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ISSN: 2394-4137 (E) 2394-6318 (P)

IJIMS.2020.102

Type of Article: Original Research

Volume 7; Issue 3: 2020

Page No.: 883-887

DOI: 10.16965/ijims.2020.102

ASSESSMENT OF RISK FACTORS AND IDENTIFICATION OF FUNGAL AND BACTERIAL AGENTS IN OTOMYCOSIS AT RURAL COMMUNITY ATTENDING A TERTIARY CARE HOSPITAL

Hari Krishna.

* Associate professor in the department of ENT, Viswabharthi Medical College, Kurnool, Andhra Pradesh, India.

Corresponding author: Dr. Hari Krishna, Associate professor in the department of ENT, Viswabharthi medical college, Kurnool, Andhra Pradesh, India – 518467. E-Mail: belagantiharireddy@gmail.com

ABSTRACT:

Introduction: Otomycosis is a sub-acute or a chronic superficial fungal infection of the external auditory canal. It is one of the frequently encountered fungal infections of the ear. The prevalence of otomycosis is higher in tropical and subtropical climates zones. This study was planned to identify the most common organisms involved in otomycosis, clinical features and various predisposing factors of the disease in south India.

Materials and Methods: Prospective study on 187 confirmed cases of Otomycosis who attended the ENT OPD. A predesigned proforma was administered to the participants to know the clinical symptoms, predisposing factors, sociodemographic details, and comorbid conditions. Clinical findings in both ears were recorded.

Results: The majority of the study population (31%) were in the age group of 31-40. Around 47% of the study population had a history of manipulation of the external auditory canal. Around 32 % gave the history of the installation of either antibiotic drops or steroid drops into the ear. Around 97% of the study population had blocked, 83% had pain and 77 % had itching. The discharge was present in 47% of the study population. Female prevalence was high and more than 88% was unilateral. Aspergillus species and Candida species were more commonly present in the fungal culture. Around 88% had a bacterial infection along with fungal growth.

Conclusion: the diagnosis of Otomycosis must be considered for all cases of ear discharge for prompt and accurate treatment and to save time and suffering.

Key words: Aspergillus species, bacterial infection, Candida species, and Otomycosis.

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