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在位于埃努古的尼日利亚大学教学医院就诊的儿童中,引起中耳流脓的细菌病原体。

Bacterial agents of the discharging middle ear among children seen at the University of Nigeria Teaching Hospital, Enugu.

作者信息

Ilechukwu Gideon Chukwudalu, Ilechukwu Chioma Azuka, Ubesie Agozie Chukwunedum, Okoroafor Ijeoma, Ezeanolue Basil Chukwuemeka, Ojinnaka Ngozi Chinyelu

机构信息

Department of Paediatrics, Whiston Hospital, Prescot, United Kingdom.

Department of Paediatrics, University of Nigeria, University of Nigeria Teaching Hospital, Enugu.

出版信息

Pan Afr Med J. 2017 Feb 21;26:87. doi: 10.11604/pamj.2017.26.87.9243. eCollection 2017.

Abstract

INTRODUCTION

Discharging middle ear continues to be one of the commonest problems seen in the developing world. There is an ever growing need to carry out studies periodically to determine the common bacterial agents responsible for discharging otitis media and their antibiotic sensitivity especially in set-ups characterized with minimal laboratory services. The study sought to determine the common bacterial agents causing discharging middle ear among children presenting at the University of Nigeria Teaching Hospital, Enugu and their sensitivity to the commonly available antibiotics.

METHODS

Middle ear swabs were collected from 100 children aged 1 month to 17 years at the Children Out-Patient and Otorhinolaryngology Clinics of the University of Nigeria Teaching Hospital, Enugu, Nigeria. The specimens were cultured for aerobic bacterial organisms and their sensitivity determined.

RESULTS

Among those with acute discharge, was isolated in 31.3% and Proteus species in 25.0%. In chronically discharging ears, Proteus Species dominated (39.1%), followed by (28.3%).

CONCLUSION

and Proteus species were the commonest bacterial agents in acute and chronic otitis media respectively. Most isolates showed high sensitivity to the fluoroquinolone antibiotics.

摘要

引言

在发展中世界,中耳流脓仍是最常见的问题之一。越来越需要定期开展研究,以确定导致中耳流脓性中耳炎的常见细菌病原体及其抗生素敏感性,尤其是在实验室服务最少的机构中。本研究旨在确定在尼日利亚埃努古的尼日利亚大学教学医院就诊的儿童中,引起中耳流脓的常见细菌病原体及其对常用抗生素的敏感性。

方法

在尼日利亚埃努古的尼日利亚大学教学医院的儿童门诊和耳鼻喉科诊所,从100名年龄在1个月至17岁的儿童中采集中耳拭子。对标本进行需氧细菌培养并确定其敏感性。

结果

在急性流脓的患儿中,[具体细菌名称未给出]占31.3%,变形杆菌属占25.0%。在慢性流脓的耳朵中,变形杆菌属占主导(39.1%),其次是[具体细菌名称未给出](28.3%)。

结论

[具体细菌名称未给出]和变形杆菌属分别是急性和慢性中耳炎中最常见的细菌病原体。大多数分离株对氟喹诺酮类抗生素表现出高度敏感性。

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