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Original Research ArticlesPeer-reviewedOpen Access · CC BY 4.0

MICROBIOLOGICAL SCREENING OF OTORRHOEA FROM PEOPLE COMING TO HOSPITAL IN MAHAJANGA

Rivo RAKOTOMALALA1, Patrick RANDRIANANDRAINA2, Tsiriniaina RAMAVOSON3, Fiacre RAMISARIMANANA4, Ainamalala Catherine RAZAFINDRAKOTO5, Tahirimalala RABENANDRIANINA6, Davidra RAJAONATAHIANA7, Odilon TIANDAZA8, Olivat RAKOTO ALSON9, Andry RASAMINDRAKOTROKA10, Rasoamialy Razanakolona11

  1. 1 University Hospital Center PZAGA (corresponding author)
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  11. 11 Faculty of Medecine, University of Antananarivo, Madagascar.

DOI: 10.31878/ijcbr.2019.61.07 · Published 2020-02-12 · pp. 25-28

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Abstract

In whole, 56 patients were included. Amidst identified microorganisms were fungus (4,7%) and bacteria (95,3%) to which Gram negative bacilli represented 72,1% (n=44), Gram positive cocci 6,4% (n=10), Gram positive bacilli 8,2% (n=5) and Gram negative cocci 3,3% (n=2). Among these bacterias, Pseudomonas aeruginosa and Proteus sp were predominant, with respectively 41% (n=25), 23% (n=14). However, three cases of S. aureus reported, six with negative coagulase Staphylococcus, one with Escherichia coli, one with Klebsiella sp, one with Haemophilus sp, two cases with Neisseria sp and four cases with Corynebacterium sp. Two types of cultures were noticed, one of them monomorphic (91,1%, n=51) and the other polymorphic (8,9%, n=5) to which 3 associations of P. aeruginosa-Proteus sp, 1 association of P. aeruginosa- coagulase negative Staphylococcus and 1 association of P. aeruginosa- E. coli. No resistance to ciprofloxacin was observed with Pseudomonas, Neisseria sp, Haemophilus, and enterobacteria except for E. coli. No resistance to rifampicin was observed with S. aureus. However, the sensitivity of S. aureus to ciprofloxacin decreased (one bacterium out of three).

The use of rifampicin or fluoroquinolones should be based on the type of ear infections,

Keywords: otorrhoea, otitis, bacteria, rifampicin ciprofloxacine

References

  1. Siddartha, Vadisha B, Satheesh Kumar B, Vijaya S, Rashmi. Otitis Media with Effusion in Relation to Socio Economic Status: A Community Based Study. Indian J Otolaryngol Head Neck Surg. 2012; 64(1): 56‑58. [Crossref] [Google Scholar]
  2. Gehanno P. Epidémiologie bactérienne et analyse critique des essais thérapeutiques dans l’otite. Méd Mal Infect. 1992; 22: 114–129. [Crossref] [Google Scholar]
  3. Martines F, Bentivegna D, Sciacca V, Enrico M. Risk factors for otitis media with effusion: Case–control study in Sicilian schoolchildren. Int J Pediatr Otorhinolaryngol 2011; 75(6): 754‑759. [Crossref] [Google Scholar]
  4. Bayeh A, Mulugeta K. Bacteriology and antimicrobial susceptibility of otitis media at dessie regional health research laboratory, Ethiopia. Ethiop J Health Dev.2011; 25(2): 161–167. [Crossref] [Google Scholar]
  5. Raghu Kumar KG. A Study of Bacterial Profile and Antibiotic Susceptibility Pattern of Chronic Suppurative Otitis Media among Patients attending a Tertiary Care Centre, Davangere. Sch J App Med Sci. 2014; 2(5B): 1606‑1612. [Crossref] [Google Scholar]
  6. Oyeleke Solomon. Screening for bacteria agents responsible for otitis media and their antibiogram. Afr J Microbiol Res. 2009; 3(5): 249–252. [Crossref] [Google Scholar]
  7. Meyer E, Whitelaw A, Edkins O, Fagan J. Chronic otorrhoea: Spectrum of microorganisms and antibiotic sensitivity in a South African cohort. S Afr Med J. 2013; 103(7): 471-473. [Crossref] [Google Scholar]
  8. Kiakojuri K, Mahdavi Omran S, Bahareh J, Hajiahmadi M and al. Bacterial Otitis Externa in Patients Attending an ENT Clinic in Babol, North of Iran. Jundishapur J Microb. 2016; 9(2): 1‑5. [Crossref] [Google Scholar]
  9. Roland P, Stroman D. Microbiology of acute otitis externa. Laryngoscope. 2002; 112(7): 1166–1177. [Crossref] [Google Scholar]
  10. Husson M O, Vincent C. Étude de l’épidémiologie bactérienne de l’otite moyenne aiguë de l’enfant observée en ville dans la région Nord Pas-de-Calais. Pathol Biol. 2001; 49: 789‑793. [Crossref] [Google Scholar]
  11. Vergison A, Dagan R, Arguedas A. Otitis media and its consequences: Beyond the earache. Lancet Infect Dis. 2010; 10(3): 195-203. [Crossref] [Google Scholar]
  12. Tanmoy D, Debabrata R. A Study of the Bacteriological Profile of Chronic Suppurative Otitis Media in Agartala. Indian J Otolaryngol Head Neck Surg. 2012; 64(4): 326‑329. [Crossref] [Google Scholar]
  13. Sacko H, Diallo A O. Bactériologie de l’otite moyenne suppurée chronique de l’enfant au Mali. J Tun ORL. 2014; 31(1): 34–36. [Crossref] [Google Scholar]
  14. Pessey JJ, Ovetchkine P, Dumarcet N. Antibiothérapie locale en ORL Recommandation de bonne pratique. Médecine thérapeutique. 2004; 10(5) : 356-359. [Crossref] [Google Scholar]
  15. Muhammad I. Chronic suppurative otitis media : frequency and sensivity pattern of Pseudomonas aeruginosa. Journal of Medical Science 2012; 20(4):181‑183. [Crossref] [Google Scholar]
  16. Egbe C, Mordi R, Omoregie R, Enabulele O. Prevalence of Otitis Media in Okada Community, Edo State, Nigeria. Mac J Med Sci. 2010; 3(3): 299‑302. [Crossref] [Google Scholar]
  17. Kailash W, Shubhangi g. Bacterial and fungal study in chronic suppurative otitis media from a developing country. Int J Mod Trends Sci Technol. 2015; 16(1): 104‑108. [Crossref] [Google Scholar]