Profile of Patients with Complicated Chronic Suppurative Otitis Media in Dr. Hasan Sadikin General Hospital Bandung, Indonesia January–December 2011

Abstract

Background: The prevalence of chronic suppurative otitis media (CSOM) is still high in developing countries. According to the World Health Organization (WHO), the prevalence of CSOM is 2-4%. In 1994-1996, the prevalence of CSOM in various provinces in Indonesia is diverse, with general prevalence of 3.9%. Chronic suppurative otitis media can also lead to various complications. The objective of this study was to determine the profiles of CSOM patients with complications in Dr Hasan Sadikin General Hospital Bandung. Methods: Secondary data was obtained from 117 medical records of the period January-December 2011 in Dr Hasan Sadikin General Hospital Bandung. Out of 117 medical records, 43 medical records consisted of CSOM patients who had complications. Data of patients'demography, risk factor, chief and accompanying complaints, infected ears, pathological findings, complications, and treatments were collected and were analyzed with frequency distribution. Results: There was 36.75% CSOM patients with complications, 55.8% are male, 30.3% were 30-39 years old, 62.8% level of education of patients was primary education. Ear discharge (otorrhea) was the most common chief complaints (95.3%) and hearing loss was the most dominated accompanying symptom (53.5%), Upper Respiratory Tract Infection (URTI) was the most common risk factors. Most of the cases had unilateral complication (93%) and intratemporal (72%). Both intratemporal and extratemporal was only 26% cases. Granulation tissue was the most common intratemporal complication (32.5%). The most common procedure given was Mastoidectomy without tympanoplasty (51.2%) followed by pharmacotherapy Conclusions: Percentage of CSOM with complication is still high in Dr. Hasan Sadikin General Hospital Bandung.

Bakteri Penyebab Otitis Media Supuratif Kronis di Rumah Sakit Umum Universitas Kristen Indonesia

“…4 Di Rumah Sakit Dr. Hasan Sadikin, Bandung jumlah pasien OMSK pada tahun 2011 adalah 117 pasien dan 43 pasien mengalami komplikasi. 5 Berdasarkan penelitian di Poliklinik THT-KL RSUP Prof. Dr. R. D. Kandou Manado selama periode 3 tahun (2014-2016), didapatkan jumlah pasien yang menderita OMSK adalah 78 pasien, dengan kasus terbanyak pada tahun 2016 yaitu 45 kasus, dan yang paling sedikit pada tahun 2014 yaitu 15 kasus, sedangkan di tahun 2015 didapatkan 18 kasus. 6 Pada Otitis media supuratif kronis (OMSK), bakteri mencapai telinga tengah melalui tuba Eustachius dari nasofaring atau dari saluran telinga luar melalui membran timpani yang tidak intak.…”

Gambaran Komplikasi Otitis Media Supuratif Kronis Tipe Bahaya di RSUP Dr. M. Djamil Padang Tahun 2017-2019

“…Banyak faktor yang menyebabkan hal tersebut seperti sistem imunitas yang masih belum kuat, resistensi kuman penyebab, virulensi organisme penyebab, keadaan sosio-ekonomi yang rendah terutama di daerah pedesaan, dan kurangnya pengetahuan akan proses penyakit serta komplikasinya sehingga pasien mencari perawatan medis ketika komplikasi sudah muncul. 46,47 6 Distribusi Kejadian Komplikasi OMSK Tipe Bahaya Berdasarkan Jenis Kelamin Berdasarkan jenis kelamin didapatkan laki-laki lebih banyak mengalami komplikasi intrakranial dibandingkan perempuan dalam penelitian ini, yaitu laki-laki sebanyak 4 kasus dan perempuan sebanyak 1 kasus. Hasil ini sesuai dengan penelitian yang dilakukan oleh Sun dkk tahun 2014 di Cina, yang menyebutkan komplikasi intrakranial pada laki-laki lebih banyak dibandingkan perempuan yaitu 12 kasus pada laki-laki dan 5 kasus pada perempuan dari total 17 kasus komplikasi intrakranial.…”

Management of recurrent chronic suppurative otitis media with cholesteatoma

“…2,3 CSOM is a worldwide health problem with prevalence in Southeast Asia of 7.8% based on World Health Organization (WHO). 4 According to a study conducted by Desbassarie et al 5 at Hasan Sadikin Hospital Bandung in 2011, there were 117 cases of CSOM with 43 of them were complicated CSOM cases. The etiology and pathophysiology of otitis media are multifactorial and overlapping, including impaired ventilation function of the Eustachian tube and infectious process involving biofilm and anaerobic bacteria.…”