The purpose of the present study was to determine the microbiological profile and antimicrobial susceptibility pattern of isolates from discharge in CSOM. MATERIAL AND METHODS This study included a total of 187 patients of CSOM with unilateral or bilateral discharge attending department of ENT in SHKM Govt. Medical College and Hospital Nalhar, Mewat, Haryana March 2015 to August 2015. Samples were inoculated on blood and Mac Conkey agar for 24-48hrs and identification of organism was done by using standard biochemical reactions and antibiotic susceptibility testing done by using modified Kirby Bauer method as per CLSI guidelines. RESULT Among 187 patients included in the study, most of the patients were between age group 11-20 years. CSOM was found to be more common in female patients (52%) than in male (48%) patients. The most common organisms were: Staphylococcus aureus (36%); Pseudomonas aeruginosa (34%); Klebsiella species, (6%) Proteus species (5%); Escherichia coli (4%); and other bacteria like Coagulase negative Staphylococcal species; Citrobacter spp, Enterobacter spp,Enterococcus spp,. According to antimicrobial susceptibility testing, Staphylococcus aureus was more sensitive to ciprofloxacin and gentamycin. Majority of gram negative isolates were sensitive to imipenem, quinolones and amikacin. CONCLUSION Result of our study showed high prevalence and resistance rate of Staphylococci and Pseudomonas isolates from CSOM patients to ß-lactam and other commonly used antimicrobials. Our study suggested that Amikacin, Piperacillin-Tazobactam and quinolones are best choice in these cases. Therefore an appropriate knowledge of antibacterial susceptibility of microorganism may contribute to rational antibiotic use and the success of treatment for CSOM.

Malaria is a protozoan disease caused by the parasites of the genus Plasmodium; Plasmodium vivax, Plasmodium malariae, Plasmodium falciparum, and Plasmodium ovale. Microscopy is the gold standard for the laboratory diagnosis of malaria parasite but its turnaround time is much more than that of RDT and it requires adequate training. RDTs are alternative diagnostic methods because they are quick and easy to carry out. We studied 500 blood samples of patients presented with sign and symptoms of malaria from OPD and various wards of SHKM GMC Nalhar, from June 2015 to May 2016. All of the samples obtained were first tested by RDTs, and then the same samples were used to make peripheral blood film. RDT have more sensitivity than PBF. Specificity and PPV of rapid card test were 93.6%, 87.2% and sensitivity and NPV were 91.3%, 95.7%. In case of outdoor fields activity peripheral regions RDT is a good option. We recommended that RDT in conjunction with microscopy should improve the diagnosis of malaria.

INTRODUCTION CSOM is a prevalent infection in children. Commonly cause by microorganism like bacteria fungi or virus It can cause mild to moderate hearing loss. AIMS AND OBJECTIVE To find out the socio-demographic status of CSOM and common type and degree of hearing loss in CSOM in Mewat region. METHODOLOGY This study was conducted prospectively in department of Otolaryngology-Head & Neck Surgery of SHKM GMC Nalhar, Mewat, Haryana, from January 2013 to December 2015. We studied 851 cases of CSOM age range from 10 to 60 years and excluded intracranial complications if any. RESULT In our study maximum patients from 10 to 18 years with lower socioeconomic group with dirty habits of ear picking and 67.5% patients suffered from bilateral hearing loss. In all age group males were predominantly affected with 41-55dB hearing loss. CONCLUSION CSOM is more common in people resides in poor living condition, lower socioeconomic group and recurrent upper respiratory infection. Hearing loss was more commonly conductive type in CSOM with bilateral involvement and predominantly affected male than female. Mewat is a backward area which needs more health facility to avoid this type of hearing impairment.

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