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VinodKumar, C. S.
- Incidence and Microbial Profile of Chronic Suppurative Otitis Media at Gulbarga, Karnataka
Authors
1 Department of Microbiology, S.S.Institute of Medical Sciences and Research Centre, NH-4, Bypass, Davangere-577005, Karnataka, IN
2 Department of Community Medicine, S.S. Institute of Medical Sciences and Research Centre, Davangere, IN
3 Department of Microbiology, Gulbarga University, Gulbarga, IN
4 Department of Microbiology, K.B.N. Institute of Medical Sciences and Research Centre, Gulbarga, IN
5 Department of ENT, S.S. Institute of Medical Sciences and Research Centre, Davangere, IN
6 Department of Physiology, S.S. Institute of Medical Sciences and Research Centre, Davangere, IN
Source
Indian Journal of Public Health Research & Development, Vol 3, No 3 (2012), Pagination: 205-209Abstract
Objective: Chronic suppurative otitis media (CSOM) is a prevailing and notorious infection in developing countries causing serious local damage and threatening complications. Early and effective treatment based on the knowledge of causing micro organisms and their sensitivity results in good clinical recovery and prevents from damage and complications.
The study intended to identify the incidence of bacterial infection in the CSOM and to determine their sensitivity to current antibiotics.
Methods: After clinical evaluation, middle ear secretion was taken for bacteriological examination from 250 patients meeting the inclusion criteria. All children with cholesteatoma and those with tumors occluding the (ear) canal were excluded. The samples were processed as per the standard microbiological techniques.
Results: A total of 272 bacterial agents were isolated from 250 patients aged between 8 months and 65 years. 220 samples yielded pure growth and 22 were mixed, Pseudomonas aeruginosa (39.7%) was the commonest isolate followed by Klebsiella pneumoniae and Staphylococcus aureus. Among anaerobic bacteria, Bacteriodes was the predominate bacteria isolated. Most of the isolates were resistant to commonly used antibiotics. ESBL evaluation revealed that 20.4 % of gram negative bacteria were extended beta lactamase producers. 63.4% of Pseudomonas aeruginosa, 20.3% of Klebsiella pneumoniae were the predominate organisms resistant to 3 GC.
Conclusion: Pseudomonas aeruginosa was the most common bacteria isolated from chronic discharging ears followed by Klebsiella pneumoniae. Amikacin was found to be the most suitable drug followed by ceftazidime for Pseudomonas aeruginosa. The high rate of multiple drug resistance for frequently used antibiotics raises serious concern.
Keywords
Chronic Suppurative Otitis Media, Drug ResistanceReferences
- Mandel. EM, Casselbrant ML, Kurs-Lasky M. Acute otorrhea: bacteriology of a common complication of tympanostomy tubes. Ann. Otol. Rhinol. Larynogol, 1994; 103: 713-718.
- Dohar JE, Garner ET, Nielsen RW, Biel MA, Seidlin M. Topical of ofloxacin treatment of otorrhea in children with tympanostomy tubes. Arch otolaryngology Head Neck Surg. 1999; 125, 537-545.
- Johnson RL: Chronic otitis media in school age Navajo Indians, Larynges scope 1967: 77, 1990-1995
- WHO (Division of Diarrhea and Acute Management of childhood illnesses WHO/CDR/ 95. 14. A.L. Geneva: WHO.
- Micro N. Controlled multicenter study on CSOM treated with topical application of ciprofloxacin 0.2% solution. Otolaryngol Head Neck Surg 2000; 123: 617-623.
- Indudharan R, Haq JA, Aigar S. Antibiotics in CSOM. A bacteriologic study. Ann Oto Rhino Laryngol 1999; 108: 440-445.
- Duiguild JP, Collee JG, Fraser AG. Laboratory strategy in the diagnosis of infective syndromes. In Collee JG, Marmion BP, Fraser AG, Simmons A. Mackie and Mcartney practical medical microbiology. 14th ed. London: 1996.
- Bauer AW, Kirby WMM, Sherris JC, Truck M. Antibiotic susceptibility testing by a standardized single disc method. Am J Clin Pathol 1996; 45: 493-496
- Performance standards for antimicrobial susceptibility testing; Eighth informational supplement, National committee for clinical laboratory standards (NCCLS) document. 1998; M100-S8.
- Jerestin BH, Vandana Agarwal Pathat M. Extended spectrum -lactamases mediated resistance to third generation cephalosporins in Klebsiella pneumoniae in Nagpur, central India. Indian Journal Med Res 1997; 105: 158-161.
- Loy AHC, Tan AL, Lu PKS. Microbiology of chronic suppurative otitis media in Singapore. Singapore Med J 2002; 43(6): 296-299.
