Survey on the Management of Acute Ear in the ENT-CCF Department of the Ignace Deen National Hospital, Conakry (Guinea)

Introduction: Acute otitis media (AOM) is acute inflammation of infectious origin of the mucous membrane of the middle ear. It currently poses the problem of increased prescription of antibiotic therapy and the increase in the prevalence of bacterial resistance.

The aim of our study was to evaluate diagnostic and therapeutic habits in the ENT-CCF department of the Ignace Deen National Hospital (Conakry).

Patients and Methods: This was a dynamic, descriptive study lasting 5 months, from September 20, 2021 to February 20, 2022; the study included 112 cases out of a total of 1331 patients, i.e. a frequency of 8%.

Results: 112 patients who presented with AOM, i.e. a frequency of 8.41%, were included. The age group from 0 to 10 years old was the most represented, at 32.14%. Women predominated (60.71%). 36.6% had a history of recurrent nasopharyngitis. The most frequent reason for consultation was ear pain (79%). Nasopharyngitis and earwax blockage were the most frequently associated pathologies (49% and 23% respectively). 63.39% of our patients were admitted with congestive AOM and received medical treatment. The evolution was unfavorable in 3 cases or 2.68%.

Conclusion: Acute otitis media is a relatively common condition in the ENT department of HNID-CHU of Conakry. It is essential to organize hospital care on a diagnostic rather than a therapeutic level. It seems necessary to continue efforts in the area of continuing training and prevention; the aim being in the years to come to slow down the increase in bacterial resistance.

Keywords: OMA, Management, HNID, ENT. Sudan, Al Manqil Locality.