Introduction :Suppurative otitis media is a common disease affecting all ages
and both sexes. Development of bacterial resistance is very common making
difficulties in management of both acute suppurative otitis media (ac s o m)
and chronic suppurative otitis media (ch s o m) cases . More recently, interest
in honey as a therapeutic agent has undergone a renaissance. Honey is used
for management of infected wounds ,burns and exhibited excellent results
against Gram +ve and Gram-ve organisms in vitro and in some in vivo studies
on infected wounds.
Aim of the study: To compare results of using Al-sidr honey and antibiotics
for treatment of acute and chronic suppurative otitis media.
Methods : Culture and sensitivity of honey, using agar incorporation
technique to prepare plates containing serial dilutions of honey to detect MIC
for the selected organisms . preparing honey as ear drops 10% more than
MIC.
Patients : One hundred twenty patients , 60 with (Ac s o m) and 60 with (Ch s
o m)divided into 2 groups , Group 1 honey group divided into Group 1A: 30
patients with ac s o m (10 with Streptococcus pneumonia , 10 with
Haemophilus influenza and 10 with Moraxilla catarrhalis) and Group 1B 30
patients with ch s o m ( 10 with Pseudomonas aeroginosa ,10 with Klebsiella
and 10 with Proteus) treated by Al-sidr honey local ear drops. Group 2
antibiotic group same distribution as group 1 and treated by antibiotics .
Results: There is significant differences between using honey and traditional
approach for antibiotic use even after ClS without side effects or
complications.
Conclusion : we recommend start using Al-sidr honey as local ear drops for
management policies of suppurative otitis media.
*Assistant professor ENT Benha Faculty of medicine, ENT Consultant Sharora G Hospital
**microbiologist Sharora G Hospital
Introduction