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Amaç: Kronik otitis mediada dirençli mikroorganizmalar tedavi yanıtsızlığına ve morbiditeye neden olmaktadır. Bu nedenlerden dolayı, üç yıllık dönemde, Kulak Burun Boğaz Hastalıkları polikliniğimize kronik otitis media tanısı ile başvuran hastalardan alınan dış kulak yolu kültür sonuçlarının incelemesi yapılmıştır. Gereç ve Yöntem: 1 Ağustos 2015-1 Ağustos 2018 tarihleri arasında herhangi bir kulak operasyonu geçirmemiş kronik otitis media tanılı 66 hastadan gönderilen dış kulak yolu kültür sonuçları retrospektif olarak incelenmiştir. Hastaların yaşı, cinsiyeti, başvuru zamanı (yıl/mevsim/ay), otoskopik ve odyolojik muayene bulguları, operasyon öyküleri ve dış kulak yolu kültür sonuçları ayrıntılı olarak kaydedilmiştir. Üreyen mikroorganizmaların tanısında rutin mikrobiyolojik yöntemler kullanılmıştır. Bulgular: Altmış altı hastadan gönderilen toplam 73 kültür örneği incelenmiştir. 73 kültürün 62’sinde (% 84.9) üreme saptanırken, 11’inde (% 15.1) üreme saptanmamıştır. En sık olarak Pseudomonas aeruginosa (%42.4) üremesi tespit edilmiştir. Dört hastada (%4) polimikrobiyal üreme olmuştur. 9 hastadan (%13.6) alınan kültürlerde maya üremesi saptanmıştır. Etkin tedavi sonrası nüks gelişen 7 hastadan dış kulak yolu kültürü tekrar alınmıştır. Tekrarlayan kulak akıntıların çoğunun (n:4, %57.1) tedavi sonrası ilk 6 ay içerisinde geliştiği ve gelişen hastalarda en sık üreyen etkenin Pseudomonas aeruginosa (n:5, %71.4) olduğu tespit edilmiştir. Sonuç: Kronik süpüratif otitis media tanılı hastalarda etken mikroorganizmaların tespitinin, uygun antibiyotik tedavileri konusunda yol gösterici olacağı kanaatindeyiz.
Introduction: Resistant microorganisms in chronic otitis media lead to treatment failure and morbidity. For these reasons, in a three-year period, the results of external ear canal culture from patients who admitted to the out patient clinics of the Ear Nose Throat Disease (ENT) department with the diagnosis of chronic otitis media were examined. Materials and Methods: Between August 2015 and August 2018, the results of external ear canal culture sent from 66 patients with chronic otitis media without any ear surgery were retrospectively reviewed. Theages, sexes, admission time (year/ season/month), symptoms at admission, autoscopic and audiologic findings, history of operation and external ear canal culture results of the cases were recorded elaborately. Identification of isolated microorganisms were examined byc onventional method. Results: Seventy three culture samples sent from 66 patients were examined. While microorganism growth was found in 62 (84.9%) of 73 cultures, no growth was observed in 11 (15.1%). Pseudomonas aeruginosa (42.4%) was the most common isolated microorganism from cultures. Polymicrobial growth was observed in the cultures of 4 patients (4%).Yeast growth was detected in 9 patients (13.6%). Out of 7 patients who had recurrence after effective treatment, external ear canal culture was taken again. It was determined that most of the recurrent ear currents (n: 4, 57.1%) developed within the first 6 months after treatment and Pseudomonas aeruginosa (n: 5, 71.4%) was the most common causative agent. The Conclusion: We believe that the determination of responsible microorganisms in patients with chronic suppurative otitis media will guide the appropriate antibiotic treatment.
Introduction: Resistant microorganisms in chronic otitis media lead to treatment failure and morbidity. For these reasons, in a three-year period, the results of external ear canal culture from patients whom admitted to the out patient clinics of the Ear Nose Throat Disease (ENT) department with the diagnosis of chronic otitis media were examined. Materials and Methods: Between August 2015 and August 2018, the results of external ear canal culture sent from 66 patients with chronic otitis media without any ear surgery were retrospectively reviewed. Theages, sexes, admission time (year/ season/month), symptoms at admission, otoscopic and audiologic findings, history of operation and external ear canal culture results of the cases were recorded elaborately. Identification of isolated microorganisms were examined byc onventional method. Results: Seventy three culture samples sent from 66 patients were examined. While microorganism growth was found in 62 (84.9%) of 73 cultures, no growth was observed in 11 (15.1%). Pseudomonas aeruginosa (42.4%) was the most common isolated microorganism from cultures. Polymicrobial growth was observed in the cultures of 4 patients (4%).Yeast growth was detected in 9 patients (13.6%). Out of 7 patients who had recurrence after effective treatment, external ear canal culture was taken again. It was determined that most of the recurrent ear currents (n: 4, 57.1%) developed within the first 6 months after treatment and Pseudomonas aeruginosa (n: 5, 71.4%) was the most common causative agent. Conclusion: We believe that the determination of responsible microorganisms in patients with chronic suppurative otitis media will guide the appropriate antibiotic treatment.
Alan : Sağlık Bilimleri
Dergi Türü : Ulusal
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