Kisembo P, Mugwanya F, Atumanya P, Othin M, Oworinawe R, Kagimu B, Kisakye A, Bagambe F
Faculty of Medicine, Mbarara university of Science and Technology, P.O.BOX 1410 Mbarara, Uganda.
Afr J Biomed Res. 2018 May;21(2):117-122.
Ear infections in the United Kingdom were reported at a prevalence of 90% in children aged 0-6 years peaking at six years, the commonest age for Ugandan children to start primary school. This study was done to determine prevalence of ear infections in primary one children in Mbarara district, identify commonest ear infections, the causative pathogens isolated and their antibiograms and comparing the prevalence of ear infection in urban and rural schools. A cross sectional study was carried out among three urban day schools and three rural day schools randomly chosen in Mbarara district. History was taken using a data collection form and examinations were done using an otoscope. All pus swabs from infected ears were inoculated on Blood agar, Chocolate agar, MacConkey Agar plates before smears for Gram staining were made. Identification of the pathogen was through biochemical tests and API system. Sensitivity tests to antibiotics were set on Mueller Hinton Agar using the disc diffusion technique of Kirby-Bauer. Otoscopy was done on 600 children, 8.0 %( 48) showed signs of ear infections. The commonest ear infection was otitis externa. Staphylococcus aureus species showed the highest prevalence with 75% (6). Staphylococcus aureus species showed 100% sensitivity to gentamicin, 80% sensitivity to ciproflaxin. Serratia marcencens also showed 100% sensitivity to ciproflaxin, The prevalence of ear infection was 8.0% among children in primary one in Mbarara district in a cross sectional study.
据报告,英国0至6岁儿童的耳部感染患病率为90%,在6岁时达到峰值,这也是乌干达儿童开始上小学最常见的年龄。本研究旨在确定姆巴拉拉区小学一年级儿童耳部感染的患病率,找出最常见的耳部感染类型、分离出的致病病原体及其抗菌谱,并比较城乡学校耳部感染的患病率。在姆巴拉拉区随机选取了三所城市日间学校和三所农村日间学校进行横断面研究。使用数据收集表采集病史,并使用耳镜进行检查。在制作革兰氏染色涂片之前,将所有感染耳部的脓液拭子接种在血琼脂、巧克力琼脂、麦康凯琼脂平板上。通过生化试验和API系统鉴定病原体。使用Kirby-Bauer纸片扩散技术在Mueller Hinton琼脂上进行抗生素敏感性试验。对600名儿童进行了耳镜检查,其中8.0%(48名)有耳部感染迹象。最常见的耳部感染是外耳道炎。金黄色葡萄球菌的患病率最高,为75%(6例)。金黄色葡萄球菌对庆大霉素的敏感性为100%,对环丙沙星的敏感性为80%。粘质沙雷氏菌对环丙沙星的敏感性也为100%。在一项横断面研究中,姆巴拉拉区小学一年级儿童的耳部感染患病率为8.0%。