Aetiology of ear infection and antimicrobial susceptibility pattern among patients attending otorhinolaryngology clinic at a tertiary hospital in Dar es Salaam, Tanzania (Record no. 27987)

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000 -LEADER
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001 - CONTROL NUMBER
control field 20240607185814.0
003 - CONTROL NUMBER IDENTIFIER
control field 20240607185814.0
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20240607191622.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
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022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number Online ISSN: 2044-6055
International Standard Serial Number Print ISSN: 2044-6055
040 ## - CATALOGING SOURCE
Transcribing agency ddc
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title English
100 ## - MAIN ENTRY--PERSONAL NAME
Fuller form of name Aminiel Shangali
245 ## - TITLE STATEMENT
Title Aetiology of ear infection and antimicrobial susceptibility pattern among patients attending otorhinolaryngology clinic at a tertiary hospital in Dar es Salaam, Tanzania
Remainder of title a hospital-based crosssectional study
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Mwanza, Tanzania :
Name of publisher, distributor, etc. Catholic University of Health and Allied Sciences [CUHAS-Bugando] :
Date of publication, distribution, etc. 2023
300 ## - PHYSICAL DESCRIPTION
Extent Pages 01-08
Extent Includes References
490 ## - SERIES STATEMENT
Volume/sequential designation BMJ Open 2023;13:e068359.
520 ## - SUMMARY, ETC.
Summary, etc. Abstract :<br/><br/>Objectives : To determine the aetiological pathogens causing ear infections and their antimicrobial susceptibility patterns among patients with ear complaints at a tertiary hospital in Dar es Salaam.<br/><br/>Design : Hospital-based cross-sectional study.<br/><br/>Settings : Otorhinolaryngology clinic at Muhimbili National Hospital, Dar es Salaam, Tanzania.<br/><br/>Participants : Patients presenting with signs and symptoms of ear infection.<br/><br/>Main outcome measure : Bacteria and fungi isolated from ear swab specimens of patients presenting with signs and symptoms of ear infection; and antimicrobial susceptibility patterns of isolated bacteria.<br/><br/>Results : Two hundred and fifty-five participants were enrolled, with a median age of 31 years and an IQR of 15–49. Otitis externa was the predominant type of ear infection, accounting for 45.1%. We observed positive bacteria culture in 53.3% of study participants, in which 41% of isolates were obtained from patients with chronic suppurative otitis media. Moreover, Staphylococcus aureus (27.3%) and Pseudomonas aeruginosa (24.2%) were the most frequently isolated bacteria, while Candida spp, 12 (63.8%) and Aspergillus spp, 9 (36.2%) were the only isolated fungi. Furthermore, we report that 93% of isolated Enterobacterales were resistant to amoxicillin/clavulanic acid, and 73% were resistant to ceftazidime. In addition, we detected 34.4% extended-spectrum beta-lactamase-producing Enterobacterales (ESBL-PE) and 44.4% methicillin-resistance S. aureus (MRSA). We also found that 22% of the bacteria isolates were resistant to ciprofloxacin, a primary topical antibiotic used in managing ear infections.<br/><br/>Conclusions : The findings from this study reveal that the leading aetiological agent of ear infection is bacteria. Furthermore, our findings show a significant proportion of ESBL-PE and MRSA-causing ear infections. Hence, detecting multidrug-resistant bacteria is crucial to improving ear infection management.
700 ## - ADDED ENTRY--PERSONAL NAME
Fuller form of name Doreen Kamori
Fuller form of name Willybroad Massawe
Fuller form of name Salim Masoud
Fuller form of name Upendo Kibwana
Fuller form of name Anthony G Mwingwa
Fuller form of name Anselmo Manisha
Fuller form of name Ambele M Mwandigha
Fuller form of name Mariam M Mirambo
Fuller form of name Stephen E Mshana
Fuller form of name Joel Manyahi
Fuller form of name Mtebe Majigo
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://doi.org/10.1136/bmjopen-2022-068359">https://doi.org/10.1136/bmjopen-2022-068359</a>
Link text https://doi.org/10.1136/bmjopen-2022-068359
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme ddc
Koha item type RESEARCH ARTICLES
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          MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO 06/07/2024   20240607185814.0 06/07/2024 06/07/2024 RESEARCH ARTICLES
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