Browsing by Author "Krishna, Hari"
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Item Assessment Of Risk Factors And Identification Of Fungal And Bacterial Agents In Otomycosis At Rural Community Attending A Tertiary Care Hospital(IMed Research Publications, 2020-03) Krishna, HariIntroduction: Otomycosis is a sub-acute or a chronic superficial fungal infection of the external auditory canal.It is one of the frequently encountered fungal infections of the ear. The prevalence of otomycosis is higher intropical and subtropical climates zones. This study was planned to identify the most common organismsinvolved in otomycosis, clinical features and various predisposing factors of the disease in south India.Materials and Methods: Prospective study on 187 confirmed cases of Otomycosis who attended the ENT OPD. Apredesigned proforma was administered to the participants to know the clinical symptoms, predisposingfactors, sociodemographic details, and comorbid conditions. Clinical findings in both ears were recorded.Results: The majority of the study population (31%) were in the age group of 31-40. Around 47% of the studypopulation had a history of manipulation of the external auditory canal. Around 32 % gave the history of theinstallation of either antibiotic drops or steroid drops into the ear. Around 97% of the study population hadblocked, 83% had pain and 77 % had itching. The discharge was present in 47% of the study population. Femaleprevalence was high and more than 88% was unilateral. Aspergillus species and Candida species were morecommonly present in the fungal culture. Around 88% had a bacterial infection along with fungal growth.Conclusion: the diagnosis of Otomycosis must be considered for all cases of ear discharge for prompt andaccurate treatment and to save time and suffering.Item Association Between Sensorineural Hearing Loss And Type Ii Diabetes Mellitus(IMed Research Publications, 2020-03) Krishna, HariIntroduction: sensorineural hearing loss is usually common in diabetics. Microangiopathy and neuropathyare the main attributed caused for sensorineural hearing loss.Objectives: planned to study the prevalence of sensorineural hearing loss(SNHL) among Type II DM patients andto study the association between age, duration of DM and HbA1C levels with SNHL in India.Methodology: A cross-sectional study was done on 256 type II Diabetic patients who attended medicine OP.sensorineural hearing loss was measured using Pure tone audiometry and were classified according to WHOclassification.Results: 45.7% were males and 54.3 % were females. 88.7% had bilateral SNHL. 17 % had severe degree of SNHL.The prevalence of SNHL increased with advancement of age, increased duration of DM and poor glycaemiccontrol.Conclusion: There is a strong association between diabetes and SNHL. Hence proper glycemic control in diabeticsmust be ensured to prevent from complications.