COMPARATIVE STUDY OF DIFFERENT MODALITIES OF ‎MEDICAL TREATMENT OF CHRONIC SUPPURATIVE ‎OTITIES MEDIA

‎ Active chronic suppurative otitis media poses a management problem. Different types of ‎treatment strategy were tried for 136 patients, 36 patients received systemic antibiotics, 26 ‎patients received local antibiotics, 42 patients combined local and systemic, and the last ‎group (32 patients) re...

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Bibliographic Details
Main Author: Ahmed M. Al-Abbasi
Format: Article
Language:English
Published: university of basrah 2004-12-01
Series:Basrah Journal of Surgery
Online Access:https://bjsrg.uobasrah.edu.iq/article_57543_d36dc6f6077d5e5e8933fffdf7b11973.pdf
Description
Summary:‎ Active chronic suppurative otitis media poses a management problem. Different types of ‎treatment strategy were tried for 136 patients, 36 patients received systemic antibiotics, 26 ‎patients received local antibiotics, 42 patients combined local and systemic, and the last ‎group (32 patients) received no antibiotics. The majority of patients had moderate size ‎tympanic membrane perforation (59%). Eighty-two patients had severe (active) symptoms ‎‎(60%). The commonest types of bacteria isolated were streptococcus pneumoniae and ‎staphylococcus aureus (29%, 21% respectively). It is found that, the best type of treatment ‎was the local antibiotic therapy (84% improvement), followed by combined antibiotic therapy ‎‎(local and systemic) which equal to 83% improvement. There was no benefit of using ‎systemic antibiotics without aural toilet (5% improvement). It is important to mention that the ‎use of antibiotic/ steroid ear drop gave good improvement result (95%), in comparison with ‎the use of antibiotic ear drop (50%). ‎
ISSN:1683-3589
2409-501X