Chronic suppurative otitis media in Gombe, Nigeria

  • BM Ahmad Department of Otorhinolaryngology, College of medical Sciences, University of Maiduguri, Nigeria
  • MT Kudi Department of Medical Microbiology, Federal medical Centre, Gombe, Nigeria
Keywords: Chronic otitis media, tympanic membrane perforation, Gombe

Abstract

Background: Chronic suppurative otitis media is a common problem in developing countries and it is necessary to determine the local epidemiology for adequate treatment.

Method: A retrospective study of 206 patients with chronic suppurative otitis media (COSM).

Results: All the patients presented with ear discharge and tympanic membrane perforations while 57 (27.7%) had associated nasal symptoms. The most common tympanic membrane perforation was the central type seen in 125 (60.7%) of the patients. Of the 206 patients studied, using standard microbiological methods, 87.4% of patients had positive bacterial culture. These were staphylococcus aureaus 37.8%, pseudomonas aeruginosa 28.9% and proteus species 18.3%. Children within the age group of 0 – 10 years were the most affected. Antibiotic sensitivity result showed that gentamicin (88.5%), cefuroxime (63.7%) and cephalexin (61.7%) were active against majority of the isolates.

Conclusion: Gentamicin, cefuroxime and cephalexin are recommended as first line antibiotics in the treatment of COSM. Other modalities of treatment are further highlighted.

Key Words: Chronic otitis media, tympanic membrane perforation, Gombe

Nigerian Journal of Surgical Research Vol.5(1&2) 2003: 120-123

Author Biography

BM Ahmad, Department of Otorhinolaryngology, College of medical Sciences, University of Maiduguri, Nigeria
Reprint requests to: Dr. B. M. Ahmad, Department of Otorhinolaryngology, College of medical Sciences, University of Maiduguri, Nigeria
Published
2004-06-04
Section
Articles

Journal Identifiers


eISSN: 1595-1103