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anaerobic they were reinoculated in thioglycolate media, The sensitivity pattern of the 3 most common restreaked in BAP and placed in an anaerobic jar for organisms isolated namely Proteus mirabills, Proteus susceptibility studies, vulgaris and Pseudomonas aeruginosa was determined. All three organisms showed a 100 % sensitivity to the quinolones (ciprofloxacin, ofloxacin, and norfloxacin). TABLE 1. Age and Sex Distribution of COM Patients Among the aminoglycosides (netilrnicin and gentamicin), there was likewise a 100% sensitivity except for a 6.3% resistance of Proteus mirabilis to Gentamicin. For the commonly u_ed antibiotic in COM (ampicillin, AGE MALE FEMALE TOTAL trimethoprim, chloramphenicol, and cephalexin), there is a note of
Table 3. Distribution of Organism by Specimen ORGANISM Ear Granurn Bone Choles- TOTAL aspirate tissue teatoma Proteusrnirabilis 13 13 9 10 45 Proteusvulgaris 5 1 4 5 15 Pseudomonasaeruginosa 5 13 1 4 13 Staphylococcusaureus 2 2 2 1 7 Escherichiacoil 1 0 1 1 3 Klebsiellasp. 1 0 0 2 3 Enterobacteragglomerans 1 0 1 1 3 Providencia 1 1 0 0 2 Bacteroidesmelaninogenicus 1 0 0 1 2 Bacteroidesp. 1 1 0 0 2 Klebsiellaozanae 0 1 0 0 1 Acinetobacteranitratum 0 0 1 0 1 Acinetobacterwolfii 0 0 0 1 1 Enterococcu sp. 0 0 0 1 1 No growth 2 I) 3 1 § No specimen 1 7 10 6 24 DISCUSSION chloramphenicol (IV) prior to surgery. This was unavoidable as these patients had unsafe ears with In any infectious disease, a clear understanding potentials for intracranial complications. of the microbial population is necessary in order to choose the proper antibiotic. The microbial flora in The most common organisms grown in this chronically draining ears is constantly evolving such study were Proteus mirabilis (45/100), Proteus vulgaris that regular surveilance cannot be overemphasized. (15/100), Pseudomonas aeruginosa (131100) and Staphylococcus aureus (7/100). These results were This study was conducted among COM patients comparable to that found by other investigators (Table who underwent radical mastoidectomy at the ENT 4). However, it was noted that although the microbial Department. These patients had discharging ears for flora has remained unchanged in the last two decades, several years with an average of 5 years. Most of the Proteus species has become more prevalent with these patients however received penicillin and Pseudomonas becoming less frequent. TABLE 4. Types of Aerobic Microorganisms Isolated in COM. AUTHOR No.of "Pseudomonas Proteus Staphylococcus Ears aeuruglnosa sp. aureus Vizon,Torres(1969) 55 25.4% 18.2% 12.7% Jokipii,et al (1977) 70 4.0% 8.0% 19.0% Abes,Jarnir (1978) 30 48.8% 16,3% 11.6% Ojalaet al (1981) 806 19.0% 12.9% 22.0% Sugitaet al (1981) 62 7.8% 21.1% 6.3% Chionget al (1989) 120 3.8% 35.8% ..... Presenistudy 30 13.0% 63.0°/, 7.0% 60
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Iq4LIPl:qut=S TABLE OF CONTENTS NEC
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HEAD AND NECK SURGERY - TO ADD OR N
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PRESIDENT'S PAGE The years 1989-90
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RIZAL MEDICAL CENTER DEPARTMENT OF
Page 10:
muscles. Again it is likely possibl
Page 15 and 16: area measuring 4.8 x 3.7 cm extendi
Page 17 and 18: tend to recur locally, even after p
Page 20 and 21: UNIVERSITY OF THE PHILIPPINES PHILI
Page 22 and 23: The majority of patients with hyper
Page 24 and 25: mass wa uttrasonograImy. Neck explo
Page 26 and 27: Figure 2 : Parathyroid Adcnoma vs.
Page 28 and 29: E.wa_ileMassonLe_Maxilla "salt& pep
Page 30 and 31: of some clinical features as well a
Page 34 and 35: MCU HOSPITAL DEPARTMENT OF OTOLARYN
Page 37 and 38: JOSE REYES MEMORIAL MEDICAL CENTER
Page 39 and 40: nonetheless stated: "We have the im
Page 41 and 42: to the diagnostic know-how of the c
Page 43 and 44: PATIENTS & METHODS: These signs and
Page 45 and 46: Most patients in group 1 complained
Page 47 and 48: DISCUSSION: and septal deviation mi
Page 49 and 50: OSPITAL NG MAYNILA DEPARTMENT OF OT
Page 51 and 52: ..temporary relief. According to Ha
Page 53 and 54: CASE REPORT phonuclear cells. The r
Page 55 and 56: TITLE:Cleft Lip Surgeryfor Rural Fi
Page 57 and 58: After intubation and the endoctrach
Page 59 and 60: BIBLIOGRAPHY Converse, J.M., Recons
Page 61: UNIVERSITY PHILIPPINE DEPARTMENT OF
Page 65 and 66: J BIBLIOGRAPHY Y MACKOWIAK, P.A., J
Page 67 and 68: Figure 3. SENSITIVITY PATTERN OF Pr
Page 69 and 70: Figure 3. Percent SENSITIVITY PATTE
Page 71 and 72: loradatine 10 mg/tabletgiven once a
Page 73 and 74: 1. Severity of Symptoms 3. Comparis
Page 75 and 76: -J;r,ceiving 40 mg of loratadine da
Page 79 and 80: : ' : _ : ::::::: : : i : ::
Page 81 and 82: These patients are new patients see
Page 83 and 84: - Table Vl Baseline Signs and Sympt
Page 85 and 86: The following Table VII will show t
Page 87 and 88: • 14.Drowsiness: None 30 2 4 10 2
Page 89 and 90: Actifed's side effect of drowsiness
Page 91 and 92: " to be packed with one type of pac
Page 93 and 94: With regard to microbiology of nasa
Page 95 and 96: TABLE 6: MANNER OF CONTROL OF REBLE
Page 97 and 98: APPENDIX C MICROBIALGROWTH POTENTIA
Page 99 and 100: EAST AVENUE MEDICAL CENTER DEPARTME
Page 101 and 102: type (20%-30% of cases) varies from
Page 103 and 104: TABLE Ii HistologicalClassification
Page 105 and 106: THE LATERAL NASAL WALL IN FILIPINOS
Page 107 and 108: MIDDLE MEATUS: Diameter of ostium:
Page 109 and 110: .;4".,..:'.-" ............. '---.",
Page 111 and 112: Figure 4. Variation in the location
Page 113 and 114:
This study presents variations with
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ACKNOWLEDGMENT The authors would li
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