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100例外耳道炎的微生物学特征及抗生素敏感性

Microbiological Profile and Antibiotic Sensitivity of 100 Cases of Otitis Externa.

作者信息

Luthra Heera, Sharma Vishal, Jindal Neerja

机构信息

Department of Otorhinolaryngology, Guru Gobind Singh Medical College and Hospital, Faridkot, Faridkot, India.

Department of Otorhinolaryngology, Government Medical College, Patiala, Patiala India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):3616-3619. doi: 10.1007/s12070-020-02151-x. Epub 2020 Sep 21.

Abstract

Otitis externa is a common condition encountered in the ENT outdoors. For long, it was thought to be of fungal etiology but after World War II, bacterial pathogens were found to be most commonly involved. has been described as the most common causative organism in the literature. This prospective study aimed to study the microbiological profile and antibiotic sensitivity of 100 patients of otitis externa. 100 diagnosed cases of otitis externa were included in the study after informed consent. Swabs were taken from the external acoustic canal maintaining asepsis. The swabs were analysed using microscopy, culture and sensitivity testing. The samples were cultured on blood agar, MacConkey agar and Sabourad's dextrose agar with antibiotics. Antimicrobial susceptibility testing was done by Kirby-Bauer disc diffusion method. The most common bacteria identified was (36.36%), followed by (15.45%), (2.73%), (1.82%), and sp (1.82%). sp (19.09%) and (8.18%) were the fungal species identified. showed excellent sensitivity to imipenem, piperacillin and ofloxacin, while showed good sensitivity to vancomycin, ofloxacin and netilmycin. Topical fluoroquinolones can be used as empirical treatment in most cases of bacterial otitis externa. In resistant cases, culture and antibiotic sensitivity should be done to manage the infection.

摘要

外耳道炎是耳鼻喉科门诊常见的病症。长期以来,人们认为其病因是真菌性的,但第二次世界大战后发现,细菌病原体是最常见的致病因素。在文献中被描述为最常见的致病微生物。这项前瞻性研究旨在研究100例外耳道炎患者的微生物学特征及抗生素敏感性。在获得知情同意后,100例确诊的外耳道炎病例被纳入研究。在保持无菌的情况下,从外耳道采集拭子。使用显微镜检查、培养及药敏试验对拭子进行分析。样本在含抗生素的血琼脂、麦康凯琼脂和沙氏葡萄糖琼脂上培养。采用 Kirby-Bauer 纸片扩散法进行抗菌药物敏感性试验。鉴定出的最常见细菌是(36.36%),其次是(15.45%)、(2.73%)、(1.82%)和sp(1.82%)。鉴定出的真菌种类是sp(19.09%)和(8.18%)。对亚胺培南、哌拉西林和氧氟沙星表现出极佳的敏感性,而对万古霉素、氧氟沙星和奈替米星表现出良好敏感性。在大多数细菌性外耳道炎病例中,局部使用氟喹诺酮类药物可作为经验性治疗。对于耐药病例,应进行培养及抗生素敏感性试验以控制感染。

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