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[Anaerobic bacteria in chronic otitis media]
1Klinika za bolesti uha, Klinicki centar Sarajevo.
Abstract:
The work shows microbiological findings of the chronic pus inflammations of the middle ear, emphasising anaerobic bacteria. Samples 170 were examined. 38 patients were under 15 years-of age, and others were between 15 and 60 years-old. Aerobic bacteria were identified by using Cowan's and Steel's conventional methods and Manual's and Sutter's methods were used for identification of anaerobic bacteria. Anaerobic bacteria were found in 23.5% of the samples by improving their cultivation. Findings of cholesteatoma and polyp are the factors that damage aeration so the a good conditions for multiplication of the anaerobes. It is necessary to pay attention to anaerobic bacteria while treating the patients with chronic pus inflammation of the middle ear.
Insights
Chronic middle ear infections often involve anaerobic bacteria, particularly in cases with cholesteatoma or polyps. Improved cultivation techniques revealed these bacteria in 23.5% of samples, highlighting their importance in treatment.
Area of Science:
- Microbiology
- Otolaryngology
Context:
- Chronic suppurative otitis media (CSOM) is a persistent middle ear infection.
- Understanding the microbial etiology of CSOM is crucial for effective treatment.
Purpose:
- To investigate the microbiological findings in chronic pus inflammations of the middle ear.
- To emphasize the role of anaerobic bacteria in these infections.
Summary:
- 170 samples from patients aged under 15 and 15-60 years were analyzed.
- Aerobic bacteria were identified using conventional methods, while anaerobic bacteria were identified using Manual's and Sutter's methods.
- Anaerobic bacteria were detected in 23.5% of samples, with improved cultivation techniques.
Impact:
- Cholesteatoma and polyps were identified as factors impairing aeration, promoting anaerobe multiplication.
- Highlights the necessity of considering anaerobic bacteria in the treatment of chronic middle ear infections.
- Informs clinical practice regarding the comprehensive microbiological assessment of CSOM.