Positional Otitis Media

Duncan, R. Bruce

doi:10.1001/archotol.1960.00740010464006

Cited by 25 publications

(11 citation statements)

References 8 publications

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“…Thus the quality of the breast milk may be more important in confemng resistance to disease than the duration of breast-feeding. Cow's milk has been claimed to cause recurrence of OM in infancy either as an allergen (9) or as a direct imtant of the nasopharyngeal tubes in horizontal feeding (6). OM was more common in the infants with CMA than in the others.…”

Section: Discussionmentioning

confidence: 99%

“…The variables were treated as categorical. Some variables were categorical by nature (variables 6,7,8,16, and 17) and others were divided into two categories either in a way that was relevant for the study (i.e., daycare at home or outside the home) or by choosing a cutoff point using the distribution of the whole series of 183 infants (Table 1).…”

Section: Methodsmentioning

confidence: 99%

“…In a Finnish follow-up study 5% of infants had OM during the first 6 months of life, 36% during their 1st yr, and 59% during their 2nd and 3rd yr (3). Several risk factors have been identified: daycare outside the home (4), enlarged adenoids (5), feeding in the horizontal position (6), smoking at home (7), and atopy (8,9), particularly food allergy (9). Some studies suggest a protective effect of breast-feeding (3, 10, I I) but others detect none (2,13).…”

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confidence: 99%

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Risk Factors for Infantile Recurrent Otitis Media: Atopy but Not Type of Feeding

et al. 1988

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ABSTRACT. We followed 183 infants from birth to 2.3 yr of age. Of these infants 28 had recurrent otitis media (ROM), defined as five or more separate episodes of otitis media (OM) during the first 2 yr of life or four such episodes during their 2nd yr. The O M presented during their 1st yr (early-onset ROM) in 12 infants and during their 2nd yr (2nd yr ROM) in 16. Eighty infants had no O M and served as a comparison group. Regarding type of feeding, the infants with early-onset ROM did not differ from their age-matched pairs in the comparison group either 1 month before the first O M or at the time of first episode of OM. Exclusive breast-feeding did not prevent O M and early weaning was not a risk factor for ROM. Atopy was associated with ROM with a relative risk of 1.9 (95% confidence limits 1.2-3.2). It was particularly prevalent among the infants with early-onset ROM, in 67 versus in 25% in the comparison group ( p < 0.01). During , the 2nd yr daily contact with five or more children was associated with ROM with a relative risk of 2.1 (1.3-3.3). The infants with 2nd-yr ROM were in daily contact with more children than the comparison group (mean 11 versus 5; p < 0.001). Parental smoking was more frequent among the infants with ROM than in the comparison group (54 versus 33%; p < 0.05). In the infants with early-onset ROM plasma concentration of IgM antibodies to cow's milk was highest at the age of 9 months, and the concentration of IgE was highest at the ages of 9 and 12 months. In conclusion atopy, not the type of feeding, is a risk factor for early-onset ROM, and daycare outside the home for ROM during the 2nd yr. (Pediatr Res 23: 509-512,1988) Abbreviations OM, otitis media ROM, recurrent otitis media CM, cow's milk CMA, cow's milk allergy OM may occur in early infancy, but its incidence increases rapidly after the age of 6 months (1, 2). In a Finnish follow-up study 5% of infants had OM during the first 6 months of life, 36% during their 1st yr, and 59% during their 2nd and 3rd yr (3). Several risk factors have been identified: daycare outside the home (4), enlarged adenoids (5), feeding in the horizontal position (6), smoking at home (7), and atopy (8,9), particularly food allergy (9). Some studies suggest a protective effect of breast- feeding (3, 10, I I) but others detect none (2, 13). Any study of the impact of feeding on morbidity is beset with numerous methodologic limitations (14).In this prospective study we followed 198 infants throughout the 1st yr of life, carefully recording their feeding regimen, illnesses, and environment. For 183 of the infants similar data were obtained from the parents regarding the 2nd yr by a detailed questionnaire. From these data we analyzed the risk factors for ROM. MATERIALS AND METHODSWe followed 198 healthy newborns from birth; they were seen at clinic visits at 2, 4, 6, 9, and 12 months of age, and whenever they had any problems regarding feeding, nursing, or illness. At a mean age of 2.3 yr 60 of the infants were examined by one of us (V-M.T.), and a questi...

