Study of Etiological factors, mycological profile and treatment of Otomycosis

Prasanna, Vincent; Katiyar, Varidh; Kannan, Iyanar

doi:10.17511/ijmrr.2014.i04.14

Cited by 5 publications

(5 citation statements)

References 8 publications

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“…Bacterial infection of auditory canal may be one of the predisposing factors for development of otomycosis [5]. Mixed bacterial and fungal infections were also reported in a studies carried out in Indian [29,26,30].…”

Section: Discussionmentioning

confidence: 86%

Clinical and Microbiological Epidemiology of Otomycosis in the Centre Region of Cameroon

Itor¹,

Noubom²,

Nangwat³

et al. 2020

EJCBS

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Otomycosis is a superficial, sub-acute or chronic infection of the external auditory canal, characterized by pruritis, inflammation, pain and itching commonly seen in tropical and subtropical regions of the world. Various host and environmental factors can predispose a person to otomycosis. However, a clinical presentation along with otoscopic observations of the patients shows fungal and bacterial infections. Proper identification of causative agents is necessary in order to prevent recurrences and complications such as hearing lost. The aim of our study was to determine the fungi and bacteria pathogens causing otomycosis and to derive association of risk factors with otomycosis of the clinically diagnosed patients. A descriptive cross-sectional study was conducted in the otorhinolaryngology department at the University Teaching hospital and the Central hospital over a period of one year. A total of 250 clinically diagnosed patients of otomycosis of age above one year were included in the study. We evaluated age and sex distribution, predisposing factors and complaints of the clinically diagnosed patients for otomycosis. All samples collected were transported and evaluated by both direct microscopic examination and culture method for bacteria and fungi examination, which were identified by standard procedures. Among 250 samples, 46.22% yielded fungal growth, 21.33% grew bacteria only and 32.44% showed mixed growth of fungi and bacteria. Major fungal isolates were Aspergillus (n=121) including 75 isolates of Aspergillus section Nigri, 20 isolates of Aspergillus section Flavi, 13 isolates of Aspergillus section Fumigati, 8 isolates of Aspergillus section Nudilante and 5 isolates of Aspergillus section Terrei. 48 isolates were identified as Candida species. Major bacterial isolates were Staphylococcus aureus (n=45) followed by Pseudomonas species (n=26), Klebsiella species (n=21), Escherichia coli (n=7) and Proteus species (n=3). This study highlights the highest isolation of Aspergillus section Nigri in cases of clinically diagnosed otomycosis patients at the two reference hospital in Yaoundé, Cameroon with high prevalence seen in patients using antibiotic eardrops as a mean of treatment from pains and itching.

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Section: Discussionmentioning

confidence: 86%

Clinical and Microbiological Epidemiology of Otomycosis in the Centre Region of Cameroon

Itor¹,

Noubom²,

Nangwat³

et al. 2020

EJCBS

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“…(3,(22)(23)(24) A study reported that the awareness regarding unnecessary usage of cotton bud is much effective to prevent otomycosis. (25) Another study on hazards of ear buds revealed that peoples use ear buds to remove ear wax or to absorb fluid discharging from ear canal, as they are not aware of numerous pathologies which are curable risk factors regarding with frequent use of ear buds. Moreover, they stated that awareness should be created among general population as it can cause deafness and other infections (26).…”

Section: Discussionmentioning

confidence: 99%

Frequency and Factors of Ear Infection Among Swimmers, Cotton Bud and Headphone Users

Zia

Tahir

Azeem

et al. 2019

PJPH

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Background: Ear has a self-cleansing mechanism. However, most individuals are not aware of the natural self-cleansing ear mechanism therefore, they acquire the habit of using cotton bud to clean the ear. We conducted this study to determine the complications and harmful effect with the frequent use of cotton bud, ear phone and swimming on external ear canal. Methods: A descriptive observational study was conducted at the Outpatient Department of Dow University Hospital, OJHA campus, Karachi from December 2016 to December 2017. Information regarding head phone, cotton bud use and swimming along with ear infection side of infection, recent history of respiratory tract infection/trauma to ear canal, ear surgery and symptoms like pain, bleeding, itching, fever, hearing loss, pus discharge and whistling in ear were collected through a pre-structured questionnaire. Results: Median age of the individuals was 36 (27-49) years. There were 243 (76.4%) males and 75 (23.6%) females. Ear infection was found in 176 (55.3%) patients. A total of 199 (62.57%) individuals used cotton buds for ear cleaning. Age (p-value 0.010), ear infection (p-value 0.011) and itching (p-value 0.003) were significantly associated with cotton bud use. Swimming status was found positive in 11 ((3.45%) individuals. Age (p-value <0.001), gender (p-value 0.011), and marital status (p-value <0.001) were significantly associated with swimming. Headphone was used by 178 (55.97%). Ear infection (p-value 0.002), itching (p-value 0.009), and hearing loss (p-value 0.007) were significantly associated with headphone use. Conclusion: Our study confirms the association of cotton bud in the development of Otitis Externa. Nonetheless, the association between headphones and Otitis Externa need to be further assessed through larger studies.

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“…It is usually associated with increased ear canal moisture, warmth and use of topical antibiotic ear drops, which may lead to depletion of protective cerumen layer, maceration of underlying skin, increase in ambient pH and modification of the microbial flora of external auditory canal. Many studies have been revealed that itching in the ear and earache are the major clinical feature of otomycosis [14][15][16][17][18][19][20][21] . However, in this case study, both patients had many clinical features viz; earache, heaviness, ear blockage and ear discharge.…”

Section: Discussionmentioning

confidence: 99%

Otomycosis treated with Nufookh (Insufflation) therapy in Unani system of medicine: A case report

Arif¹,

Ansari²

2018

Int. J. Unani. Integ. Med.

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Otomycosis is a fungal infection of external auditory canal characterized by itching, pain, sensation of ear blocking, impaired hearing and/ or ear discharge. Two diagnosed cases of otomycosis were treated with nufookh (insufflation) therapy at E.N.T. OPD, HSZH Govt. Unani Medical College, Bhopal, Madhya Pradesh, India in 2017. Previously, the both patients were being treated with different allopathic antifungal ear drops and got temporary relief. The nufookh (insufflation) therapy of a compound Unani formulation, containing Mur makki, Kundur, Suhaga, Rasout and Phitkari was used for the treatment of both cases and showed significant result. It is recommended that this cost effective therapy with no reported adverse effect can be used for the treatment of uncomplicated cases of otomycosis.

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Study of Etiological factors, mycological profile and treatment of Otomycosis

Cited by 5 publications

References 8 publications

Clinical and Microbiological Epidemiology of Otomycosis in the Centre Region of Cameroon

Clinical and Microbiological Epidemiology of Otomycosis in the Centre Region of Cameroon

Frequency and Factors of Ear Infection Among Swimmers, Cotton Bud and Headphone Users

Otomycosis treated with Nufookh (Insufflation) therapy in Unani system of medicine: A case report

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