Prevalence and risk factors of otitis media with effusion in primary school children in Mersin

Year 2020, Volume: 3 Issue: 4, 448 - 453, 22.10.2020

Sümbüle Köksoy Vayısoğlu , Osman Erdoğan , Emine Öncü , Meryem Mutlu

https://doi.org/10.32322/jhsm.793439

Cited By: 1

Abstract

Aim: To investigate the prevalence of otitis media with effusion (OME) and related risk factors among primary school children in Mersin.
Material and Method: The study was conducted at eight primary government schools in the distinct socioeconomic district between October 2018 and December 2018. Using the combined physical examination and otoscopic evaluations, a total of 960 children included the study.
Findings: Of the children who were screened, 53.2% were girls and the mean age was 7.57 ± 0.45 years (min: 5 - max: 11 years). In this study, OME prevalence was 2,6% (20 of 761 children) and all children had bilateral OME. There was no statistically significant difference between the presence of OME and the number of people at home, incoming level, month of birth, birth weight, duration of breastfeeding, age average, class, gender, smoking in the house, presence of hearing loss in the family, history of otitis in the family, use of pacifier, use of baby bottle, presence of allergy, previous history of otitis, the presence of open mouth, snoring and tonsil grades.
Conclusion: Although the low prevalence of OME in our study, considering that OME and its possible preventive severe complications, screening for OME should be a part of preventive health services, particularly for primary school children.

Keywords

Children, school nursing, otitis media with effusion, prevalence, primary schools

Mersin'de ilkokul çocuklarında efüzyonlu otitis media prevalansı ve risk faktörleri

Abstract

Amaç: Mersin'deki ilkokul çocukları arasında efüzyonlu otitis media (EOM) prevelansını ve ilgili risk faktörlerini araştırmak.
Gereç ve Yöntem: Çalışma Ekim 2018-Aralık 2018 tarihleri arasında farklı sosyoekonomik bölgedeki sekiz ilköğretim okulunda gerçekleştirildi. Fizik muayene ve otoskopik değerlendirmeler birlikte kullanılarak toplam 960 çocuk çalışmaya dahil edildi.
Bulgular: Tarama yapılan çocukların %53,2'si kız ve ortalama yaş 7,57 ± 0,45 yıl idi (min: 5 - max: 11 yıl). Bu çalışmada EOM prevalansı %2,6 idi (761 çocuğun 20'si) ve tüm çocuklarda bilateral EOM vardı. EOM varlığı ile evdeki kişi sayısı, gelir düzeyi, doğum ayı, doğum kilosu, emzirme süresi, yaş ortalaması, sınıf, cinsiyet, evde sigara kullanımı, ailede işitme kaybı varlığı, ailede otit öyküsü, emzik kullanımı, biberon kullanımı, alerji varlığı, önceki otit öyküsü, açık ağız varlığı, horlama ve bademcik evreleri arasında istatistiksel olarak anlamlı bir fark yoktu.
Sonuç: Çalışmamızda EOM prevalansı düşük olmasına rağmen, EOM ve olası önleyici ciddi komplikasyonları düşünüldüğünde, EOM taraması özellikle ilkokul çocukları için koruyucu sağlık hizmetlerinin bir parçası olmalıdır.

