Hearing impairment in otitis media with effusion: A cross-sectional study based in Pokhara, Nepal

Bagshaw, Richard; Wall, Elizabeth H.; Dowswell, George; Martín, Timothy; Smith, Michael C.

doi:10.1016/j.ijporl.2011.09.013

Cited by 8 publications

(4 citation statements)

References 22 publications

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“…Our findings for surgical intervention indicate successful clinical outcomes for this surgery cohort, at 6 weeks post-op, with improvements to hearing averaging 8-11dB on audiometry reported up to two months post-op. Findings from other studies on ear health report high rates of ear disease associated with bacterial and or viral pathogens recorded from high risk populations, including remote living Indigenous Australians [27][28][29][30][31]; however, few report on hearing impairment as a consequence of those high rates of ear disease [11,32,33]. We believe that this is the M A N U S C R I P T…”

Section: Discussionmentioning

confidence: 75%

An innovative approach to improve ear, nose and throat surgical access for remote living Cape York Indigenous children

Jacups

Newman²,

Dean³

et al. 2017

International Journal of Pediatric Otorhinolaryngology

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This innovative approach to a health system crisis enabled successful ENT surgical and hearing outcomes in 16 children, whose waitlisted time grossly exceeded state health recommendations. Using private health facilities funded by a health partnership, while unlikely to be a suitable model of care for routine service delivery; may be applied as an adjunct service model when blockages and delays lead to sub-standard service provision. This approach may be applicable to other health care facilities when facing extended elective surgery wait times in ENT or other specialty areas.

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Section: Discussionmentioning

confidence: 75%

An innovative approach to improve ear, nose and throat surgical access for remote living Cape York Indigenous children

Jacups

Newman²,

Dean³

et al. 2017

International Journal of Pediatric Otorhinolaryngology

View full text Add to dashboard Cite

show abstract

“…Our major finding of a higher prevalence rate of CHI in rural areas was consistent with the results of previous studies in other countries. 20 24 In 2009, the rural–to-urban prevalence RR was 0.96 (not statistically significant) in severe cases and 1.14 (not statistically significant) in moderate cases, but it was 1.25 (statistically significant) in mild cases, making the overall RR (1.09) statistically significant. In a study in Tanzania, in which 802 primary school children were examined using pure tone audiometry and HI was defined as a low-frequency PTA threshold of >5 dB HL in the frequencies of 0.5, 1 and 2 kHz, 24 the prevalence rate of CHI was 1102.4/10 000 among rural children, while it was only 755.6/10 000 among urban children (P<0.05).…”

Section: Discussionmentioning

confidence: 97%

“…Similarly, in a survey in Nepal, school children with a diagnosis of otitis media with effusion (aged from 4–13 years) underwent audiometric assessment, and the prevalence rate of HI, defined as a middle-frequency PTA threshold of >25 dB HL in the frequencies of 0.5, 1, 2 and 4 kHz, was higher among rural children (2700.0/10 000 vs 400.0/10 000, P<0.05). 20 …”

Section: Discussionmentioning

confidence: 99%

Prevalence of childhood hearing impairment of different severities in urban and rural areas: a nationwide population-based study in Taiwan

et al. 2018

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ObjectiveChildhood hearing impairment (CHI) is a major developmental disability, but data at the national level are limited, especially those on different severities. We conducted a study to fill this data gap.DesignA nationwide study on the basis of a reporting system.SettingTo provide services to disabled citizens, the Taiwanese government maintains a registry of certified cases. Using data from this registry, we estimated prevalence rates of CHI of different severities from 2004 to 2010 and made comparisons between urban and rural areas.ParticipantsTaiwanese citizens ≤17 years old.Primary outcome measuresTo qualify for CHI disability benefits, a child must have an unaided pure-tone better ear hearing level at 0.5, 1 and 2 kHz with an average ≥55 decibels (dB), confirmed by an otolaryngologist. The severity was classified by pure-tone better ear hearing level as mild (55–69 dB), moderate (70–89 dB) and severe (≥90 dB).ResultsThe registered cases under 17 years old decreased annually from 4075 in 2004 to 3533 in 2010, but changes in the prevalence rate were small, ranging from 7.62/10 000 in 2004 to 7.91/10 000 in 2006. The prevalence rates of mild CHI increased in all areas over time, but not those of moderate or severe CHI. Rural areas had higher overall prevalence rates than urban areas in all years, with rate ratios (RRs) between 1.01 and 1.09. By severity, rural areas had higher prevalence rates of mild (RRs between 1.08 and 1.25) and moderate (RRs between 1.06 and 1.21) CHI but had lower prevalence rates of severe CHI (RRs between 0.92 and 0.99).ConclusionWhile rural areas had higher overall prevalence rates of CHI than urban areas, the RRs decreased with CHI severity. Further studies that identify factors affecting the rural–urban difference might help the prevention of CHI.

