Abstract
Background: Chronic Suppurative Otitis Media (CSOM) consider one of the most common otorhinolaryngologic sicknesses in ear, nose, and throat clinics. Swab is routinely done in patients with CSOM for culture and sensitivity. Objectives: Determining the efficacy of Fluoroquinolones in the treatment of chronic suppurative otitis media using two administration methods of Fluoroquinolones and providing a recommendation regarding the indiscriminate use of antibiotics. Methods: This retrospective study involved 70 patients with CSOM. Patients with renal and hepatic failure, pregnancy and lactation and children with CSOM under 12 years old are excluded. Swab taken and C&S done. Results: The distributions of CSOM in patients were highly trending with male gender. Also, more frequent in age category 13 – 20 y, 21 – 45 y, 46 – 70 y, respectively, with main complaint of Recurrent otitis media and Hearing loss. Pseudomonas Aeruginosa was high percentage of Microorganism isolated in swab (85.57%) with approximately (94%) sensitivity to Fluoroquinolones. Conclusions: Our study indicates that Topical Fluoroquinolones (with steroids) is the optimal treatment for chronic suppurative otitis media, so it must be started immediately after diagnosis.
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