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Bacteriology of inadequately treated active chronic otitis media in paediatric age group
1Westend Hospital, Warri, Bendel State, Nigeria.
Insights
Pseudomonas aeruginosa and Candida were common in children with otitis media, often due to self-treatment. Bacterial culture and sensitivity testing are crucial for effective antibiotic selection in otitis media cases.
Area of Science:
- Microbiology
- Pediatrics
- Infectious Diseases
Background:
- Otitis media is a common childhood infection.
- Inadequate self-treatment can complicate management.
- Bacteriological analysis is essential for understanding causative agents.
Purpose of the Study:
- To bacteriologically investigate active otitis media in children.
- To identify prevalent microorganisms in pediatric otitis media.
- To assess the impact of prior self-treatment on microbial findings.
Main Methods:
- Bacteriological investigation of 214 children with active otitis media.
- Microorganism identification and prevalence analysis.
- Assessment of Candida and Pseudomonas aeruginosa presence.
Main Results:
- Pseudomonas aeruginosa was the most prevalent microorganism.
- Candida was found in significant quantities.
- Prevalence linked to inadequate prior self-treatment.
Conclusions:
- Inadequate self-treatment contributes to specific microbial profiles in otitis media.
- Antimicrobial therapy decisions should be guided by culture and in vitro sensitivity testing.
- This approach ensures targeted and effective treatment for otitis media.
Abstract:
Haphazardly treated active otitis media was investigated bacteriologically in 214 children. Analysis showed that Pseudomonas aeruginosa was more prevalent than other micro-organisms. Candida was also found in appreciable quantity. The author contends that this was due to inadequate self treatment before these children reported in his hospital. He advocates that decision regarding the chemotherapeutic agent to be used should be based on culture and in vitro sensitivity.