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“…A number of studies from LMICs reported on the prevalence of Otitis Media with Effusion (OME) among children (Adebola, Ayodele, Oyelakin, Babarinde, & Adebola, 2013;Bagshaw, Wall, Dowswell, Martin, & Smith, 2011;Keleş et al, 2004;Lyn et al, 1998;Mark, Matharu, Dowswell, & Smith, 2013;Okur, Yildirim, Kilic, & Guzelsoy, 2004;Olusanya, Okolo, & Ijaduola, 2000;Saim, Saim, Saim, Ruszymah, & Sani, 1997;Son et al, 1998). Although OME may not present the same medical risk as CSOM, it is often a silent condition that may adversely affect speech and language development, and academic achievement of the affected student (Cai & McPherson, 2017).…”

Section: Otitis Mediamentioning

confidence: 99%

Paediatric ear disease and hearing loss in the Solomon Islands

Kaspar¹

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According to the World Health Organisation (WHO), around 90% of the global burden of hearing loss is found in Low-and Middle-Income Countries (LMICs). It is estimated that 75% of childhood hearing loss in LMICs is preventable. Otitis media (OM) and infectious diseases that may be avoided through immunisations are the leading causes of preventable hearing loss in children. Given the wellknown adverse effects of hearing loss in childhood development, the WHO is leading global efforts to address the burden of hearing loss in children through public health measures. Newborn and Infant Hearing Screening (NIHS) and school-based hearing screening programmes are key strategies that should facilitate early identification and intervention for children with hearing disorders. There is very little in the audiology literature on childhood hearing loss in the Pacific Islands. Yet, this region is estimated to have among the highest global burden of OM and disabling hearing loss. The limited literature indicates that OM begins early in life, and may quickly progress to advanced/chronic stages of disease and potentially fatal complications. Ear, Nose and Throat (ENT) and audiology services are virtually non-existent throughout the Pacific Islands, and public health measures such as community ear/hearing screening programmes may be a feasible option until more sophisticated ENT/audiology services become available. The Solomon Islands are a Pacific Island nation that is currently developing the outreach service of the ENT Clinic at the National Referral Hospital in the capital city, Honiara. The present study was developed to assess community engagement and readiness for ear/hearing screening programmes for children, as well as to assess the prevalence of OM and hearing loss among children in Honiara. Should the results of the study indicate that OM and hearing loss are a significant public health issue among children, and that caregivers are supportive of ear/hearing services, the recommendation for routine community-based ear/hearing screening programmes in Honiara will be justified. Parental knowledge and attitudes to childhood hearing loss and hearing services was assessed through semi-structured interviews with 150 parents attending community clinics in Honiara. The highest level of parental knowledge found regarding causes of hearing loss was for OM (94%). Knowledge of routine childhood immunisations (84%) and breast-feeding (76%) as public health measures to reduce/prevent OM were also high. The knowledge of fathers was generally the same or better than that of mothers. Approximately half of participants (56%) agreed that curses may cause childhood hearing loss. There was high parental support for infant hearing screening programmes (96%) and v Publications included in this thesis

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Hearing impairment in otitis media with effusion: A cross-sectional study based in Pokhara, Nepal

Cited by 8 publications

References 22 publications

An innovative approach to improve ear, nose and throat surgical access for remote living Cape York Indigenous children

An innovative approach to improve ear, nose and throat surgical access for remote living Cape York Indigenous children

Prevalence of childhood hearing impairment of different severities in urban and rural areas: a nationwide population-based study in Taiwan

Paediatric ear disease and hearing loss in the Solomon Islands

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