faecalis has been described in patients with CSOM
(9), but for us, this observation was initially an enigma.
often begins as an acute infection of the middle ear, acute otitis media (AOM), which occurs in up to 80% of children by the age of 3.
Of 437 patients identified for surgical intervention, 425 were suspected to have CSOM
and 12 were suspected to have secretory otitis media (SOM).
The total prevalence of CSOM
was found to be 64 (6.
Various ENT diseases which are common in school going children include ear wax, CSOM
, DNS, allergic rhinitis, rhino-sinusitis, pharyngitis, tonsillitis, otitis media, otitis media with effusion, and otitis externa.
Conclusion: Pseudomonas aeruginosa and Staphylococci are the commonest organisms involved in CSOM
and they show good sensitivity to the fluoroquinolones and aminoglycosides which are available in local preparations.
Incidence of CSOM
is more in developing countries because of poor socioeconomic standard, poor nutrition and lack of health education.
Irrational, indiscriminate and haphazard use of antibiotics has lead to emergence of multidrug resistant bacterial strains, therefore the present study was done to know the aerobic bacteriology of CSOM
and their antibiotic susceptibility pattern to guide the clinicians for appropriate treatment and to prevent or minimise the occurrence of complications.
There are no previous community-based prevalence studies of CSOM
in Yemen, but a recent hospital-based case-control study (7) reported 59% hearing impairment in both ears in children with CSOM
, with associated significant conductive deafness.
Ceftriaxone was the drug of choice for treatment of CSOM
, with an overall sensitivity amongst 41 (89.
Although not statistically significant, this represented a 40% decrease in CSOM
at 1 year of age (BMC Pediatr.
It is still under debate whether in CSOM
one should remove all the mucosa and then do the cochlear implant.