NCT07790679

Brief Summary

This is a prospective study to identify the bacterial and fungal organisms causing Malignant Otitis Externa (MOE) in patients presenting to Sohag University Hospitals. Ear swabs will be collected from patients diagnosed with MOE and sent to the microbiology lab for culture and sensitivity testing. The goal is to determine the most common pathogens and their antibiotic resistance patterns to help doctors choose the best treatment.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
40

participants targeted

Target at P25-P50 for all trials

Timeline
13mo left

Started Sep 2026

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 22, 2026

Completed
5 days until next milestone

First Posted

Study publicly available on registry

August 27, 2026

Completed
5 days until next milestone

Study Start

First participant enrolled

September 1, 2026

Expected
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2027

1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2027

Last Updated

August 27, 2026

Status Verified

August 1, 2026

Enrollment Period

1 year

First QC Date

August 22, 2026

Last Update Submit

August 26, 2026

Conditions

Keywords

Malignant Otitis ExternaMOEEar InfectionBacterial culturefungal cultureAntibiotic resistancepseudomonassohagegypt

Outcome Measures

Primary Outcomes (1)

  • Number and percentage of bacterial and fungal isolates resistant to each antibiotic tested at enrollment

    Measure: Antibiotic susceptibility testing will be performed on all isolates obtained from patients with Malignant Otitis Externa according to CLSI guidelines. Metric: Count and percentage of resistant isolates for each antibiotic.

    At time of enrollment, from July 2026 to July 2027

Secondary Outcomes (1)

  • Number and percentage of microbial isolates with antibiotic and antifungal resistance at enrollment

    At time of enrollment, from July 2026 to July 2027

Study Arms (1)

MOE patients

Prospective observational cohort of patients aged 18 years and older clinically diagnosed with Malignant Otitis Externa. All patients will undergo clinical examination and ear swab for bacterial and fungal culture. Enrollment from July 2026 to July 2027.

Other: ear swab and susceptibility testing

Interventions

For all enrolled patients, an ear swab will be collected for bacterial and fungal culture and antibiotic susceptibility testing. This is a diagnostic procedure only and is not a therapeutic intervention. No drugs are administered as part of this study.

MOE patients

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Patients diagnosed with Malignant Otitis Externa presenting to the ENT department at Sohag University Hospitals

You may qualify if:

  • Patients clinically diagnosed with MOE based on severe otalgia, external auditory canal inflammation ± granulation tissue.
  • Patients with risk factors such as DM, Immunocompromised patients.

You may not qualify if:

  • Post-operative ear cases (recent ear surgery).
  • Patients with external auditory canal tumors.
  • Patient refusal

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Sohag University Hospitals

Sohag, Sohag Governorate, 82524, Egypt

RECRUITING

Related Publications (1)

  • Authors: Chandler JR. Article Title: Malignant external otitis: further considerations. Journal Name: Laryngoscope. Publication Date: 1968 Volume: 78 Pages: 372-376

    BACKGROUND

MeSH Terms

Conditions

OtitisPseudomonas Infections

Condition Hierarchy (Ancestors)

Ear DiseasesOtorhinolaryngologic DiseasesGram-Negative Bacterial InfectionsBacterial InfectionsBacterial Infections and MycosesInfections

Study Officials

  • Osama Mohamed Rashad

    Department of Otorhinolaryngology, Sohag University Hospitals

    STUDY CHAIR

Central Study Contacts

Omar Ashraf Mohamed

CONTACT

Mohamed AbdElkader Ahmed

CONTACT

Study Design

Study Type
observational
Observational Model
CASE ONLY
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Prof. Mohamed AbdElkader Ahmed

Study Record Dates

First Submitted

August 22, 2026

First Posted

August 27, 2026

Study Start (Estimated)

September 1, 2026

Primary Completion (Estimated)

September 1, 2027

Study Completion (Estimated)

October 1, 2027

Last Updated

August 27, 2026

Record last verified: 2026-08

Data Sharing

IPD Sharing
Will not share

IPD will not be shared to protect patient privacy and confidentiality in accordance with institutional policy and ethical approval from Sohag University.

Locations