Abstract
A clinical, bacteriological and mycological study of 103 cases of ‘safe’ chronic suppurative otitis media with intractable otorrhoea was conducted to observe the role of fungi in the pathogenesis and perpetuation of the disease process. Mycotic otitis media was found in 42 cases (40.77%).
45 patients with draining ears which grew pure bacterial growth were treated with ear drops. Fifteen of these patients were treated with topical antibiotics (polymyxin, Neomycin & Gramicidin). Other 15 patients were put on antibiotic steroid (Polymxin, Neomycin and Hydrocortisone) ear drops. The remaining 15 patients acted as controls with dry mopping treatment only.
It was noted that prolonged exposure to antibiotic ear drops and antibiotic-steroid ear drops led to the growth of pathogenic fungi in 5 patients (33.33%) each from two study subgroups while the third control subgroup of 15 patients grew fungi of low virulence in 3 cases (20%).
It was concluded that the routine and prolonged use of topical antibiotics or antibiotics-steroids in cases of wet ‘safe’ chronic suppurative otitis media, from the onset is not justified.
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References
Sachdev VP, Bhatia J.N. (1965): A survey of otitis media in PGI, Chandigarh. Ind Jour Otolaryng: 17, 134–139.
Kapur YP (1965): A study of hearing loss in school children in India. Ind Jour Med Res 53, 344–370.
Mann SBS, Qrewal BS, Nahar MS et al (1976): Incidence of chronic suppurative otitis media in general population (a rural survey). Ind Jour Otolaryng 28, 35–40.
Sen Gupta RP, Kacker S.K. (1978): Otomycosis. Ind Jour Med Scien 32, 5–7.
Larina T.N., Semenova VI (1967): (Candidamycosis in children). Vestn Otorinolaringol: 29, 59–61 (Rus.)
Kunelskaya VYa (1969): (Significance of fungal flora in CSOM). Vestn Otorinolaringol 31, 28–32 (Rus.)
Smyth GDL (1961): A preliminary report on fungal infections of mastoid and fenestration cavities. Jour Laryng Otol 75, 703.
Mawson S.R., Ludman (1979): Diseases of the Ear. London: Edward Arnold (Publishers) Ltd., 267–268, 334–347.
Rippon J.W. (1982): Medical Mycology. Philadelphia, London, Toronto: W.B. Saunders Company, 491.
Cowan ST., Steel K.J. (1981) : Identification of medial bacteria. Cambridge University Press.
Stokes E.J. (1975): Clinical Bacteriology, London Edward Arnold (Publishers) Ltd., 208–225.
Baruah P.C., Aggarwal S.C., Arora MML et al (1972): Clinical and Microbiological studies in suppurative otitis media in Chandigarh. Ind Jour Otolaryng 24, 151–160.
Pasternak N.I., Brysin V.G., Danilova R.D. (1973): (Sensitization to mould and yeast fungi in chronic purulent otitis media). Vestn Otorinolaringol 35, 33–38 (Rus.).
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Mittal, A., Mann, S.B.S., Panda, N.K. et al. Secondary fungal infections in chronic suppurative otitis media. IJO & HNS 49, 112–116 (1997). https://doi.org/10.1007/BF03023785
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DOI: https://doi.org/10.1007/BF03023785