A Cross sectional study for Clinico mycological Profile of Otomycosis in North Karnataka
Journal Title: International Journal of Medical and Health Sciences - Year 2015, Vol 4, Issue 1
Abstract
Background: Otomycosis is a commonest condition encountered in ENT practice which is a superficial fungal infection of the External auditory canal with more prevalence in hot, humid and dusty environment of tropics and subtropics. Despite the fact that our climatic conditions may predispose to Otomycosis literature search revealed that no much work has been carried out in this region. So the present study is undertaken to study the Age distribution, Sex ratio, Laterality, Predisposing factors and Prevalence of fungal agents in case of Otomycosis. Materials and Methods: The present study was conducted on 185 clinically diagnosed cases of Otomycosis attending the ENT OPD for a period of one year. Ear discharge specimens were collected on two sterile cotton swabs. Direct Examination of the specimen was carried out by Gram stain and10% KOH Preparation. All specimens were inoculated on Sabouraud’s Dextrose Agar. Identification of fungi were done as per standard protocol. Results: Out of 185 patients fungal isolates were found in 159 cases (85.94%).The highest incidence was noted in the age group of 21-30 years, more prevalent in males (54.72%) with a sex ratio of 1.21:1 with unilateral distribution more on left ear. Use of Unsterile materials for cleaning the ear had been found to be major predisposing factor (71.07%).Itching in the ear was most commonest symptom (93.37%) and Most common fungi isolated were Aspergillus Niger,Aspergillus Flavus and Aspergillus Fumigatus followed by Candida Species. Conclusion: It is concluded from our study that Otomycosis is still a common problem. No age acts as a barrier no sex gives immunity and is usually an unilateral disease.Aspergilli were considered as predominant fungi for Otomycosis. The study also concludes that patients have to be educated not to use unsterile materials to clean the ears which will be effective in prevention of Otomycosis.
Authors and Affiliations
Channabasawaraj B Nandyal, Archana S Choudhari, Netravati B Sajjan
Keywords
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