Risk factors for otitis media among preschool, rural Indian children

Sophia, Aghia; Isaac, Rita; Rebekah, Grace; Brahmadathan, K. N.; Rupa, Vedantam

doi:10.1016/j.ijporl.2010.03.023

Cited by 63 publications

(63 citation statements)

References 22 publications

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“…This is despite the fact that it is the prime risk factor for otitis media among preschool children [2]. Two previous epidemiological studies performed from the same district in South India have shown that the prevalence of persistent rhinorrhoea among preschool, rural Indian children with otitis media to range from 76.8 to 100 % [1].…”

Section: Discussionmentioning

confidence: 99%

“…Two previous epidemiological studies performed from the same district in South India have shown that the prevalence of persistent rhinorrhoea among preschool, rural Indian children with otitis media to range from 76.8 to 100 % [1]. When children without otitis media were considered, the prevalence was still high at 34.8 % [2]. Expectedly, therefore, parents of such children seek a medical opinion only if complications like acute otitis media or acute purulent sinusitis develop.…”

Section: Discussionmentioning

confidence: 99%

“…In several developing countries, this condition is frequently ignored with the belief that spontaneous resolution occurs with time. A previous epidemiological study among rural Indian children has shown that the prevalence of persistent rhinorrhea is around 22 % in rural children attending daycare [1].This condition was also shown to be an important risk factor for otitis media in preschool children [2].…”

Section: Introductionmentioning

confidence: 99%

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Relative Etiological Importance of Adenoid Hypertrophy Versus Sinusitis in Children with Persistent Rhinorrhoea

Maheswaran

Rupa

Ebenezer

et al. 2014

Indian J Otolaryngol Head Neck Surg

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Persistent rhinorrhoea is a common, yet often neglected, problem among Indian children. This study was designed to evaluate the relative etiological importance of adenoid hypertrophy versus sinusitis in children with persistent rhinorrhea. Additionally, the association between S. pneumoniae colonization and adenoid hypertrophy was studied. Children aged 1-14 years with persistent rhinorrhea underwent clinical evaluation, rigid nasal endoscopy and xrays of the nasopharynx and paranasal sinuses to ascertain the presence of adenoid hypertrophy and sinusitis using standard criteria. Nasopharyngeal swabbing to ascertain the presence of nasopharyngeal colonization with S. pneumoniae was also performed. Adenoid hypertrophy was more consistently associated with persistent rhinorrhea than sinusitis (p \ 0.0001). Coincident adenoid hypertrophy and sinusitis occurred in 57 %. S. pneumoniae was cultured in only 29 % of children. Up to 47 % of patients had features of nasal allergy. There was no association between S. pneumoniae colonization and adenoid hypertrophy (p = 0.1). Adenoid hypertrophy is an important cause of persistent rhinorrhea in children. Measures to evaluate for and treat adenoid hypertrophy should be instituted early to alleviate the problem of persistent rhinorrhoea in children. S. pneumoniae colonization of the nasopharynx is not a major etiological factor for persistent rhinorrhoea in these children. Nasal allergy may be a cause of adenoid hypertrophy in roughly half the children.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Relative Etiological Importance of Adenoid Hypertrophy Versus Sinusitis in Children with Persistent Rhinorrhoea

Maheswaran

Rupa

Ebenezer

et al. 2014

Indian J Otolaryngol Head Neck Surg

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“…An extensive literature review was conducted to identify risk factors for COM/ROM with a particular focus on those studies in school-age children [3][4][5][6][7][8][9][10][11][12]. Based on this information, a data collection form with pertinent factors relating to demographics, social environment, and patient history was developed.…”

Section: Methodsmentioning

confidence: 99%

Risk Factors for Refractory and Delayed De Novo Otitis Media Requiring Pressure Equalization Tube Insertion

Bowe¹,

Vargo²,

Abramoff³

et al. 2014

Otolaryngol.--head neck surg.

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Objective-Limited data exists regarding risk factors for otitis media in older children and specifically those for which surgical intervention is performed. This study investigated potential risk factors in this older age group who required pressure equalization tube (PET) insertion. Study design-Retrospective cohort study Setting-Tertiary care pediatric academic medical centerSubjects and methods-Children 6-12 years old undergoing PET insertion between October 1, 2010 and September 30, 2011. Data was stratified into two separate age cohorts (6-7 versus 8-12-year-olds) and compared using chi-square analysis.Results-A total of 263 patients met study criteria. PET insertion was most common in 6 yearolds (36%, 95/263). Presence of siblings (p=0.03) and history of recurrent upper respiratory tract infection (p<0.01), otalgia (p<0.05), otorrhea (p<0.001), and nasal discharge (p<0.001) were common in the older cohort. No statistical difference was found for history of recurrent acute otitis media, allergy, asthma, or atopy between the two groups (p=0.23-0.92), although the overall prevalence of these conditions was high in both cohorts. Conclusion-The 8-12-year-olds had a history of recurrent upper respiratory tract infection and more infectious symptoms than the 6-7-year-olds. Atopy can lead to a heightened susceptibility to upper respiratory tract infections and potential increase in the relative risk of otitis media. In our patient population, while there was no statistically significant difference in history of asthma, allergy, or atopy, the overall prevalence within both cohorts was relatively high. Therefore, this This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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“…[23] Allergic rhinitis is also a strong risk factor for the development of otitis media and prevalent in patients with otitis media with effusion (OME). [24] In a recent review the prevalence of AR in patients with chronic or recurrent OME has been reported to vary from 24% to 89%. [25] This higher comorbidity should alert the treating physician for possible presence of the above mentioned conditions.…”

Section: Comorbid Diseasesmentioning

confidence: 99%

An important social problem: allergic rhinitis

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2013

J Med Updates

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Risk factors for otitis media among preschool, rural Indian children

Cited by 63 publications

References 22 publications

Relative Etiological Importance of Adenoid Hypertrophy Versus Sinusitis in Children with Persistent Rhinorrhoea

Relative Etiological Importance of Adenoid Hypertrophy Versus Sinusitis in Children with Persistent Rhinorrhoea

Risk Factors for Refractory and Delayed De Novo Otitis Media Requiring Pressure Equalization Tube Insertion

An important social problem: allergic rhinitis

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