Keywords

Çocuklar, hemşirelik, efüzyonlu otitis media, prevalans, ilkokul

References

• Schilder AG, Chonmaitree T, Cripps AW, et al. Otitis media. Nat Rev Dis Primers 2016; 2: 16063.
• DeAntonio R, Yarzabal JP, Cruz JP, Schmidt JE, Kleijnen J. Epidemiology of otitis media in children from developing countries: a systematic review. Int J Pediatr Otorhinolaryngol 2016; 85: 65-74.
• Erdivanli OC, Coskun ZO, Kazikdas KC, Demirci M. Prevalence of otitis media with effusion among primary school children in Eastern Black Sea, in Turkey and the effect of smoking in the development of otitis media with effusion. Indian J Otolaryngol Head Neck Surg 2012; 64: 17-21.
• Guzel R, Meric F, Toprak SF, Yorgancilar AE, Gün R. Prevalence and risk factors of otitis media with effusion in primary school and kindergarten children in provincial and district centers of Diyarbakir. J Med Updates 2012; 2: 1-8.
• Kaspar A, Newton O, Kei J, Driscoll C, Swanepoel W, Goulios H. Prevalence of ear disease and associated hearing loss among primary school students in the Solomon Islands: Otitis media still a major public health issue. Int J Pediatr Otorhinolaryngol 2018; 113: 223-8.
• Kiris M, Muderris T, Kara T, Bercin S, Cankaya H, Sevil E. Prevalence and risk factors of otitis media with effusion in school children in Eastern Anatolia. Int J Pediatr Otorhinolaryngol 2012; 76: 1030-5.
• Ozkiriş M, Kapusuz Z, Saydam L. The prevalance of middle ear diseases among 7- to 13-year-old primary school students in Yozgat province. Turk J Pediatr 2012; 54: 493-6.
• Okur E, Yildirim I, Akif Kilic M, Guzelsoy S. Prevalence of otitis media with effusion among primary school children in Kahramanmaras, in Turkey. Int J Pediatr Otorhinolaryngol 2004; 68: 557-62.
• Sekhar DL, Beiler JS, Schaefer EW, et al. Certified school nurse perspectives on state-mandated hearing screens. J Sch Health 2016; 86: 612-9.
• Jones AL, Lambert AW, Barnett M. Nursing students: Training and maintaining universal newborn hearing screening knowledge. Nurse Educ Pract 2018; 32: 72-7.
• Ozbilen S, Beder E, Akyildiz N, Koybasoglu A, Goksu N. Ankara Balgat cevre ilkokul ögrencileri arasinda kulak burun bogaz hastaliklari prevalansi. Proceedings of the 17th Turkish Otorhinolaryngology National Congress; 1985; Istanbul, Turkey. 1985. pp. 128-33.
• Goksu A. Park Egitim Saglik ocagi bolgesine bagli ilkokullarda sekretuar otitis media prevalans arastirmasi. A.Ü. Halk Sağlığı Departmanı, Doktora Tezi. 1992.
• Gultekin E, Develioğlu ON, Yener M, Ozdemir I, Kulekci M. Prevalence and risk factors for persistent otitis media with effusion in primary school children in Istanbul, Turkey. Auris Nasus Larynx 2010; 37: 145-9.
• İnanlı S, Özer E, Öztürk Ö, et al. Istanbul’da okul öncesi ve okul çağındaki çocuklarda sekretuar otitis media prevalansı ve risk faktörleri. Turk Arch Otorhinolaryngol 2000; 38: 9-16.
• Özüer MZ, Topuz B, Kara CO, Bayramoğlu I. Denizli merkez anaokullarında sekretuar otitis media prevalansı ve risk faktörleri. Kulak Burun Bogaz Ihtis Derg 1999; 6: 63-5.
• Caylan R, Bektas D, Atalay C, Korkmaz O. Prevalence and risk factors of otitis media with effusion in Trabzon, a city in northeastern Turkey, with an emphasis on the recommendation of OME screening. Eur Arch Otorhinolaryngol 2006; 263: 404-8.
• Rosenfeld RM, Shin JJ, Schwartz SR, et al. Clinical practice guideline: otitis media with effusion (update). Otolaryngol Head Neck Surg 2016; 154: 1–41.
• Rushton HC, Tong MC, Yue V, Wormald PJ, van Hasselt CA. Prevalence of otitis media with effusion in multicultural schools in Hong Kong. J Laryngol Otol 1997; 111: 804–6.
• Holmquist J, Al Fadala S, Qattan Y. Prevalence of secretory otitis media among school children in Kuwait. J Laryngol Otol 1987; 101: 116–9.
• Apostolopoulos K, Xenelis J, Tzagaroulakis A, Kandiloros D, Yiotakis J, Papafragou K. The point prevalence of otitis media with effusion among school children in Greece. Int J Pediatr Otorhinolaryngol 1998; 44: 207-14.
• Schilder AG, Zielhuis GA, Van Den Broek P. The otological profile of a cohort of Dutch 7.5-8-year-olds. Clin Otolaryngol Allied Sci 1993; 18: 48-54.
• Goycoolea HG, Goycoolea MV, Farfan CR. Racial and familial factors in otitis media. A point prevalence study on Easter Island. Arch Otolaryngol Head Neck Surg 1988; 114: 147-9.
• El-Sayed Y, Zakzouk S. Point prevalence of type B tympanogram in Riyadh. Int J Pediatr Otorhinolaryngol 1995; 31: 53-61.
• Tong MC, Yue V, Ku PK, Lo PS, van Hasselt CA. Screening for otitis media with effusion to measure its prevalence in Chinese children in Hong Kong. Ear Nose Throat J 2000; 79: 626-30.
• Okeowo PA. Observations on the incidence of secretory otitis media in Nigerian children. J Trop Pediatr 1985; 31: 295-8.
• Halama AR, Voogt GR, Musgrave GM. Prevalence of otitis media in children in a black rural community in Venda (South Africa). Int J Pediatr Otorhinolaryngol 1986; 11: 73-7.
• Karunanayake CP, Albritton W, Rennie DC, et al. Ear infection and related risk factors in first nations and rural school-aged Canadian children. Int J Pediatr 2016; 2016: 1523897.
• Salah M, Abdel-Aziz M, Al-Farok A, Jebrini A. Recurrent acute otitis media in infants: analysis of risk factors. Int J Pediatr Otorhinolaryngol 2013; 77: 1665-9.
• Owen MJ, Baldwin CD, Swank PR, Pannu AK, Johnson DL, Howie VM. Relation of infant feeding practices, cigarette smoke exposure, and group child care to the onset and duration of otitis media with effusion in the first two years of life. J Pediatr 1993; 123: 702-11.
• Els T, Olwoch IP. The prevalence and impact of otitis media with effusion in children admitted for adeno-tonsillectomy at Dr George Mukhari Academic Hospital, Pretoria, South Africa. Int J Pediatr Otorhinolaryngol 2018; 110: 76-80.