TREATMENT OF CHRONIC SUPPURATIVE OTITIS MEDIA IN ERA OF INCREASING ANTIBIOTIC RESISTANCE

Abstract

Sharad B. Bhalekar1, Haritosh K. Velankar2, Keertana Shetty3, Yogesh G. Dabholkar4, Yessukrishna Shetty5, Bhavika Verma6, Pooja Sancheti7, Laveena Mehta8

Conservative medical management of chronic suppurative otitis media (CSOM) is an important step in achieving a dry ear which is a prerequisite for the definitive surgical management of non-cholesteotomatous CSOM. Like other chronic diseases, CSOM can limit an individual's employability and quality of life. The microbial profile, antibiotic sensitivity & resistance pattern of CSOM has been changing according to geographical variation and various differences in patient population. A prospective, randomized open study of 110 patients was conducted to isolate aerobic & anaerobic organisms and their sensitivity & resistance patterns to various antibiotics among the patients suffering from non-cholesteotomatous CSOM at a charitable tertiary healthcare center located in Navi Mumbai. Pseudomonas aeruginosa was most common aerobic organism isolated (37.7%) followed by Staphylococcus aureus (31.5%). Linezolid was found to be most effective drug followed by Amikacin, Streptomycin, and ciprofloxacin. A periodic review of microbiological profile of and antibiotic sensitivity & resistance pattern of the isolates is important for effective management of CSOM.

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