BACTERIAL PATTERN AND SENSITIVITY TEST ON MALIGNANT CHRONIC SUPURATIVE OTITIS
MEDIA
Erlangga EG, Edhie Samodra, M Arief P, Tolkha A, A Christanto
Departement of Ear Nose Throat, Faculty of Medicine Gadjah Mada University/Dr.
Sarjito Hospital, Yogyakarta
ABSTRACT
Background: The chronic suppuratif otitis media is a chronic middle ear
infection producing discharge continuously or intermittenly, the perforating
tympanic membrane and normally with hearing disorder. It is devided into two
types there are: 1) the benign type limited to mucous, normally doesn,t affect
the bone, seldom inducing dangerous complication without cholesteatoma; 2) the
malignant type to have passed throught the periosteum pertaining to the bone
invasion so that the bone destruction occurs, any cholesteatoma and often
inducing dangerous complication. The incidence rate of otogenic intracranial
complication in pre antibiotic period is compared after using antibiotic
showing the decrease tendency. Antibiotic is one of the medicamentosa to have
been used for the chronic suppuratif otitis media treatment, however so far
there has been any controversi conserning the use of antibiotic, both topically
and sistematically. However there have been many expert suggesting the
administration of sistemic antibiotic in the chronic suppuratif otitis media
treatment. The sistemic antibiotic administration in the chronic suppuratif
otitis media treatment is often reported not to give the satisfied result. The
success of treatment of the bacterial infectious disease with antibiotic is the
outcome of the interaction of three components such as the patient, bacteria
and antibiotic. The causal factors of the failure of the bacterial infectious
diseases treatment using antibiotic namely : 1) the patient : the antibiotic
doens,t reach the side of infection, the fungtional disorder of eliminating
organ or being incomplete so that the drug becomes toxic, being allergic toward
antibiotic used; 2) the bacteria: the misused of the etiological diagnosis, the
resistensi of the bacteria causing the infection toward antibiotic
administered, any superinfection; 3) the drugs : for example the incorrect
choise of drug.
Objective : To determine the bacterial pattern and the result of the
sensitivity of bacteria that were bred from ear discharge of the patient with
the malignant type of chronic suppurative otitis media towards antibiotic.
Study design : The retrospective research from 2003 to April 2005 with cross
sectional data collection using the analysis of data taken from medical records
of the patient with the malignant type of chronic suppurative otitis media.
Material and method : The collection of data was performed from medical
records of the patient with the malignant type of chronic suppurative otitits
media coming for a treatment at ENT policlinic of Dr. Sardjito Hospital of
Yogyakarta within the period between 2003 and April 2005 and the analysis of
data were performed.
Result : Some kinds of bacteria could be identified from the result of culture
namely Pseudomonas aeruginosa, Staphylococcus epidermidis, Staphylococcus
aereus, Klebsiella sp, Streptococcus sp, Proteus sp, Enterobacter sp,
Staphylococcus haemoliticus, E. Coli, and Bacillus with the most percentages
were Pseudomonas aeruginosa. The result of sensitivity test Pseudomonas
aeruginosa and Staphylococcus epidermidis has still been sensitive toward
cefotaksim, klindamisin, ciprofloksasin, gentamisin and amikasin.
Conclusion : in conclusion, there is no dislocation of the pattern of the the
chronic suppuratif otitis media causing bacteria within the period of 1982 to
April 2005, in which the bacterial pattern shows Pseudomonas sp, Staphylococcus
epidermidis and Staphylococcus aereus as three types of dominant bacteria. In
this study the resistensi of Staphylococcus aureus ampisilin and amoksisilin
25% is found. The result of sensitivity test of Pseudomonas sp and
Staphylococcus epidermidis has still been sensitive toward imipenem,
gentamycin, ciprofloxacin, fosfomicin and klindamisin.
Keywords : Bacteria, Culture and sensitivity test, Malignant type of chronic
suppuratif otitis media
dr. HM Anton Christanto
Bag/SMF THT RSUP Dr Sardjito-FK UGM
Jl. Kesehatan no 1 Yogyakarta - Indonesia 55284
Phone/Fax : +62 274 7474230
Mobile +62(0)8122658495
Email : [EMAIL PROTECTED]
[EMAIL PROTECTED]
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