A Study on Risk Factors of Recurrent Otitis Media

김은진,; 권영란,; 송강훈,; ), 장원녕 ( Won Nyung Jang; 이진,; 장진근,; 차성호,

doi:10.14776/kjpid.2010.17.2.91

Cited by 3 publications

(4 citation statements)

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“…For example, a case-control study conducted for children between 4 to 12 years old in Hong Kong indicated that children with allergic rhinitis had a 4.6-fold (OR = 4.64) higher risk of otitis media than children without rhinitis 19 . Similarly, a case-control study in children under 60 months revealed that allergic rhinitis had a 2.3-fold higher risk of otitis media (OR = 2.32) even after adjusting for confounding factors 18 . The authors could conclude that there was insufficient evidence that allergic rhinitis directly affected the etiology of otitis media but otitis media in young children could be deteriorated continuously due to respiratory allergies.…”

Section: Discussionmentioning

confidence: 94%

“…Kim et al . 18 in their case-control study revealed that allergic rhinitis and day nursery were independent risk factors highly associated with young children’s otitis media. Risk factors can be divided into factors that cannot be changed such as genetic factors and family history and factors that can be changed such as environment and lifestyle.…”

Section: Introductionmentioning

confidence: 99%

“…Although allergic rhinitis has been reported as an independent risk factor of otitis media, the most of the previous studies targeted only subjects visiting a specific medical facility or were conducted as case-control studies based on a small sample size. Consequently, it is limited to generalize the obtained results to the population of the local community 18–20 . Moreover, studies evaluated the illness of young children under 5 years old identified the history of otitis media using a parental questionnaire 12 .…”

Section: Introductionmentioning

confidence: 99%

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The association between allergic rhinitis and otitis media: A national representative sample of in South Korean children

Byeon

2019

Sci Rep

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Although many studies have reported that allergic rhinitis is an independent risk factor highly related to otitis media in children, there is still lack of epidemiological studies on demographics. The objective of this study was to identify if allergic rhinitis was an independent risk factor for otitis media in children aged between 7 and 12 years by using the nationwide survey data representing the local population of South Korea. This is a secondary study based on the ENT examination data (eg. acute otitis media, otitis media with effusion, chronic otitis media). The subjects of this study were 472 children (248 male and 224 female) who completed the Korea National Health and Nutrition Examination Survey 2015. The presence of otitis media was examined by otolaryngologists using tympanometric measurements, audiometric measurements, and otoscopic examination. Allergic rhinitis was diagnosed by Korean-version of International Study of Asthma and Allergies in Childhood, a total serum immunoglobulin E test, an allergen-specific immunoglobulin E test, a blood eosinophil test, an eosinophil cationic protein test, a nasal cytology for eosinophils test, a skin reaction test, and an antigen simultaneous test. Confounding factors included age, gender, the levels of income for households, and household composition. The relationship between allergic rhinitis and otitis media was analyzed by a complex sample logistic regression analysis and the odds ratio and 95% confidence interval were presented. The results of a complex sample design logistic regression revealed that allergic rhinitis in children was significantly associated with otitis media (p < 0.05). Even after adjusting all confounding factors, children with allergic rhinitis had twice significantly higher risk of otitis (OR = 2.04; 95% CI: 1.30–3.18) than children without allergic rhinitis. This epidemiologic study confirmed the independent relationship between pediatric allergic rhinitis and otitis media. In the future, longitudinal study will be needed to verify causality of allergic rhinitis and otitis media.

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Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The association between allergic rhinitis and otitis media: A national representative sample of in South Korean children

Byeon

2019

Sci Rep

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“…Attendance at a daycare center, however, was easy to recall, and this factor was believed to be related to recurrent otitis media. We used this particular questionnaire for our investigation based on previous studies [17,18].…”

Section: Discussionmentioning

confidence: 99%

Risk factors for persistent otitis media with effusion in children: a case-control study

Lee

Kim

Song

et al. 2018

Yeungnam Univ J Med

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BackgroundOtitis media with effusion (OME) is defined as middle ear effusion without acute signs of infection. OME usually resolves spontaneously; however, persistent OME may require the insertion of a ventilation tube. This study investigated risk factors for persistent OME in children who undergo ventilation tube insertion.MethodsChildren who were admitted to undergo ventilation tube insertion at Jeju National University Hospital between August 2015 and July 2016 were enrolled as the case group. Healthy children without persistent OME from August 2016 to July 2017 were enrolled as the control group. Baseline characteristics and predisposing factor data were collected using an interview questionnaire. Middle ear fluids were collected from the case group.ResultsA total of 31 patients underwent ventilation tube insertion. The mean age of the case group was 4.53 years, with a male-to-female ratio of 21:10. Twenty-nine (93.5%) children attended a daycare center, and 21 (67.7%) had experience with bottle feeding. Fifteen (48.4%) children in the case group and 3 (9.7%) in the control group first attended a daycare center at <1 year of age (odds ratio=9.96; 95% confidence interval=2.44-39.70; p=0.001). No bacteria were found in middle ear fluid collected from the 31 operated children. Nasopharyngeal bacterial colonization was found in 13 (41.9%) and 17 (54.8%) children in the case and control groups, respectively.ConclusionEarlier attendance at a daycare center was the only predisposing factor for ventilation tube insertion in our study. The aseptic nature of middle ear fluids found in children with OME highlights the efficacy of antimicrobial use.

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A Nationwide Survey on the Child Day Care and Common Infectious Diseases

Ahn

Choi

Kim

et al. 2012

Korean J Pediatr Infect Dis

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Purpose : As the number of children who attend child care centers has increased, concerns has increased about the effect of child day care on childhood illness. This study was conducted to examine the relationship between experience in child care and common infectious diseases in children under 5 years of age. Methods : Data were collected by surveying 1,000 respondents with children under age 5 through online interviews using a structured questionnaire. The contents of the survey were composed of demographic characteristics, child care facilities usage, experience in infectious diseases, and immunization status Results : Among the 1,000 children <5 years of age, 78.5% attended a child care facility. Rates of common communicable illnesses were higher in children in child care than for children reared exclusively at home. The predominant communicable diseases which the respondents' children experienced, in order of decreasing frequency, were gastroenteritis (47.1%), otitis media (41.8%) and pneumonia (19.1%). The immunization rate of vaccines that are not included the national immunization program (NIP) (Haemophilus influenzae type b vaccine -76.6%, hepatitis A vaccine -63.3%, pneumococcal vaccine -59.4%, rotavirus vaccine -43.1%) was lower than that of the NIP vaccines (90.4%) Conclusion : Children in child care experience more bouts of common infectious disease, so nationwide policies to prevent or to control the spread of infectious agents in a child-care should be available and appropriate immunization should be emphasized as the most effective method for the control of infectious disease for children.

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A Study on Risk Factors of Recurrent Otitis Media

Cited by 3 publications

References 0 publications

The association between allergic rhinitis and otitis media: A national representative sample of in South Korean children

The association between allergic rhinitis and otitis media: A national representative sample of in South Korean children

Risk factors for persistent otitis media with effusion in children: a case-control study

A Nationwide Survey on the Child Day Care and Common Infectious Diseases

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