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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Risk Factors for Infantile Recurrent Otitis Media: Atopy but Not Type of Feeding

et al. 1988

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“…Especially when analyzing the origin of the justification of positioning the baby more upright to prevent otitis media, it is verified that this justification is anchored in two studies, which they denominate "positional otitis media" 11,12 . It is noteworthy that the two studies were carried out on babies fed on the bottle and artificial feeding has a number of implications for child health, as discussed previously.…”

Section: Discussionmentioning

confidence: 95%

“…For this reason, the orientation usually offered by health professionals is the elevation of the baby's head during breastfeeding, since it is believed that the elevated position is related to a preventive action of otitis media 11 . The literature refers to the term "positional otitis media" in cases of infants who are breastfed in the lying position because they present a higher risk of developing otitis media 12,13 . In view of this, it is questioned whether such guidance also refers to babies who are breastfed in the mother's womb.…”

Section: Introductionmentioning

confidence: 99%

Investigação das práticas maternas sobre aleitamento materno e sua relação com a infecção de vias aéreas superiores e otite média

et al. 2017

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Conflict of interest: non-existentInvestigation of maternal practices of breastfeeding and their relation with the infection of the upper airways and otitis media ABSTRACTPurpose: to investigate the practices of mothers during breastfeeding and infant's position and their relationship with the infection of the upper airway and otitis media. Methods: this is a descriptive exploratory study. Semi-structured interviews were conducted with 60 mothers, with questions about breastfeeding, the position of the infant during breastfeeding and the occurrence of infection of the upper airways (IUA) and otitis. In the infants, otoscopy and otoacoustic emissions were performed in both ears. Results: out of the 60 infants, 49 were exclusively breastfed and 11 were not. Regarding the position, 20 mothers reported breastfeeding their infants in the seated position and 40 in the lying position. The occurrence of IUA reported by the mothers was in 10 infants and from these, 6 were breastfed lying down and 4 infants sitting. As for the occurrence of otitis media, according to the mothers, 6 infants had at least one episode of otitis. Out of these infants, 2 were breastfed sitting and 4, lying down. The results indicate no significance between the position during breastfeeding and the occurrence of upper airway infection and otitis media. Conclusion: the practices of mothers during breast-feeding and infant's position are not related to infection of the upper airways and otitis media. Keywords: Breast Feeding; Otitis Media; Infection; Speech, Language and Hearing Sciences RESUMO Objetivo: investigar as práticas das mães durante o aleitamento e o posicionamento do bebê e sua relação com a infecção de via aérea superior e a otite média. Métodos: estudo descritivo exploratório. Realizou-se entrevistas semi-estrututadas com 60 mães, sobre aleitamento materno, posição do lactente durante a amamentação e ocorrência de infecção de vias aéreas superiores e otites. Nos bebês, realizou-se otoscopia e emissões otoacústicas, em ambas as orelhas.Resultados: dos 60 lactentes, 49 eram amamentados exclusivamente e 11 não exclusivo. Com relação à posição, 20 mães relataram amamentar seus filhos na posição sentada e 40 na posição deitada. A ocorrência de IVAS relatada pelas mães foi de 10 bebês sendo que destes, 6 mamavam deitados e 4 bebês sentados. Quanto à ocorrência de otite média, segundo as mães, 6 bebês apresentaram pelo menos um episódio de otite. Destes bebês, 2 eram amamentados sentados e 4 deitados. Os resultados indicam que não há significância entre a posição durante a amamentação e a ocorrência de infecção de via aérea superior e otite média. Conclusão: as práticas das mães durante o aleitamento e o posicionamento do bebê não possuem relação com a infecção de via aérea superior e a otite média.

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Viral Otitis Media and Acute Otitis Media and Recurrent Acute Otitis Media. An Evidence-Based Approach

Lubianca Neto,

Lubianca,

Lubianca

2023

Textbook of Otitis Media

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Positional Otitis Media

Cited by 25 publications

References 8 publications

Risk Factors for Infantile Recurrent Otitis Media: Atopy but Not Type of Feeding

Risk Factors for Infantile Recurrent Otitis Media: Atopy but Not Type of Feeding

Investigação das práticas maternas sobre aleitamento materno e sua relação com a infecção de vias aéreas superiores e otite média

Viral Otitis Media and Acute Otitis Media and Recurrent Acute Otitis Media. An Evidence-Based Approach

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