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Microbial profiling and risk factors assessment for Otitis Media and Otitis Externa

机译:中耳炎和外耳道炎的微生物谱分析和危险因素评估

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Background: Otitis media and otitis externa are common otological manifestations in allgenerations especially in children. There is lack of accurate identification of the causativeagent and thus poor diagnosis for such infections. Therefore, it leads to permanent anatomicaldisabilities including poor speech and defects in balancing and hearing. The study wasconducted to isolate, characterize and identify the microbes causing otitis media and otitisexterna.Method: A total of 250 patients having otitis media and otitis externa were enrolled in thestudy from March 2011 to October 2011. All patients were examined through clinicalexamination and detailed history was collected. Pus samples from the discharging ears wereplated on MacConkey’s, Chocolate and Blood agar for 24 to 48 hours. Isolates were identifiedon the basis of morphology, staining reactions and various biochemical tests.Results: In this study, only 6% cases yielded no growth, 14% yielded mixed cultures while80% cases yielded pure cultures. The presumptive diagnosis for ear swabbing was otitismedia (76%) and otitis externa (24%). The most common bacterial isolates obtained wereStaphylococcus aureus (43.3%) followed by Pseudomonas aeruginosa (25%) in thediagnosed cases of otitis media. While for the cases of otitis externa, Pseudomonasaeruginosa was the predominant organism with 52.2%. Infection of otitis media was mostcommon among children and the persons having low socioeconomic conditions.Conclusion: Pseudomonas aeruginosa was identified as the principal pathogen followed byStaphylococcus aureus. To circumvent the painful effects of acute and chronic ear infections,an accurate microbial profiling may play pivotal role.
机译:背景:中耳炎和外耳道炎是各代人尤其是儿童的常见耳科表现。缺乏对致病原的准确鉴定,因此对这种感染的诊断很差。因此,它导致永久性的解剖残疾,包括语言不佳以及平衡和听力缺陷。方法:2011年3月至2011年10月,共纳入250名患有中耳炎和外耳道炎的患者。研究人员通过临床检查和详细病史对所有患者进行了检查。被收集。将排出耳中的脓液样本放在MacConkey,巧克力和血琼脂上放置24至48小时。结果:在本研究中,只有6%的病例没有生长,有14%的病例有混合培养,而80%的病例有纯培养。对耳拭的推定诊断为中耳炎(76%)和外耳道炎(24%)。在诊断为中耳炎的病例中,最常见的细菌分离株是金黄色葡萄球菌(43.3%),其次是铜绿假单胞菌(25%)。而对于外耳道炎,假单胞菌是最主要的生物,占52.2%。结论中耳炎是主要病原体,其次是金黄色葡萄球菌。为了避免急性和慢性耳部感染的痛苦,准确的微生物特征分析可能起关键作用。

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