A Study on Risk Factors of Recurrent Otitis Media.
- Author:
Eun Jin KIM
1
;
Young Ran KWON
;
Kang Hoon SONG
;
Won Nyung JANG
;
Jin LEE
;
Jin Keun CHANG
;
Sung Ho CHA
Author Information
1. Department of Pediatrics, Han-Il General Hospital, Korea.
- Publication Type:Original Article
- Keywords:
Recurrent otitis media;
Risk factor;
Children
- MeSH:
Bronchiolitis;
Chemoprevention;
Child;
Hearing Loss;
Hospitals, General;
Humans;
Infant;
Influenza, Human;
Language Development Disorders;
Middle Ear Ventilation;
Otitis;
Otitis Media;
Outpatients;
Pacifiers;
Parents;
Rhinitis;
Rhinitis, Allergic, Perennial;
Risk Factors;
Siblings;
Smoke;
Smoking;
Social Class;
Vaccination
- From:Korean Journal of Pediatric Infectious Diseases
2010;17(2):91-100
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Recurrent otitis media (ROM) is usually defined as > or =3 distinct and well-documented episodes within 6 months or > or =4 episodes within 12 months. ROM is sufficiently important to warrant consideration of chemoprophylaxis, tympanostomy tube placement. There also is evidence that children with ROM are at risk for both hearing loss and speech delay. However, studies of ROM have been notably insufficient. In addition, even though environmental, racial, and sociocultural differences can affect risk factors, few studies have been conducted with regard to recurrent otitis media in Korea. METHODS: This study was conducted from July 2009 to January 2010 with infants and children who were younger than 60 months old, who visited the out-patient clinics at Han-Il General Hospital and Kyunghee University Hospital. Data were collected by interview using a pre-formed sheet. Among a total of 892 infants and children, 457 were excluded, and the remaining 435 were allocated to 104 with ROM and 331 as a control group. RESULTS: Attendance at daycare centers (P<0.001, OR=2.85), allergic rhinitis (P=0.026, OR=2.32), past history of bronchiolitis (P=0.003, OR=2.33), and low socioeconomic status (P=0.005, OR=2.00) were found to have a close significant correlation with ROM. Risk factors such as sex, having a sibling, breast-feeding, use of pacifiers, atopy, pneumococcal vaccination, influenza vaccination, smoking of parents, and indoor smoking are not relevant. CONCLUSION: Attendance at daycare centers, allergic rhinitis, past history of bronchiolitis, and low socioeconomic status have been identified as risk factors for ROM.