- Nekwa O, Shareef ZA, Benayama A. Anaerobes and fungi in chronic suppurative otitis media. Ann Otorhino Laryngol 1997; 106: 649-652.
- Attallah MS. Microbiology of chronic suppurative otitis media with cholesteotoma. Saudi Med J 2000; 21: 924-927.
- Vartiainen E, Vartiainen J. Effect of aerobic bacteriology on the clinical presentation and treatment results of chronic suppurative media. J Laryngol Otol 1996; 110: 315-318.
- Aslam MA, Ahmed Z, Azim R. Microbiology and drug sensitivity patterns of chronic suppurative otitis media. J Coll Physicians Surg Pak 2004; 14; 8: 459-461.
- Ahmed B, Hydri S, Afridi AAK, Ejaz A, Farooq S, Zaidi SK. Microbiology of ear discharge in Quetta. J Coll Physicians Surg Pak 2005; 15(9): 583-584.
- Taj Y, Essa F, Kazmi SU. Pathological analysis of 596 cases of chronic suppurative otitis media in Karachi. J Coll Physicians Surg Pak. 2000; 10: 33-35.
- Ahmed A, Usman J, Hashim R. Isolates from chronic suppurative otitis media and their antimicrobial sensitivity. Pak Armed Forces Med J 1999; 49: 82-85.
- Hivemath SL, Kanta RC, Yeshwanthrao M, Vasantha kumar CM. Aerobic bacterial isolates of CSOM and their antibiotic sensitivity pattern. Ind Pract 2001; 54(7): 486-489.
- Poorey VK, Lyer A. Study of bacterial flora in CSOM and its clinical significance. Ind J Otolaryngol and Head & Neck Surg 2002; 54 (2): 91-98.
- Incidence of Parasitic Infestations in Rural School Children of Age 5-12 Years at Davangere District, Karnataka
Authors
1 Bharathiar University, Coimbatore, Tamilnadu, IN
2 Department of Physiology, S.S. Institute of Medical Sciences and Research Centre, Davangere, Karnataka, IN
3 Department of Microbiology, S.S. Institute of Medical Sciences and Research Centre, Davangere, Karnataka, IN
4 Department of Microbiology, S.S. Institute of Medical Sciences and Research Centre, Davangere-577005, Karnataka, IN
Source
Indian Journal of Public Health Research & Development, Vol 3, No 3 (2012), Pagination: 258-262Abstract
Background: Worm infestation is one of the major cause of childhood malnutrition, anaemia, physical and mental growth and psycho-social problems. The study aims to compare the prevalence of parasitic infestation and optimization of number of stool samples for screening of parasitic infestation among school children of age 5-12 years at rural areas of Davangere district.
Materials & Methods: This is a cross-sectional study conducted during the month of June2009 to October 2010. Five stool samples on five consecutive weekends were collected from each of the 474 children. Stools were examined for the presence of intestinal parasites.
Results: Out of the 474 samples, 237 were positive by the end of 5th week stool sample. Nearly 89.9% of the parasites were identified in the first and second stool samples, 92.8% were identified by the 3rd stool sample, 95.4% were identified in the 4th stool sample and virtually all the parasites seen in the study were identified in the fifth stool samples. The prevalence of worm infestation is 50%. Ascaris lumbricoides (18.5%) and Ancylostoma duodenale (16.3%) were most common parasites. Majority of the children who were affected belong to early age groups and girls were more affected than boys.
Conclusion: From this study we conclude that 5th week stool sample detects virtually all the intestinal parasites and this clinically benefits the children compared to the single stool sample used for screening purposes.
Keywords
Stool Samples, Worm Infestation, Rural ChildrenReferences
- Schliessmann DJ. Diarrhoeal disease and environment. Bulletin of the World Health Organization 1959; 21: 381.
- Elsdon - Dew, R. Housing and parasites; comparison of slums with sub-economic housing. South African Medical Journal, 1953; 27: 879-80.
- Shally Awasthi, Bundy DAP, Lorenzo Savioli- Helminthic infections. A clinical review. BMJ 2003; 327: 431-433.
- Okyay P, Ertug S, Gultekin B, Onen O, Beser E. Intestinal parasites prevalence and related factors in school children, a western city sample-Turkey. BMC Public Health 2004; 22: 4: 64.
- Kappus KD, Lundgren RG, Juranek DD, Robert JM, Spencer HC. Intestinal parasitism in the United States; Update on a continuing problem. AM J Trop Med Hyg 1994; 50: 705-713.
- Yared Merid, Mamdouh Hegazy, Girma Mekete, Shiferaw Teklemariam. Intestinal helminthic infection among children at Lake Awassa Area, South Ethiopia. Ethiop. J. Health Dev 2001; 15: 31-38.
