dc.contributor.author | Chirwa, Moses | |
dc.date.accessioned | 2014-12-04T06:18:54Z | |
dc.date.available | 2014-12-04T06:18:54Z | |
dc.date.issued | 2014 | |
dc.identifier.uri | http://hdl.handle.net/11295/76195 | |
dc.description | Thesis Master of Medicine in ENT | en_US |
dc.description.abstract | Type of research study: This was a hospital based cross sectional descriptive study carried out
at the ENT Out-patient clinic and the Microbiology department of Queen Elizabeth Central
Hospital, Blantyre, Malawi, a government referral and teaching hospital.
Statement problem: Chronic Otitis Media is still a significant health problem in children and
adults in developing countries, therefore it was pertinent to determine the local microbiology in
order to achieve adequate treatment, avoid complications and provide records for future
references.
Objectives: The study sought to determine the COM causing microorganisms at Queen
Elizabeth Central Hospital and establish their relationship with the demographic pattern of the
study population and the symptoms/ signs.
Methodology: The sample constituted of 104 patients with unilateral or bilateral active COM
attending the ENT Out-patient clinic who met the inclusion criteria. All patients were evaluated
through a detailed history and clinical examination. Pus samples from draining ears were
collected by aspiration technique using sterile pipette. The specimens collected were
immediately sent for microbiology analysis in the microbiology laboratory. Data was analyzed
using SPSS Vs. 20.
Findings: The study found out that Proteus mirabilis, Pseudomonas aeruginosa and
Staphylococcus aureus were the most prevalent aerobic bacteria while Bacteroides species and
Peptostreptococcus species were the commonest anaerobic bacteria COM causing microorganisms
respectively. These COM causing micro-organisms were predominant among males
aged 18 years and below. There was also significant association between COM causing microorganisms
and quantity of pus drainage, mode of onset, otalgia, hearing loss, location of TM
perforation and mucosal appearance. | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of Nairobi | en_US |
dc.subject | Chronic otitis | en_US |
dc.title | Microbiology of chronic otitis media at queen Elizabeth Central Hospital, Blantyre, Malawi | en_US |
dc.type | Thesis | en_US |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
dc.type.material | en_US | en_US |