Pattern of Chronic Suppurative Otitis Media at the National Ear Care Centre Kaduna, Nigeria

Bakari, AA; Adoga, Adeyi A; Afolabi, OA; Kodiya, AM; Ahmad, BM

doi:10.4314/jmt.v12i1.69307

Cited by 20 publications

(20 citation statements)

References 6 publications

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“…as the second commonest while in some other centres such as Ibadan and Jos Nigeria found Staphylococcus aureus was found to be the second commonest 9,10 . Our finding was also at variance with a study done in Kaduna which revealed Klebsiella spp as the commonest bacterial organism 22 . Proteus spp was less prevalent (14.9%) based on findings from the middle ear culture of the respondents as against some other study where it was found to be the commonest in Egypt and second commonest in other studies in Ibadan 9,21,23 .…”

Section: Discussioncontrasting

confidence: 88%

Pattern of bacterial isolates in the middle ear discharge of patients with chronic suppurative otitis media in a tertiary hospital in North central Nigeria

Afolabi¹,

Salaudeen²,

Ologe³

et al. 2013

Af Hlth Sci

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Background: Otitis media (OM) is a major health problem in both developed and developing countries. Objective: To determine the pattern of bacterial isolates in patients with chronic suppurative otitis media(CSOM) in Ilorin, Nigeria. Methods: A prospective study carried out in University of Ilorin Teaching Hospital, Nigeria among consenting patients with CSOM attending the ENT clinic over a period of 7months. Informed consent was obtained from the patients or caregivers and approval for the study obtained from ethical committee. Structured questionnaire was administered and microbiological analysis done, data obtained was entered into SPSS statistical software and results presented in tables and figures. Results: A total of 134 patients aged 5-64yrs with chronic suppurative otitis media were interviewed with a mean age of 17.0 (S.D. =15.1±1.30). About 55.2% of the respondents were under 10yrs. Seventy-two (53.7%) of the respondents were males with M:F=1.2:1. The gram stain showed predominantly gram negative organisms (71.6%). Pseudomonas aeruginosa was the commonest middle ear pathogenic organism identified and the sensitivity pattern highly favoured ciprofloxacin Conclusion: CSOM is still a childhood problem among the under tens' more prevalent among males and the commonest agent is Pseudomonas aeruginosa. Ciprofloxacin is still the most sensitive antibiotics in vitro.

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Section: Discussioncontrasting

confidence: 88%

Pattern of bacterial isolates in the middle ear discharge of patients with chronic suppurative otitis media in a tertiary hospital in North central Nigeria

Afolabi¹,

Salaudeen²,

Ologe³

et al. 2013

Af Hlth Sci

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“…Isolation of coliform bacteria Escherichia coli and Klebsiella pneumoniae which are known to be fecal bacteria and Pseudomonas aeruginosa which is associated with wet environmental conditions suggests people are at high-risk of infection due to poor hygienic environment. These findings were in line with observational study done in Nigeria by Bakari A. et al [27] which had Klebsiella pneumoniae as the commonest isolated bacteria. But most authors elsewhere have reported Pseudomonas aeruginosa as the commonest isolates [17,20,26,30,31] while Ferede et al [32] in their study found Proteus species followed by Staphylococcus aureus as their commonest isolates.…”

Section: Discussionsupporting

confidence: 91%

“…The polymicrobial nature of the disease may well be explained by the fact that the perforated ear This study also observed that gram negative bacteria accounted for the majority of the isolates while fungi accounted for the least. Most of the isolates were facultative anaerobes similar to what has been reported in other studies [17,27] with other researchers observing gram positive Staphylococcus aureus as the predominant isolates [28,29].…”

Section: Discussionsupporting

confidence: 88%

Prevalence and Etiological Agents for Chronic Suppurative Otitis Media in a Tertiary Hospital in Tanzania.

Abraham

Ntunaguzi

Kahinga

et al. 2019

Preprint

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Objective: Chronic suppurative otitis media is among the most common otological condition reported in otorhinolaryngology practice commonly attributing to preventable hearing loss. The aim of this study was to determine the prevalence and etiological agents for chronic suppurative otitis media in our department. Results: A total of 5591 patients were recruited in this study and only 79 (1.4%) had chronic suppurative otitis media. A male preponderance 43 (54.4%) was noted in this study and the left ear (58.2%) was more commonly affected compared to the right ear. Central perforation was the commonest pattern of presentation and was reported in 53% of cases though none had attic perforation. Of the 81 processed ear swabs, microbial growth was seen in majority 80 (98.8%) whilst one sample showed no microbial growth whereas 52.5% had polymicrobial growth. Among the isolates, most were gram negative species accounting for 59.7% while gram positive bacteria accounted for 25.6% and fungi accounted for 14.7%. Most of these isolates were facultative anaerobes. Klebsiella pneumoniae (20.2%) was the commonest isolates while Escherchia coli and Pseudomonas aeruginosa were equally least isolated (10.9%). Tested isolates were most sensitive to Ciprofloxacin, Gentamycin, Ceftriaxone and Amikacin and least sensitive to Amoxicillin/clavulanic acid and Ampicillin.

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“…Moreover, this is similar to findings by other researchers. 14,15 Other workers like Shrestha et al Karkiet et al 16,17 Poorey and Iyer also found maximum prevalence of CSOM in the younger age group. 18 In our study, though there is an increase in female occurrence, this data is not statistically significant.…”

Section: Discussionmentioning

confidence: 99%

A comparative study on the nasal endoscopic findings in patients with chronic otitis media

Thomas

Menon

Pooja

et al. 2017

Int J Otorhinolaryngol Head Neck Surg

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Background: Nasal and/or sinus disease may well contribute to the development of middle ear disease. In this study, the nasal endoscopic findings in patients with chronic otitis media (COM) compared with a group of people who do not have any otologic relevant disease to evaluate the association of anatomical variations with COM.Methods: A descriptive comparative study was done. A detailed history, clinical examination and diagnostic nasal endoscopy (DNE) had been done. DNE analysis include eustachian tube blockage, adenoid hypertrophy and inferior turbinate hypertrophy. The results were statistically analysed. Results: Total 108 cases (45 males and 63 females of age 31.17±14.50 years) and in the control group (48 males and 60 females of average age was 36.06±14.32 years) were included in the study. Most of the COM patients (66.7%) had multiple abnormalities of sinonasal regions compared to controls. Findings of DNE like eustachian tube blockage (p value=0.003), adenoid hypertrophy (p value=0.028) and inferior turbinate hypertrophy (p value=0.035) were significantly associated with chronic otitis media.Conclusions: Nasopharyngeal pathology causing eustachian tube dysfunction, has higher prevalence among chronic otitis media patients. So early recognition by diagnostic nasal endoscopy is warranted especially when surgery is considered for the comprehensive management of this overwhelming and enigmatic disease.

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Pattern of Chronic Suppurative Otitis Media at the National Ear Care Centre Kaduna, Nigeria

Cited by 20 publications

References 6 publications

Pattern of bacterial isolates in the middle ear discharge of patients with chronic suppurative otitis media in a tertiary hospital in North central Nigeria

Pattern of bacterial isolates in the middle ear discharge of patients with chronic suppurative otitis media in a tertiary hospital in North central Nigeria

Prevalence and Etiological Agents for Chronic Suppurative Otitis Media in a Tertiary Hospital in Tanzania.

A comparative study on the nasal endoscopic findings in patients with chronic otitis media

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