AN AEROBIC MICROBIOLOGICAL CORRELATION BETWEEN DISCHARGING EAR AND THROAT BACTERIAL FLORA

Main Article Content

Vineeta Gupta
Vishal Hansrajani
Abhay Kumar Gupta

Keywords

.

Abstract

Chronic suppurative otitis media is very common in developing countries and forms a major case load in otorhinolaryngology OPDs of hospital. We have done a study on bacteriological co-relation between discharge of ear and throat bacterial flora in normal throat or infected throat.


Study was done on 157 cases which had chronic suppurative otitis media and Gram’s staining as well as culture sensitivity was done to find out the organism.


Throat swabs were taken where 52 cases had complaint of throat infection and


102 cases had normal throat. Gram positive cocci was most common bacteria on Gram’s staining as well as on culture from ear swab and throat swab. Except in cases of Squamosal type of chronic suppurative otitis media where Gram negative bacilli like Pseudomonas and Klebsiella were common organism grown.


On establishing relationship statistically, study showed that there is significant relationship present in mucosal chronic suppurative otitis media and infected throat. While no relationship existed between mucosal chronic suppurative otitis media and normal throat bacterial flora.

Abstract 53 | pdf Downloads 30

References

1. Shambough GE. Glasscok ME; Pathology and clinical course of inflammatory diseases of middle ear. Surgery of the ear, Edited by A Julianna Gulya, Lloyd B. Minor & Dennis S. Poe; 6th Edition, Chapter 25, Pg 425.
2. Monasta L, Ronfani L, Marchetti F, Montico M, Vecchi Brumatti L, Bavcar A, Grasso D, Barbiero C, Tamburlini G. Burden of disease caused by otitis media: systematic review and global estimates. PLoS One.2012;7(4):e36226. doi: 10.1371/journal.pone.0036226. Epub 2012 Apr 30. PMID: 22558393; PMCID: PMC3340347.
3. Rao BN & Reddy MS; Chronic suppurative otits media – A prospective study. Indian Journal of Otolaryngology, Head & Neck Surgery. 1994; 46(2):72-77
4. Poelmans J, Tack J, Feensta L. Prospective study on incidence of chronic ear complaints related to gastroesophageal reflux and on the outcome of antireflux therapy. Ann Otol Rhinol Laryngol 2002; 111: 933-38
5. Bluestone CD, Physiology of Middle ear and Eustachian tube. Otolaryngology – Basic Science and Related principles, edited by Paparella MM, Shumrick DA, Gluckmann JL & Meyerhoff WL., WB Saunder’s London, 1991; 3rd Edition, Vol -1, Chap 6: 163-170
6. Bluestone CD & Berry CC, Concept of pathogenesis of the middle ear effusions. Annals of Otolaryngology, Rhinology, Laryngology (Suppl), 1976; 25: 182
7. Kenna A & Bluestone CD, Microbiolgoy of Chronic suppurative otitis Media in childred; Peadiatric Infectious Diseases, March 1986; 5: 223-225
8. Shyamal R, Reddy PS. The study of bacteriological agents of chronic suppurative otitis media- aerobic culture and evaluation. J.Microbio. Biotech. Res. 2012; 2(1): 152-162
9. Getaneh A, Ayalew G, Belete D, Jemal M, Biset S. Bacterial Etiologies of Ear Infection and Their Antimicrobial Susceptibility Pattern at the University of Gondar Comprehensive pecialized Hospital, Gondar, Northwest Ethiopia: A Six-Year Retrospective Study. Infect Drug Resist. 2021 Oct 20;14:4313-4322
10. Paul Noone. Bacteriology in relation to Otorhinolaryngology, Scott’s Brown Otolaryngolgoy edited by John Ballentyne, Grove J, Butterworths, London 1984, 4th Edition, Vol 1,, Chapter14: 559-600
11. Papastavros T, Giamarellou H, Varlejides S,. Role of aerobic and anaerobic micor- organisms in chronic suppurative otitis media. Laryngoscope, April 1986; 96: 438- 42 Wese A. History of Medicine in Anatomy, 1988
12. Kornblut A. Tonsillectomy and Adenoidectomy. Otolaryngology- Head & Neck, Edited by Paprella MM, Shumrick DA, Gluckman JL & Meyerhoff WL., WB Saunder’s London, 1991; 3rd Edition, Vol -1, Chap 22: 2149-56
13. Jack M, Gwalthey JR,. Pharyngitis- Principles and practice of infectious diseases, Churchill Livinstone, New York, Edited by Mandell GL, DOuglous RG, Bennet JE. 1990; 3rd Edition, Chap 43: 493-98
14. L. Appiah-korang, S. Asare-gyasi., AE Yawson, K. Searyoh. Aetiological agents of ear discharge: a two year review in a teaching hospital in Ghana. Ghana medical journal; 48(2): 91-95
15. Constable L & Bultler I, Microbial flora in chronic suppurative otitis Media, J. of Infectious diseases. 1982; 5: 57-60
16. Xu J, Du Q, Shu Y, Ji J, Dai C. Bacteriological Profile of Chronic Suppurative Otitis Media and Antibiotic Susceptibility in a Tertiary Care Hospital in Shanghai, China. Ear, Nose & Throat Journal. 2021;100(9):NP391-NP396. doi:10.1177/0145561320923823
17. Prakash R, Juyal D, Negi V, Pal S, Adekhandi S, Sharma M, Sharma N. Microbiology of chronic suppurative otitis media in a tertiary care setup of uttarakhand state, India. N Am J Med Sci. 2013 Apr;5(4):282-7. doi: 10.4103/1947-2714.110436. PMID: 23724403; PMCID: PMC3662095
18. Khatun MR, Alam KMF, Naznin M, Salam MA. Microbiology of Chronic Suppurative Otitis Media: An update from a Tertiary Care Hospital in Bangladesh. Pak J Med Sci. 2021;37(3):821-826. doi: https://doi.org/10.12669/pjms.37.3.3942
19. Madana J, Yolmo D, Kalaiarass R et al., Microbiological profile with antibiotic sensitivity pattern of cholesteatomatous Chronic suppurative otitis media among children. Int J. Pedia Otorhinolayngol. 2011; 75(9): 1104-8
20. Chaturvedi VN, Methwani A, Chaturvedi P. Bacterial flora in chronic tonsillitis. Indian Pediatrics, 1989; 26: 53-56
21. Maw AP & Speller DC. Are the tonsils and adenoids reservoir of infection in otitis media with effusion? Clinicla Otolaryngologica. 1985; 10:265-269
22. Rusan M, Klug TE, Ovesen T. An overview of the microbiology of acute ear, nose and throat infections requiring hospitalisation. Eur J Clin Microbiol Infect Dis. 2009 Mar;28(3):243-51. doi: 10.1007/s10096-008-0619-y. Epub 2008 Oct 2. PMID: 18830726
23. Yadav JK, Farooq U, Begum R, Tak V, Yadav SK, Kushwaha DKS, Pandey RK. Isolation and Identification of Organism from Throat Swab Along with Sensitivity Pattern from the Patients in North India. Ann. Int. Med. Den. Res. 2015;1(3):268-71.
24. José M. Ordóñez-Menaa,b, Thomas R. Fanshawea, Chris C. Butler etal. Relationship between microbiology of throat swab and clinical course among primary care patients with acute cough: a prospective cohort study. Family Practice, 2020; 37(3): 332–339