[Bacterial epidemiology of chronic otitis. Prophylactic and therapeutic deductions].

Abstract

Antimicrobial sampling was performed in the external auditory canal and in the mastoid cavity when possible in 80 middle ears operated on during the last 15 months. These samplings concerned 20 cholesteatomas. 25 suppurative chronic otitis, 25 non suppurative chronic otitis and 6 miscellaneous. In 20 out of 80 cases (25%), one or several microbial agents were identified: cholesteatomas (35%), suppurative chronic otitis (38%), non suppurative ones (4%) and miscellaneous (16%). In most cases a staphylococcus or a negative gram agent was sensitive to amoxycillin-clavulanique acid. When sampling was performed in the mastoid cavity, the agent was not sensitive to this antibiotic (80% of cases). This study demonstrates that a prophylactic therapy against aerobic and anaerobic agents is necessary in non suppurative chronic otitis whereas the antimicrobial therapy must be adapted in other pathologies.

• Authors: N Julien, S Perié, C Lassen, J Sevali Garcia, O Sterkers
• Journal: Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Societe d'oto-laryngologie des hopitaux de Paris (Ann Otolaryngol Chir Cervicofac) Vol. 110 Issue 2 Pg. 81-6 ( 1993) ISSN: 0003-438X [Print] France
• Vernacular Title: Epidémiologie bactérienne de l'otite chronique. Déductions prophylactiques et thérapeutiques.
• PMID: 8363301 (Publication Type: English Abstract, Journal Article)

Chemical References

• Anti-Bacterial Agents

Topics

• Adolescent
• Adult
• Aged
• Anti-Bacterial Agents (therapeutic use)
• Child
• Chronic Disease
• Clinical Protocols
• Ear Canal (microbiology)
• Female
• Humans
• Male
• Mastoid (microbiology)
• Middle Aged
• Otitis Media (drug therapy, epidemiology, microbiology)
• Premedication
• Prospective Studies
• Tympanoplasty