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percentage
Retrospect ive study was carr ied on acute 80
68 .00
otitis med ia outpatients. To carry out the
study, Sir Ganga R am hospital, Lahore was 60
targeted. The hospi tal has a separate NT
department. The st udy was designed with
40 32
an aim t o learn about the most comm only
used medications fo r the treat ment of Acute
20
Otitis M edia, And to study the clin ical efficacy
of amoxicillin vs azithromycin. The study
included dir ct interaction with 25 0
patients of either se x belongi g toany age male fem ale
group suffering fr m acute otitis me dia. se x
The patie nts were evaluated on the basi s of
questionna ire. Dif erent pa rameters on Fig ure 1: Ge der group (n=25)
sociodemo graphic basis including age, Percentage of females suffering from ac ute
gender, socio-econ mic stat us , clin ical otitis med a was more.
signs and symptoms, family h story of acute Figure 2 shows that mostly pati nts belonged to
otitis m edia, tob cco smoke exposure, age gro up 20-30 y ears.
recurrent attcks of acute otitis media and
100
80
percentages
60
40
28 24
20
16
20 12
0
below 10 ye ars 10‐20 years 20‐3 0 years 30 ‐40years a bove 40 years
age
Figure 2: Ager gr oup (n=25)
Figure 3 depicts that most of the patients 56% pa tients w ere suf fering fr om
had a po r social back-ground. fever/cough in conju nction with acute otitis
Figure 4 shows w ich ear of the patients media .The re was temporary h earing loss in
was involved in the disease. 72% of patients.There was dr ainage of pus
Figure 5 88% of patients w ere suffering from the ears of 80 % patients.
from ear ache
100 100
90
Percentage
80 80 72
percentage
70
60
40 60
40 32 28 50
40
20 28
30
0 20
10
poor middle class rich 0
soc ioeconomi status yesno
temporary hearing loss
Figure 3: Socio-e conomic status (n=2 ) Figure 6 : Temporary hearing loss (n=25)
100
percentage
90
80
Percentage
70 56
60 44
50 44
40 36
30 20
20
10
0
yes no
right lef both ears
ha ving fever/ cough
ear inovolved
Fig ure 7: Fever/cough (n=25)
Fig ure 4: Ear involved (n=25)
100
100 88 90 80
90 80
percentage
Percentage
80 70
40
70 60
60 50
50
30 20
40 20
30 10
20 12 0
10
yes no
0
yes no
drainage of pu s
ear ache
Figu re 8 : Drainage of pus (n=25)
F igure 5: Ear ache ( n=25)
100
100
percentages
Percentage
80 80
40
56
60 60
44
36
40 28
20 20
16
20
0
yes no 0
tobacco smoke exposure
Figure 9: Tobacco smoke exposure (n=2 5)
100
drugs
90 Figure 1 2: Drugs used in treatment of acute
80 otiti s media (n=25)
Percentage
70 60
60
Amoxicillin was the most commo nly
50 40 prescribed antibiotic in acute otitis media.
40
30 DISCUSS ION
20
10 Otitis med ia is a bacterial or viral infec ion of
0 the middle ear . Middle ear infections
yes no often occ rs as a complication of a c old,
having fam ily history of otitis media
allergies, nose and throat infection, or
enlarged adenoids. Middle ear infections
Figure 10 : Family history of AOM (n= 5) usually cl ear up w ithout complication or
The patients who ere exposed to tob cco long-term effects. In fection is caused when
smoke e xposure w ere more at risk of bacteria a nd/or virus es enter the Eustach ian
developin g AOM. 60% patie nts were with tube from the nose or throat and beco me
family history acu te otitis media. T here trapped in the middle ear, produc ing
were recurrent attacks of AO M in majo rity inflammation, collection of pus, and
of patient s. pressure. This results in pain and,sinc it
keeps the eardrum from vibrating freely,
100 diminished hearing. Infection usually occ urs
80 when the Eustachian tube is not function ing
80
Percentage
We express our gratitude to all those who gave me the possibility to complete this project. We are deeply
indebted to Prof Dr. Bushra Mateen, Vice Chancellor ,Lahore College For Women University, Lahore.