Otitis Media in Indonesian Urban and Rural School Children

Anggraeni, Ratna; Hartanto, Widya W.; Djelantik, Bulantrisna; Ghanie, Abla; Utama, Denny Satria; Setiawan, Eka Putra; Lukman, Erica; Hardiningsih, Chintriany; Asmuni, Suprihati; Budiarti, Rery; Rahardjo, Sutji Pratiwi; Djamin, Riskiana; Mulyani, Tri; Mutyara, Kuswandewi; Carosone-Link, Phyllis; Kartasasmita, Cissy B.; Simões, Eric A F

doi:10.1097/inf.0000000000000366

Cited by 31 publications

(38 citation statements)

References 33 publications

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“…[ 13 ] In Indonesia, the prevalence of CSOM is relatively high with most disease occurring in rural areas; of the 7005 children studied, 116 (1.7%) had CSOM. [ 5 ] The rates per 1000 of CSOM in rural Bali and Bandung were significantly higher (75 and 25, respectively) than in the rest of Indonesia ( P < 0.05). In rural Bali the rate per 1000 children of inactive CSOM was 63 in 6-9 year olds, compared with 37 in children aged 13-15 years.…”

Section: Discussionmentioning

confidence: 98%

“…In rural Bali the rate per 1000 children of inactive CSOM was 63 in 6-9 year olds, compared with 37 in children aged 13-15 years. [ 5 ] Most studies have found that males and females are equally affected, although some have found a male predominance. [ 14 15 16 ] In our study, though male preponderance was noted, this was slight [ Table 1 ].…”

Section: Discussionmentioning

confidence: 99%

“…[ 4 ] In developing countries, the prevalence of CSOM is relatively high with most disease occurring in rural areas. [ 5 6 ] In developing countries a prevalence ranging from 6% to 46% in different populations has been reported. [ 7 8 9 ] One notion regarding the higher prevalence in developing countries is that the cost of treatment is prohibitive.…”

Section: Introductionmentioning

confidence: 99%

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Demography, types, outcome and relationship of surgically treated intracranial suppuration complicating chronic suppurative otitis media and bacterial rhinosinusitis

Idowu¹,

Adekoya

Adeyinka

et al. 2014

Journal of Neurosciences in Rural Practice

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Introduction:Surgically treated intracranial suppurations (ICS) are uncommon, life-threatening neurosurgical emergencies. They can result from complication of chronic suppurative otitis media (CSOM) and bacterial rhinosinusitis (BRS). The objective of this study was to know the frequency of BRS and CSOM and relate it to its rare complication of surgically treated ICS while also describing the demography, type and outcome of ICS that resulted from BRS and CSOM.Materials and Methods:All patients that presented to the Otorhinolaryngological department and Neurosurgical unit of the same institution with clinical and radiological features of CSOM, BRS, and ICS were prospectively studied over a 5-year period. Patients were followed up for a minimum of 3 months.Results:Two thousand, two hundred and seventy-nine patients presented during the 5-year study period. Of all these patients, 1511 had CSOM (66.3%) and 768 (33.7%) presented with features of BRS. Eleven (0.73%) had ICS complicating their CSOM while 8 (1.04%) cases of surgically treated ICS followed BRS. Bacterial rhinosinusitis was not more likely to lead to ICS (P = 0.4348). The Odds ratio (OR) of a child ≤ 18 years of age with CSOM developing ICS was 5.24 (95% Confidence interval 1.13-24.34; P = 0.0345), while it was 7.60 (95% Confidence interval 1.52-37.97; P = 0.0134) for children with BRS.Conclusions:The most common type of ICS complicating CSOM and BRS was brain abscess and subdural empyema, respectively. Children are more prone to develop surgical ICS following CSOM and BRS. The proportion of males that had ICS was higher in both CSOM and BRS patients. Optimal outcome is achieved in patients that presented with GCS of 13 and above.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Demography, types, outcome and relationship of surgically treated intracranial suppuration complicating chronic suppurative otitis media and bacterial rhinosinusitis

Idowu¹,

Adekoya

Adeyinka

et al. 2014

Journal of Neurosciences in Rural Practice

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“…5 Recent large epidemiological surveys emphasise the importance of CSOM even when rates of otitis media with effusion or acute otitis media are not high. 6,7 Prospective studies in Australian Aboriginal infants have described early nasopharyngeal bacterial colonisation with Streptococcus pneumoniae, Haemophilus influenzae and Moraxella catarrhalis in the first few months of life. 9,10 This is associated with high rates of otitis media with effusion (OME) and frequent episodes of acute otitis media infections (acute otitis media without perforation).…”

Section: Epidemiology Of Common Ear Conditionsmentioning

confidence: 99%

“…13 Interestingly, crosssectional studies suggest that it may be possible to have high rates of CSOM without high rates of OME in some settings. 6,7 This needs to be confirmed through prospective birth cohort studies, with standardised assessment of middle-ear disease and nasopharyngeal colonisation.…”

Section: Epidemiology Of Common Ear Conditionsmentioning

confidence: 99%

Preventative and medical treatment of ear disease in remote or resource-constrained environments

et al. 2019

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BackgroundImportant ear problems can affect the outer ear, the middle ear and the inner ear. Globally, the greatest burden of disease is due to ear conditions that are associated with otorrhoea and hearing loss.MethodsThis study reviewed the literature on the prevention and treatment of common ear conditions that are most relevant to settings with high rates of ear disease and limited resources. The grading of recommendations assessment, development and evaluation (‘GRADE’) approach was utilised to assess interventions.ResultsAccurate diagnosis of ear disease is challenging. Much of the preventable burden of ear disease is associated with otitis media. Nine otitis media interventions for which there is moderate to high certainty of effect were identified. While most interventions only provide modest benefit, the impact of treatment is more substantial in children with acute otitis media with perforation and chronic suppurative otitis media.ConclusionDisease prevention through good hygiene practices, breastfeeding, reducing smoke exposure, immunisation and limiting noise exposure is recommended. Children with acute otitis media with perforation, chronic suppurative otitis media, complications of otitis media, and significant hearing loss should be prioritised for medical treatment.

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Ossiculoplasty: A Prospective Study on 50 Patients Using Various Graft Materials

Lamba

Sohal

Goyal

2019

Indian J Otolaryngol Head Neck Surg

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Otitis Media in Indonesian Urban and Rural School Children

Abstract: In Indonesia, the prevalence of CSOM is relatively high with most disease occurring in rural areas. The high rates in rural Bali with early progression to tympanosclerosis suggest a significant burden of potentially vaccine preventable illness.

Cited by 31 publications

References 33 publications

Demography, types, outcome and relationship of surgically treated intracranial suppuration complicating chronic suppurative otitis media and bacterial rhinosinusitis

Demography, types, outcome and relationship of surgically treated intracranial suppuration complicating chronic suppurative otitis media and bacterial rhinosinusitis

Preventative and medical treatment of ear disease in remote or resource-constrained environments

Ossiculoplasty: A Prospective Study on 50 Patients Using Various Graft Materials

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