- Riaz Ahmed Pal, Shahid Islam Rana. Incidence of intestinal helminthe parasites of Man in the Twin cities of Rawalpindi - Islamabad. JPMA 1983; 33: 33-38.
- Stephenson LS. Impact of helminthe infections on human nutrition: Schistosomes and soil transmitted helminthes. London Taylor and Francis, 1987.
- Roche M, Layrisse M. Hookworm anaemia. AmJ Trop Med Hyg 1966; 15: 1029-1102.
- Bundy DAP, Cooper ES. Trichuris and trichuriasis in humans. Adv Parasitol 1989; 28: 107-173.
- Stephenson LS, Latham M, Adam SE, Kinoti SN, Pertiet A. Physical fitness, growth and appetite of Kenyan schoolboys with hookworm, Trichuris trichura and Ascaris lumbricoides infections are improved four months after a single dose of albendazole. J Nutr 1993; 123: 1036-1046.
- Agbaya SS, Yavo W, Menan EI, Attey MA, Kouadio LP, Koné M. Sante. Intestinal helminthiasis among school children: preliminary results of a prospective study in Agboville in Southern Côte d’Ivoire. Sante 2004; 14: 143-147.
- Watkin NE, Pollitt E. Stupidity or worms: do intestinal worms impair mental performance? Psycol Bull 1997; 121: 171-191.
- NishiuraH, Imai H, Nakao H, Tsukino H, Changezi MA, Hussain GA, et al. Ascaris lumbricoides among children in rural communitiesin the Northern Area of Pakistan: prevalence, intensity and associated sociocultural and behavioural risk factor. Acta Trop 2002; 83: 223-231.
- Anah MU, Ikpeme OE, Etuk IS, Yong KE, Ibanga I, Asuquo BE. . Worm infestation and anaemia among pre-school children of peasant farmers in Calabar, Nigeria. Niger J Clin Pract. 2008; 11: 220-224.
- Adams VJ, Markus MB, Adams JF, Jordaan E, Curtis B, Dhansay MA, Obihara CC, Fincham JE. Paradoxical helminthiasis and giardiasis in Cape Town, South Africa: epidemiology and control. Afr Health Sci. 2005; 5: 276-280.
- Sharma BK, Rai SK, Rai DR, Choudhury DR. Prevalence of intestinal parasitic infestation in schoolchildren in the northeastern part of Kathmandu Valley, Nepal. Southeast Asian J Trop Med Public Health 2004; 35: 501.
- Kumar CS, Anand Kumar H, Sunita V, Kapur I. Prevalence of anemia and worm infestation in school going girls at Gulbargha, Karnataka. Indian Pediatr. 2003; 40: 70-2.
- Okyay P, Ertug S, Gultekin B, Onen O, Beser E. Intestinal parasites prevalence and related factors in school children, a western city sample-Turkey. BMC Public Health 2004; 22; 4.
- Sayyari AA, Imanzadeh F, Bagheri Yazdi SA, Karami H, Yaghoobi M. Prevalence of intestinal parasitic infections in the Islamic Republic of Iran. East Mediterr Health J 2005; 11: 377-8. 29.
- Karrar ZA, Rahim FA. Prevalence and risk factors of parasitic infections among under-five Sudanese children: a community based study. East Afr Med J 1995; 72: 103-109.
- Kabatereine NB, Tukahebwa EM, Brooker S, Alderman H, Hall A. Epidemiology of intestinal helminth infestations among schoolchildren in southern Uganda. East Afr Med J 2001; 78: 283-286.
- World Health Organisation (WHO). Prevention and control of intestinal parasitic infections. Technical Report Series. 1987; 749: 1-86.
- Ramesh, G.N., Malla, N., Raju, G.S., Sehgal, R., Ganguly, N.K., Mahajan, R.C., and Dilwari, J.B. Epidemiological study of parasitic infections in lower socio-economic group in Chandigarh. Indian Journal of Medical Research 1991; 93: 47-50.
- Amin, A.B., Amin, B.M., Bhagat, A.P., and Patel, J.C. Incidence of Helminthiasis and protozoal infections in Bombay. Journal of the Indian Medical Association 1979; 72: 225-227.
- Singh, P., Gupta, M.L., Thakur, T.S., and Vaidya, N.K. Intestinal parasitism in Himachal Pradesh. Indian Journal of Medical Science 1991; 45(8): 201-204.
- Singh, S., Raju, G.V., and Samantray. Parasitic gut flora in a north Indian population with gastrointestinal symptoms. Tropical gastroenterology 1993; 14(3): 104-108.