Bacteriological behavior of chronic otitis media in patients diagnosed in Otorhinolaryngology Service
Abstract
Introduction: chronic otitis media is still an important cause of morbidity and hearing impairment in children and adults worldwide. The choice of antibiotic treatment in different stages of chronic otitis media is constantly being revised due to possible variations in antibiotic susceptibility of organisms involved.
Objective: describe the bacteriological behavior of chronic otitis media in “Dr. Antonio Luaces Iraola” Universitary Hospital of Ciego de Ávila where, from March 2011 to December 2013, an observational descriptive cross-sectional study of patients diagnosed with chronic otitis media was carried out.
Results: the highest incidence of the disease was in the ages of 6-15 years. Bacteriological behavior occurs as follows: germs such as Pseudomonas aeruginosa, Escherichia coli and Proteus were the bacteria most frequently found, followed by Staphylococcus aureus and Klepsiella. Antibiotics with more sensitive were amikacin, being sensitive in 148 cases, gentamicin, kanamycin, chloramphenicol, claforan (cefotaxime), rocephin (ceftriaxone), norfloxacin and sulfaprin. Antibiotics with increased antimicrobial resistance as the most common germs were: Peudomonas aeruginosa: ampicillin, kanamycin, chloramphenicol and sulfaprin. Escherichia coli: ampicillin and sulfaprin. Proteus mirabilis: ampicillin, kanamycin, chloramphenicol and sulfaprín. Staphylococcus aureus: ampicillin and erythromycin. Klepsiella: ampicillin, rocephin and claforan. Conclusions: a high incidence of chronic otitis media just as well as a variety of germs with sensitivity and resistance to antimicrobial therapy was found.
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