-Abstract-
Objective : Although MRSA has been considered as a nosocomial pathogen, it is the
most prevalent causative agent in COM (chronic otitis media) patients recently, even
community-acquired cases in Korea. To evaluate the effect of MRSA infection on the
surgical outcome of COM, we compared the surgical outcome of MRSA-isolated patients
with those of patients infected by other bacterial agents. Subjective and Methods : Two
Hundred and ninty-eight COM patients operated by same surgeon from January 1997 to
December 1998 were reviewed for the bacterial cultures an their operations procedures.
Among them, we analyzed the patients operated by using canal wall-up (CWU)
procedures retrospectively, including 78 patients of MRSA group and 132 patients with
other bacterial agents, to study the incidence of post-operative otorrhea and
re-perforation, the duration of dressing period , and the degree of hearing improvement
accordiong to tympanoplasty types. The mean follow-up period was 9.1 months
(5-26months). Result : MRSA was most frequently isolated, in 88 (29%) of 298 patients,
followed by MSSA (Methicillin-sensitive S. aureus) in 42 (14%), Pseudomonas sp. 31
(10%). Post-operative otorrhea and re-perforation were significantly more frequent in
MRSA-group as 9 (11.5%)vs, 10 (7.6%) and 4 (5.1%) vs. 2 (1.5%). There was no
significant difference of the duration of post-operative dressing and the degree of
hearing improvement. Conclusion : The MRSA-group showed higher incidence of
post-operative otorrhea and re-perforation compared to the control-group, even though
there was no difference in the results of hearing improvement and the duration of
dressing period.
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