Epidemiological and Clinical Aspects and Therapy of Chronic Otitis Media in the "ENT" and Cervicofacial Surgery Ward in the University Hospital of Ouagadougou.

Objectives. The aim of this study was to analyze the epidemiological and clinical aspects of chronic otitis media and its therapeutic processes in our context. Patients and Methods. In a prospective study over a period of 1 year (March 2009-February 2010), 79 patients with chronic otitis media have been cared for in the otolaryngology ward of the University Hospital of Ouagadougou. Results. Chronic otitis media (COM) commonly occurs in the age group from 0 to 15 years (40.50%). Otorrhea was the main reason for consultation in 53 cases (67.10%); the most frequently encountered clinicopathological forms were simple COM (71%) followed by otitis media with effusion (24.30%). Intra-auricular instillations of traditional products (46.09%) were the dominant favoring factor. Treatment was essentially through medication in 59 cases with a stabilization of lesions. Endotemporal complications were noticed in 6 cases. Conclusion. The fight against chronic otitis media is carried out through preventive measures of education the of people.

[Bacteriological profile of chronic otitis media in the ENT and neck surgery department at the Ouagadougou University Hospital Center (Burkina Faso)]. / Profil bactériologique des otites moyennes chroniques au CHU de Ouagadougou (Burkina Faso).

UNLABELLED: The specific germs that cause chronic otitis media determine the treatment necessary. The purpose of this study was to identify the pathogens involved in this disease and to determine the sensitivity of the antibiotics commonly used in order to improve treatment. METHODS: This prospective study took place over 12 months and recorded 53 cases of chronic otorrhea in the ENT department of Ouagadougou University Hospital: 41 underwent cytologic and bacteriologic analysis. RESULTS: We identified 34 cases of bacterial infection (83%), 2 cases of fungal infection (5%) and 5 sterile cultures (12%). The bacteria isolated most frequently were Staphylococcus aureus (29%), Pseudomonas aeruginosa (26%) and Proteus mirabilis (18%). These organisms were most sensitive to fluoroquinolones (84%) and third-generation cephalosporins (77%). However, amoxicillin and tetracycline were fairly active against these pathogens, with sensitivity rates of respectively 19% and 7%. CONCLUSION: These data could help guide regional practitioners in choosing probabilistic antibiotic treatment. Sensitivity testing nonetheless remains needed in chronic otorrhea, to verify the efficacy of initial treatment and guide adequate care.