VIRUS-MICROBIAL ASSOCIATIONS IN CHRONIC SUPPURATIVE OTITIS MEDIA

Abstract

Purpose: To research of certain peculiarities of the virus-microbial assotiations of middle ear in chronic suppurative otitis media (CSOM).Materials and Methods: Microflora in the middle ear of 102 patients aged from 20 to 70 years with chronic suppurative otitis media were studied by microbiological and genetic (PCR) methods.Results: Microbiotic mixed infection was detected in 62,5% patients and microbiotic monoinfection–in 37,5% patients. In microbiotic monoinfection the frequency of occurance of herpes and papilloma viruses was 19,4% and in microbiotic mixed infection - 32,2%.Chlamydiae were detected only in mixed infection (16,7%). Presence of mycoplasms in middle ear in microbiotic monoinfection was 13,7 times less (p<0,01) than in mixed infection.Summary: The obtained results are allowed to recommend broadened microbiological analysis with application PCR to put into practice to increase the level of diagnostics and to make choice of an adequate treatment of CSOM.

Keywords

• chronic suppurative otitis media
• microbial assotiations
• viruses