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Document Type

Original Article

Abstract

Background: A number of chronic upper respiratory tract infections have been linked to biofilms. The significance of bacterial biofilms in the development of chronic rhinosinusitis has been extensively researched. Its influence on the emergence of middle ear effusion, however, is still up for debate.

Aim of the Work: To assess the prevalence of bacteria that may be present in otitis media with effusion in children and it's ability to induce biofilm.

Subjects and Methods: This is a prospective clinical study of 50 children with SOM who fulfill our inclusion and exclusion criteria and attended the ENT department of Ahmed Maher Teaching Hospital during the period from February 2022 until August 2022. The study group suffered from persistent otitis media with effusion and was planned for myringotomy and tests to identify isolated bacteria and organisms that cause biofilms were scheduled at the department of microbiology and immunology, faculty of medicine, Al-Azhar University, Cairo.

Results: From the middle ear effusion, Staphylococcus aureus, Pseudomonas, Candida albicans, and Klebsiella pneumonia were found to be four isolated pathogenic organisms. Strongly positive biofilm-producing organisms made up 5.9% of the numbers, while non-producers made up 23.5%. The kind of organism and the presence of co-morbidity had a strong positive connection.

Conclusion: The middle ear effusion contained biofilm-producing organisms that were challenging to treat due to their complexity and rising antibiotic resistance.

Keywords

Bacteria; Biofilm; Otitis Media.

Subject Area

ENT

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