We found that 20 (10.6%) of 188 patients with chronic suppurative otitis media in Angola were co-colonized with fluoroquinolone-resistant Alcaligenes faecalis, commonly found in birds. A likely explanation for our findings was the use of bird feces by residents as a traditional remedy to prevent ear secretions caused by primary ear infection.
Keywords: Alcaligenes faecalis; Angola; CSOM; Luanda; MRSA and other staphylococci; Proteus mirabilis; Pseudomonas aeruginosa; bacteria; bird feces; child; chronic suppurative otitis media; discharge; ear; enterococci; eye; infection; peritonitis; urinary tract.