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Childhood suppurative otitis media in Abakaliki: isolated microbes and in vitro antibiotic sensitivity pattern

U Nnebe-agumadu1, O Okike, I Orji

  • 1Department of Paediatrics, Ebonyi State University/Teaching Hospital, Abakaliki, Nigeria. ucagums@yahoo.com

Nigerian Journal of Clinical Practice
|August 24, 2011
PubMed

Insights

Suppurative otitis media (SOM) in Nigerian children is often caused by Pseudomonas. Ciprofloxacin and Gentamicin are effective treatments, particularly where lab access is limited.

Area of Science:

  • Pediatric Otolaryngology
  • Infectious Diseases
  • Microbiology

Background:

  • Suppurative otitis media (SOM) is a prevalent pediatric condition in Nigeria.
  • Effective management is crucial to prevent chronic ear infections, especially in resource-limited settings.
  • This study reviews SOM cases at Ebonyi State University Teaching Hospital (EBSUTH) to guide clinical practice.

Purpose of the Study:

  • To identify the causative bacteria of SOM in children in Abakaliki.
  • To determine the antibiotic susceptibility patterns of these bacteria.

Main Methods:

  • A retrospective analysis of pediatric SOM cases managed at EBSUTH over two years.
  • Inclusion criteria: children aged 0-18 years with SOM.
  • Data collected included ear swab cultures and patient case files.

Main Results:

  • Sixty-five patients were reviewed; 73% were under five years old.
  • Pseudomonas species were the most common pathogen (57.4%), followed by Klebsiella (16.4%) and Proteus (11.5%).
  • Ciprofloxacin (60%) and Gentamicin (58%) showed the highest sensitivity rates among tested antibiotics.

Conclusions:

  • Antibiotic treatment protocols for pediatric SOM should prioritize Ciprofloxacin or Gentamicin.
  • These agents are recommended due to their efficacy and availability, especially in areas lacking advanced laboratory diagnostics or specialist care.
Abstract

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