The Discharging Ear in the Tropics: A Guide to Diagnosis and Management in the District Hospital

Brobby, G W

doi:10.1177/004947559202200103

Cited by 23 publications

(25 citation statements)

References 8 publications

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“…1). This reaffirms earlier reports from the West African subregion that marginal and attic perforations of TM that are common predispositions to choleasteatoma are uncommon among the populace (6,11). We suggest that more research work be done toward this.…”

Section: Discussionsupporting

confidence: 90%

Tympanic Membrane Perforation Among Adults in West Africa

Ibekwe

Ijaduola

Nwaorgu

2007

Otology &Amp; Neurotology

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Most TM perforations result from infection and are preventable via appropriate health education. Posterosuperior perforation is rare, and this is probably one of the factors making choleasteatoma uncommon in West Africa. Approximately 83.3% of TM perforations measure more than 25% in size and appear during the wet humid season of the year. These findings are important for both local and foreign otolaryngologists who may be practicing in this subregion of the world.

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Section: Discussionsupporting

confidence: 90%

Tympanic Membrane Perforation Among Adults in West Africa

Ibekwe

Ijaduola

Nwaorgu

2007

Otology &Amp; Neurotology

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“…Twelve (85.7%) were positive for pathogens (monomicrobial in 11 and polymicrobial in 1). Staphylococcus aureus (28.6%), Pseudomonas aeruginosa (14.3%), Pseudomonas spp (7.1%), S. pneumoniae (7.1%), S. pyogenes (7.1%), Escherichia coli (7.1%), Klebsiella spp Table 1 Types of discharging ears and ear lesion [4][5][6] Also, in the tropics, empiric treatment is employed for most cases seen by general practitioners and nonotologists. This has given rise to the misuse of antimicrobial agents with the emergence of multiple antibiotic-resistant pathogens.…”

Section: Resultsmentioning

confidence: 99%

“…While the microbiological profiles of DE, especially the suppurative otitis media, are well charted in the developed world, [1][2][3] relatively few studies in the tropics have documented the aetiologic agents. [4][5][6] Also, in the tropics, empiric treatment is employed for most cases seen by general practitioners and nonotologists. This has given rise to the misuse of antimicrobial agents with the emergence of multiple antibiotic-resistant pathogens.…”

Section: Introductionmentioning

confidence: 99%

Clinical and microbiological profiles of ear infections in Osogbo, Nigeria

et al. 2006

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Despite the fact that discharging ears (DE) are one of the most common presentations to ear, nose and throat (ENT) clinics in the tropics, few reports have documented the aetiologic agents involved. The pathogenesis is therefore not fully understood and treatment remains controversial. We present in this report the microbiological characteristics of DE over a 3-year-period at the ENT clinic of Ladoke Akintola University Teaching Hospital, Osogbo, Southwest Nigeria.

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“…22,23 This may be because women are more conscious of their health and thus use cotton swabs to clean their ears more frequently, resulting in a higher moisture level in the external auditory canal, which is a risk factor for otomycosis. 11,20 On the other hand, swabs can protect the ear from environmental contaminations and reduce the level of exposure to environmental fungal agents.…”

Section: Discussionmentioning

confidence: 99%