[Otomycoses in the Kuznetsk region and organization of medical services for this group of population].

In the Kuzbass region the author examined 238 patients, aged 15 to 80 years, with persistent otitis or inflammatory pathologies of the ears that could not be cured by routine therapy. As a result, in 90 patients (37.8%) otomycosis was diagnosed. Mycosis of the external acoustic meatus was identified in 43 patients (55 mycotic ears or 52.4%), fungal otitis media was found in 21 patients (22 ears or 20.9%), and mycosis of the postoperative cavity was detected in 26 patients (28 mycotic cavities or 26.7%). The following fungi occurred most frequently: Aspergillus niger (75.2%), Candida albicans (6.7%), and Penicillium flavum March (3.8%). In the presence of fungi the bacterial growth was less significant, thus indicating the predominant role of fungi during otomycosis. Nitrofungin and clotrimazol in combination with 1% decamine ointment were effectively used in the treatment. A good antipruritic drug was 7% chloracetophose ointment. Out of 90 patients complete regression was recorded in 84 cases, with 6 patients having relapses.