Hostname: page-component-586b7cd67f-l7hp2 Total loading time: 0 Render date: 2024-11-25T13:41:36.893Z Has data issue: false hasContentIssue false

Pseudomonas vaccination in chronic ear disease

Published online by Cambridge University Press:  29 June 2007

S. E. Kent*
Affiliation:
(Birmingham)
R. Jones
Affiliation:
(Birmingham)
*
Stephen Kent, Senior Registrar, ENT Department, Dudley Road Hospital, Birmingham B18 7QH.

Summary

This paper presents the results of a pilot study of vaccination in thirteen patients with chronically infected mastoid cavities or central perforations of the tympanic membrane. In each patient Pseudomonas aeruginosa was repeatedly cultured from the ear and a long list of medical and surgical treatments had been tried, without success, to control the infection. The clinical, bacteriological and immunological responses were monitored over a six-month period.

The results are extremely encouraging. Eight patients' ears became dry for the first time in many years. However, three months after vaccination three ears had become reinfected.

All of the patients except one had a good immunological response to vaccination, with many-fold increases in the total serum immunoglobulin G, A and M levels.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1988

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Babiatski, A. and Sadé, J. (1987) Malignant external otitis Journal of Laryngology and Otology, 101: 205210.Google Scholar
Chandler, J. R. (1968) Malignant external otitis. Laryngoscope, 78: 12571294.CrossRefGoogle ScholarPubMed
Jackson, C. G., Glasscock, M. E., Schwaber, M. K., Nissen, A. J. and Bojrab, D. I. (1985) Open mastoid procedure: Contemporary indications and surgical technique. Laryngoscope, 95: 10371043.Google Scholar
Jahn, A. F. and Abramson, M. (1984) Medical management of chronic otitis media. Otolaryngologic Clinics of North America, 17: 673677.Google Scholar
Palva, T. (1985) Surgical treatment of cholesteatomatous ear disease. Journal of Laryngology and Otology, 99: 539544.CrossRefGoogle ScholarPubMed
Palva, T. and Hallström, O. (1965) Bacteriology of chronic otitis media. Archives of Otolaryngology, 82: 359364.CrossRefGoogle ScholarPubMed