Publication:

Micro biological evaluation of aural swab culture and antibiotic sensitivity in 100 cases of tubotympanic and attico antral disease

Background Chronic suppurative otitis media and its complications is one of the commonest ENT problems in our country. The chronicity of the disease and poor response to routine treatment prompted us to isolate and identify the causative organisms and study the antimicrobial susceptibility pattern.

Methods About 50 patients with tubo tympanic disease and about 50 patients with attico-antral disease were selected, complete clinical ENT examination carried out, aural swabs were collected, culture was done and antibiotic sensitivity was studied.

Results Culture of aural swab demonstrate the polymicrobial bacteriology consisting of both gram positive and negative pathogens, while gram negative pathogens form the majority of both tubotympanic and atticoantral disease. Mixed growth is more common in attico- antral disease. In our study, Ciprofloxacin and Cefotoxime has found out to be the drug of choice for both tubotympanic and atticoantral disease with high sensitivity.

Conclusions Periodical monitoring of microbiological profile is essential for making effective empirical protocol for the cases in a particular geographical location.