Prevalence of otitis media with effusion among preschool-age children in Erbil governorate

Authors

  • Zhwan Maghdid Aziz Koye Department of Otolaryngology, Rizgary Teaching Hospital, Erbil, Iraq.
  • Arsalan Awlla Mustafa Shem Department of Surgery, College of Medicine, Hawler Medical University, Erbil, Iraq.

DOI:

https://doi.org/10.15218/zjms.2018.037

Keywords:

Otitis media with effusion, Risk factors, Seasonal variation

Abstract

Background and objective: Otitis media with effusion is one of the common diseases in children at preschool age. This study aimed to determine the prevalence of otitis media with effusion in Erbil governorate and compare this prevalence by urban and sub-urban areas and by different seasons.

Methods: This descriptive cross-sectional study was carried out in the Department of Otolaryngology, Rizgary Teaching Hospital from April 2015 to May 2016 through enrolling1077 children from randomly selected kindergartens.

Results: Of 1077 children, 124 were diagnosed as otitis media with effusion and the prevalence was 11.5% in Erbil governorate. The highest rate of otitis media with effusion was seen in spring (17.3%), followed by winter, autumn and summer (15.3%, 10.8%, and 4.3%, respectively). The prevalence of otitis media with effusion was higher in the sub-urban areas (13.8 %) compared with urban areas (10.7 %).The prevalence of otitis media with effusion was higher among male children (13.4%) than female children (9.4%). The highest proportion of diagnosed otitis media with effusion was among four years old children (13.6%), followed by five and six years old (10.5% and 7.7%, respectively). History of repeated upper respiratory tract infection and snoring were the most common risk factors seen in the child with otitis media with effusionin the rate of 70.2% and 69.4%, respectively.

Conclusion: The prevalence of otitis media with effusion among preschool-age children in Erbil governorate was 11.5% with a maximum prevalence of 17.4% in the spring season.

Metrics

Metrics Loading ...

References

Margaretha LC, Ellen MM. Acute otitis media and Otitis media with effusion. In: Paul WF, Thomas KR, Bruce HH, Valerie L. Cummings otolaryngology head and neck surgery. Philadelphia: Elsevier Saunders; 2015. P. 3019.

Browning G. Otitis media with effusion. In: Gleeson M, Browning GG, Burton MJ, Clarke R, Hibbert J, Jones N. Scott Brown`s otolaryngology head and neck surgery. 7thed. New York: Hodder Arnold; 2008. P. 877.

Aydemir G, Ozkurt FE. Otitis media with effusion in primary schools in Princes’ Islands, Istanbul: prevalence and risk factors. J Int Med Res2011; 39:866–72.

Milan R, Marc R, Victoria B, Costas S, Kevin D, William E, et al. Current diagnosis and treatment of otolaryngology head and neck surgery. United States: McGraw Hill; 2012. P. 655–65.

Paradise JL. Otitis media. In: Behrman RE, Kliegman RM, Jenson HB, editors. Nelson textbook of pediatrics. 17thed. Philadelphia: Saunders; 2004. P. 2138–49.

Shahab LA. Incidence of otitis media with effusion in children with Adenoid hypertrophy. Zanco J Med Sci 201; 15(2):57–63.

Ahn JH, Yoon TH, Kim TS, Chung JW, Lee KS. Clinical manifestation and risk factor of children receiving triple ventilating tube insertions for treatment of recurrent otitis media with effusion. Pediatrics 2006; 117:1119–23.

Martines F, Bentivegna D, Maira E, Sciacca V, Martines E. Risk factors for otitis media with effusion: Case-control study in Sicilian schoolchildren. Int J PediatrOtorhinolaryngol 2011; 75:754–9.

Chadha SK, Agarwal AK, Gulati A, Garg A. A comparative evaluation of ear diseases in children of higher versus lower socioeconomic status. J Laryngol Otol 2006; 120:16–9.

Gultekin E, Develioglu ON, Yener M, Ozdemir I, Kulekci M. Prevalence and risk factors for persistent otitis media with effusion in primary school children in Istanbul, Turkey. AurisNasus Larynx 2010; 37:145–9.

Kim JB, Park DC, Cha CI, Yeo SG. Relation beween pediatric obesity and otitis media with effusion. Arch of otolaryngol Head and Neck Surg 2007; 133(4):379–82.

Lack G, Caulfield H, Penagos M. The link between otitis media with effusion and allergy: a potential role for intranasal corticosteroids. Pediatr Allergy Immunol 2011; 22:258–66.

Aydogan B, Kiroglu M, Yilmaz M. The role of food allergy in otitis media with effusion. Otolaryngol Head Neck Surg 2004; 130(6):747–50.

Tikaram A, Chew YK, Zulkiflee AB, Chong AW, Prepageran N. prevalence and risk factor associated with otitis media with effusion in children visiting tertiary care centre in Malaysia. IMJM 2012; 11(1):1.

