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

Abstract

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.

Clinico-epidemiological profile of chronic otitis media at a tertiary care hospital

“…10 In present study we found a slight male preponderance, this can be attributed to the fact that male patients have been exposed to more of pollution like dust, pollen, taking bath in the pond in rural setup. These results are similar to study conducted by Abraham et al 11,12 In current study, majority were from a rural setup than urban setup. This was similar to study conducted by Bandyopadhyay et al 13 Also our hospital is visited by majority of the rural patients for their health care needs.…”

Comparison of Germ Patterns and Antimicrobial Susceptibility in Chronic Suppurative Otitis Media with Cholesteatoma and without Cholesteatoma in Dr. Mohammad Hoesin Hospital.

“…This study used subject selection with total sampling, the dominance of male sex may be a coincidence finding, there are no known anatomical or genetic differences between men and women associated with ear infections, especially CSOM. 2,6 The success of treating bacterial infections is the result of working between antibiotics and the immune system. Antibiotic resistance and the immune system are related to infection, the adaptation of bacteria to the immune system affects the spectrum of antibiotic resistance so that bacteria can become more resistant.…”

Pre-tertiary hospital management of neoplastic neck lumps in adults: the need for an appraisal in North Western Nigeria

“…This finding was like the study by Abraham et al, 67.2% were metastatic lymph nodes, and the primary cancers occurs commonly from the nasopharynx (21.31%) and oropharynx (21.31%). 20 Benign neck lumps are less common in adults. 2,6 However, benign tumours arising from the thyroid and salivary glands, are relatively commonly seen in adults.…”