persistence despite adequate treatment. It is caused by a wide variety of microorganisms, both aerobic and anerobic. To add on to it, there is emergence of specific antibiotic resistance due to inadvertent use of these drugs. Aims And Objectives Of The Study: This study is a hospital based study aimed at re-evaluating the current bacteriological profile of chronic suppurative otitis media (CSOM) and the sensitivity pattern to most of the currently available antibiotics. Patients And Methods: A total of 100 patients were selected presenting with actively discharging ear or ears to ENT OPD at Bhaskar Medical College/General Hospital, Yenkapally village, Rangareddy district covering 26 villages of moinabad belt. A sterile aural swab with pus was collected and sent for culture of the organism and antibiogram pattern to microbiology department of the same hospital. Results: We analysed a total of 100 ear swabs ranging from age 1 year to 70 yrs. The most common organism isolated were gram negative organism and among that highest was pseudomonas aeruginosa (25%), followed very closely by Staphylococcus aureus (24%) and no organism isolated in 24% of the cases. The most effective antibiotic overall was found to be Ciprofloxacin in this study, followed closely by Amikacin, Gentamycin and Cefaperazone + sulbactum.Least sensitivity for drugs like Ampicillin and Amoxycillin+ Clavulinic acid. Conclusions: The judicious use of antibiotics to prevent rapidly emerging resistance to various antibiotics and to prevent morbidity associated with the chronic discharging ear is the reason for knowing antibiogram before starting the treatment. Hence is the study done to know the etiology and antibacterial susceptibility of microorganisms would contribute to a rational antibiotic use and the success of treatment for chronic supportive otitis media.