EVALUATION OF BACTERIAL ISOLATES DETECTED IN NASOPHARYNX AND MIDDLE EAR OF CHILDREN WITH OTITIS MEDIA WITH EFFUSION.

Abstract

To analyze the bacterial prole of middle ear uid in children with otitis media with effusion and to correlate the bacterial isolates from the middle ear uid and nasopharynx in children with otitis media with effusion. This is a prospective observational study conducted in the Department of ENT, Head and Neck surgery from October 2018 to October 2020. 60 patients who fullled the inclusion and exclusion criteria were taken up for the study. During General anesthesia, nasopharyngeal culture samples were collected and the middle ear uid samples were collected at the time of myringotomy were sent for bacteriological culture analysis using standard culture techniques. The results were obtained using paired sample t test and chi square test, analysis was done using SPSS software version 22. Bacteria were cultured in 12 (20%) out of 60 samples of middle ear uid and the pathogens isolated were 5 (41.6 %) of Staphylococcus aureus, 2 (16.7 %) of each had Pseudomonas aeruginosa, Staphylococcus epidermidis and Hemophilus inuenza and 1 (8.3 %) had Streptococcus pneumoniae respectively. On comparing the outcomes of nasopharyngeal c/s with respect to middle ear uid c/s, it was not statistically signicant (p Value > 0.05). In the present study, the middle ear uid in children with otitis media with effusion are sterile and the bacterial isolates from the nasopharynx bears no correlation with that of the middle ear uid