Antimicrobial sensitivity profile of bacterial agents in chronic suppurative otitis media patients in Samawa city

Abstract

Aim: this study was to determine bacterial profile and their antimicrobial susceptibility patterns in COSM from patients attending the Al-Husain Teaching Hospital, Samawah, Al-Muthanna. Material and Method: One hundred and Twenty patients with CSOM who presented to the Ear, Nose and Throat (ENT) department in ENT in Al-Husain Teaching Hospital, Samawah city, from June 2019 to May 2021 were prospectively studied. The discharge was either frankly purulent, muco-purulent, serous or blood stained on occasion. Detailed clinical history regarding unique identification number, name, age, sex, duration of discharge, other associated symptoms and antibiotic therapy were taken. Result: Chronic suppurative otitis media (CSOM) is the result of an initial episode of acute otitis media and is characterized by a persistent discharge from the middle ear through a tympanic perforation. It is an important cause of preventable hearing loss, particularly in the developing area study. Conclusion : The predominant OM aetiologies were Pseudomonas aeruginosa, Klebsiella pneumoniae, Proteus mirabilis, and Staphylococcus aureus, and they were generally susceptible to most of the antibiotics tested. Amikacin, cefepime, ciprofloxacin, and meropenem could be valuable in the empirical management of OM.