Section: 
From practice
From practiceAn integrated approach to the treatment of a patient with pseudomonal infection after sanitizing middle ear surgery
E. Yu. Mironova (1), A. V. Lyamin (1), I. O. Chernyshenko (1), E. V. Petrovskaya (1), L. V. Fileva (1), O. S. Nurdina (1)
(1) Samara State Medical University Ministry of Health of Russia, 443099, Samara, Russia
UDK: 616.284-002.32-06-022.7:579.841.11]-08
DOI: https://doi.org/10.18692/1810-4800-2019-4-97-102
ABSTRACT
The clinical observation presents the results of successful treatment of a patient with chronic suppurative otitis media, epitimpanitis (condition after radical right ear surgery (2009), complicated with serous labyrinthitis and labyrinth fistula. The causative agent of chronic purulent otitis media in the patient was P.aeriginosa. The treatment of the patient was carried out in several stages, taking into account the data of microbiological examination of clinical material from the right ear with the determination of sensitivity to antimicrobial drugs, as well as with the participation of a clinical pharmacologist and bacteriologist. It has been demonstrated that an interdisciplinary approach to the treatment, the indication of systemic antibiotic therapy in combination of 2-3 drugs, taking into account the sensitivity, regular monitoring of ear microflora provided complete elimination of Pseudomonas aeruginosa and successful treatment of this patient.
Publication date:
06.08.2019
Keywords:
chronic suppurative otitis media, Pseudomonas aeriginosa. For citation:
Mironova E. Yu., Lyamin A. V., Chernyshenko I. O., Petrovskaya E. V., Fileva L. V., Nurdina O. S. An integrated approach to the treatment of a patient with pseudomonal infection after sanitizing middle ear surgery. Rossiiskaya otorinolaringologiya. 2019;18(4):97–102. https://doi.org/10.18692/1810-4800-2019-4-97-102.