Recurrent acute otitis media in infants: Analysis of risk factors

Salah, Mohamed; Abdel‐Aziz, Mosaad; Al-Farok, Ahmed; Jebrini, Azzam

doi:10.1016/j.ijporl.2013.07.022

Cited by 54 publications

(43 citation statements)

References 25 publications

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“…Similarly, otorrhea, otalgia, tinnitus and itching were more prevalent in humid seasons than other ones. An unanticipated finding of this study was that there was no significant relationship between OM and season ( p =0.55) among children, while previous studies have reported a strong relationship (Ting, et al,17) Rovers, et al,28) Castagno and Lavinsky,15) and Salah, et al16)). This result may be due to the small number of children in the study.…”

Section: Discussioncontrasting

confidence: 64%

“…According to a prospective, longitudinal cohort study in Southern Brazil on 156 children in autumn, winter and spring, using tympanomrtry and otoscopy, the incidence of serous otitis media was higher in winter, especially, among children of lower socioeconomic classes 15). A retrospective study on 340 infants below 2 years old with recurrent acute otitis media (RAOM), conducted by Cairo University Hospital from May 2011 to April 2012 indicated that winter is an important factor that may cause RAOM 16). In 2012, Ting, et al,17) carried out a multiple database study in Taiwan and reported acute otitis media (AOM) as a prevalent OM among children in spring.…”

Section: Introductionmentioning

confidence: 99%

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Conductive and Mixed Hearing Losses: A Comparison between Summer and Autumn

Nickbakht

Borzoo

2014

Korean J Audiol

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Background and ObjectivesConductive hearing loss is common among children and adults. This study aims at comparing the results of conductive hearing loss in summer and autumn.Subjects and MethodsPuretone audiometry and tympanometry tests were done for all patients who referred to the Iranian-based audiology center of Imam Khomeini Hospital in Ahvaz. Data on the patients with conductive or mixed hearing loss were analyzed. The impacts of season, age, and etiology of the disease were analyzed on the patients who visited the audiology clinic due to the conductive hearing loss in summer and autumn.ResultsOne hundred and fifty nine patients in summer and 123 patients in autumn had conductive or mixed hearing loss. Their age ranged from four to 82 years, with the average age of 35. The percentage of the patients, with acute otitis media and chronic otitis media (COM), who visited this clinic, was significantly higher than those with middle ear problems. COM and mastoid surgeries rate was higher in summer than autumn among adults.ConclusionsThere is no relationship between season and middle ear diseases between children and juveniles, but COM and mastoid problems are more common in summer among adults visiting this clinic. Most of the patients had mild conductive hearing loss and bilateral middle ear impairments.

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Section: Discussioncontrasting

confidence: 64%

Section: Introductionmentioning

confidence: 99%

Conductive and Mixed Hearing Losses: A Comparison between Summer and Autumn

Nickbakht

Borzoo

2014

Korean J Audiol

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“…It has to be pointed out that in this study adenoidectomy was done as part of the treatment for repeated infection, not due to the size of adenoids. Previous studies suggest that otitis media is frequently associated with enlarged adenoids and tonsils [36,37], and treatment failure may be caused by adenoid hypertrophy [38]. Recent randomized trial revealed further beneficial effects of early adenotonsillectomy over watchful waiting in reducing symptoms and improving secondary outcomes of behaviour, quality of life, and polysomnographic findings in paediatric sleep apnea patients [39].…”

Section: Discussionmentioning

confidence: 99%

The effect of adenoidectomy on occlusal development and nasal cavity volume in children with recurrent middle ear infection

Niemi

Numminen

Rautiainen

et al. 2015

International Journal of Pediatric Otorhinolaryngology

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“…Host factors that increase the risk of OM include: young age 32 , male sex 33 , race and ethnicity 33 , genetic factors and a family history of OM 34 , craniofacial anomaly such as cleft palate 35 , atopy 34 , immunodeficiency 36 , upper respiratory tract infections (URTIs) and adenoid hypertrophy 34,37 , and laryngopharyngeal reflux 38 . Environmental factors that increase the risk of OM include: low socioeconomic status, exposure to tobacco smoke 34 , having older siblings 39 , day-care attendance 32,39,40 and the use of a pacifier 41,42 . Having been breastfed protects against OM 43 .…”

Section: Social and Environmental Risk Factorsmentioning

confidence: 99%

Otitis media

Schilder

Chonmaitree

Cripps

et al. 2016

Nat Rev Dis Primers

414

361

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Otitis media (OM) or middle ear inflammation is a spectrum of diseases, including acute otitis media (AOM), otitis media with effusion (OME; 'glue ear') and chronic suppurative otitis media (CSOM). OM is among the most common diseases in young children worldwide. Although OM may resolve spontaneously without complications, it can be associated with hearing loss and life-long sequelae. In developing countries, CSOM is a leading cause of hearing loss. OM can be of bacterial or viral origin; during 'colds', viruses can ascend through the Eustachian tube to the middle ear and pave the way for bacterial otopathogens that reside in the nasopharynx. Diagnosis depends on typical signs and symptoms, such as acute ear pain and bulging of the tympanic membrane (eardrum) for AOM and hearing loss for OME; diagnostic modalities include (pneumatic) otoscopy, tympanometry and audiometry. Symptomatic management of ear pain and fever is the mainstay of AOM treatment, reserving antibiotics for children with severe, persistent or recurrent infections. Management of OME largely consists of watchful waiting, with ventilation (tympanostomy) tubes primarily for children with chronic effusions and hearing loss, developmental delays or learning difficulties. The role of hearing aids to alleviate symptoms of hearing loss in the management of OME needs further study. Insertion of ventilation tubes and adenoidectomy are common operations for recurrent AOM to prevent recurrences, but their effectiveness is still debated. Despite reports of a decline in the incidence of OM over the past decade, attributed to the implementation of clinical guidelines that promote accurate diagnosis and judicious use of antibiotics and to pneumococcal conjugate vaccination, OM continues to be a leading cause for medical consultation, antibiotic prescription and surgery in high-income countries.

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Recurrent acute otitis media in infants: Analysis of risk factors

Cited by 54 publications

References 25 publications

Conductive and Mixed Hearing Losses: A Comparison between Summer and Autumn

Conductive and Mixed Hearing Losses: A Comparison between Summer and Autumn

The effect of adenoidectomy on occlusal development and nasal cavity volume in children with recurrent middle ear infection

Otitis media

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