BACKGROUND Chronic suppurative otitis media (CSOM) is defined as a chronic inflammation of the middle ear and mastoid cavity. The disease usually begins in childhood. We need to study the prevalence and risk factors of chronic suppurative otitis media in a teaching hospital in Telangana. METHODS This was a cross sectional study done among patients with CSOM attending the Department of ENT for a duration of one year from January 2019 to December 2019. Detailed history, otoscopic examination and culture sensitivity tests of ear discharge were done. RESULTS The sample size was 150. The prevalence of CSOM was reported to be 7.5 %. Majority of the cases were in the 11 - 15 years age group, i.e., 56.6 %. Tubotympanic type was most commonly reported and accounted for 80 % (100 / 150) whereas atticoantral type was 20 %. Pseudomonas aeruginosa was the most commonly isolated organism from the ear discharge. Most of the CSOM cases presented with upper respiratory tract infection i.e., 20 %. CONCLUSIONS The prevalence of CSOM in our study was 7.5 % and it was more common in the younger age group. CSOM was more common in the lower socioeconomic class. Upper respiratory tract infection is a frequent mode of presentation of CSOM. KEYWORDS CSOM, Ear Discharge, Tubotympanic CSOM, Atticoantral CSOM
Allergic rhinitis is an IgE antibody mediated, inflammatory disease.The most commonly encountered risk factors for allergic rhinitis are presence of atopy, asthma, eczema, and other allergic illnesses. Identification of aeroallergens helps in patient counseling to modify life style and prevent exposure to triggering factors.To determine the prevalence of aeroallergens in allergic rhinitis. This was a prospective study done in cases of allergic rhinitis over a duration of one year from January 2019 to December 2019. Complete history taking was followed by ENT examination including Rhinoscopy and endoscopy, peripheral smear examination for eosinophils, absolute eosinophil count testing and Skin prick testing with known allergens and serum IgE level testing. A total of 145 cases of allergic rhinitis were studied. The patient age ranged from 11 years to 50 years. The male to female ratio was 0.5:1. Most common allergen causing allergic rhinitis was dust mite which constituted about 44.1% cases. The next common allergen was Mold which accounted for 20.6% cases. We conclude that there are numerous aeroallergens that can cause allergic rhinitis and the most common ones are dust mites, molds, house dust, animal dander, pollen and others. Correct identification of the aeroallergen helps in the proper counseling of the patients so as to prevent exposure to those aeroallergens thereby reducing the episodes and severity of allergic rhinitis.
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