Martines F, Bentivegna D, Di Piazza F, Martinciglio G, Sciacca V, Martines E. The point prevalence of otitis media with effusion among primary school children in Western Sicily. Eur Arch Otorhinolaryngol 2010; 267:709–14.

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.

Vicente J, Trinidad A, Ramírez-Camacho R. Evolution of middle ear changes after permanent eustachian tube blockage. Arch Otolaryngol Head Neck Surg 2007; 133:587–92.

Bola O, Okolo A, Adeosun A. Predictors of hearing loss in school entrants in developing countries. JPGM. 2004; 50(3):173–9.

Rosenfeld RM, Culpepper L, Doyle KJ, Grandfast KM, Hoberman A, Kenna MA,et al. Clinical practice guideline: otitis media with effusion. J Otolaryngol Head Neck Surg 2004; 130(Suppl 5):95–118.

Sade J, Russo E, Fuchs C, Cohen D. Is secretory otitis media a single disease entity? Ann Otol Rhinol Laryngol 2003; 112:342–7.

Paradise JL, Feldman HM, Campbell TF, Dollaghan CA, Colborn DK, Bernard BS, et al. Early versus delayed insertion of tympanostomy tubes for persistent otitis media: developmental outcomes at the age of three years in relation to prerandomization illness patterns and hearing levels. Pediatr Infect Dis J 2003; 22:309–14.

Ozlem CE, Zerrin OC, Kadir CK, Munir D. 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 2011; 64(1):17–21.

Arif S, Omer T, Mehmet E, Ozlem C, Suleyman HY. Prevalence of otitis media with effusion among primary school age-children and etiopathogenicexamination. Indian J Otolaryngol Head Neck Surg 2011; 66(Suppl 1):S95–8.

Abbas SN, Ali SN, Mohsen V. Parental smoking and risk of otitis media with effusion among children. Tanaffos 2002; 1(3):25-8.

Al-Humaid IH, Abou-Halawa SA, Khan AM, Al-Hamamah SN. AlDuways AS, Alanazi MA. Prevalence and risk factors of Otitis Media with effusion in school children in Qassim Region of Saudi Arabia. Int J Health Sci 2014; 8(4):325-34.

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.

Okur E, Yildirim I, AkifKilic 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.

Rovers MM, Straatman H, Zielhuis GA, Ingels K, van der Wilt GJ. Seasonal variation in the prevalence of persistent otitis media with effusion in one- year-old ifants. Paediatr Perinat Epidemiol 2000; 14(3):268–74.

Midgley EJ, Dewey C, Pryce K, Maw AR. The frequency of otitis media with effusion in British pre-school children: a guide for treatment. ALSPAC Study Team. Clin Otolaryngol Allied Sci 2000; 25(6):485–91.

Castagno LA, Lavinsky L. Otitis media in children: seasonal changes and socioeconomic level. Int J Pediatr Otorhinolaryngol 2002; 62:129–34.

Sophia A, Isaac R, Rebekah G, Brahmadathan K, Rupa V. Risk factors for otitis media among preschool, rural Indian children. Int J Pediatr Otorhinolaryngol 2010; 74:677–83.

Paradise JL, Rockette HE, Colborn DK, Bernard BS, Smith CG, Kurs-Lasky M, et al. Otitis media in 2253 Pittsburgh-area infants: prevalence and risk factors during the first two years of life. Pediatrics 1997; 99:318–33.

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.

Zielhuis GA, Heuvelmans-Heinen EW, Rach GH. Environmental risk factors for otitis media with effusion in preschool children. Scand J Prim Health Care 1989; 7:33–8.

Teele DW, Klein JO, Rosner B. Epidemiology of otitis media during the first seven years of life in children in Greater Boston: a prospective, cohort study. J Infect Dis 1989; 160:83–94.

Tos M, Poulsen G, Borch J. Tympanometry in 2-year-old children. ORL J Otorhinolaryngol Relat Spec 1978; 40:77.

Hidayeti A, İnci E, Korkut N, Ada M, Kaytaz A, Devranoğlu İ. Okulöncesikreşçocuklarindaefüzyonlu otitis media. Türk Otolarengoloji Arşivi 2002; 40(1):53–7.

Mark A, Matharu V, Dowswell G, Smith M.The point prevalence of otitis media with effusion in secondary school children in Pokhara, Nepal: a cross-sectional study. Int J Pediatr Otorhinolaryngol 2013; 77(9):1523–9.

Ahmed NA, Ameer AA, Hussam DS. Otitis media with effusion in children: A follow-up study in west Baghdad, Iraq. Med J Cairo Univ 2013; 81(1):481–6.

Ceylan A, Göksu N, Kemalog`lu YK. Impact of Jacobson’s (tympanic) nerve sectioning on middle ear functions. Otol Neurotol 2007; 28:341–4.

Cüneyt K, Eda Ş, Ozan K, İsa Özbay. Prevalence of and risk factors for otitis media with effusion in primary school children: case-control study in Erzurum, Turkey. Turk J Pediatr 2015; 57:230–5.

Downloads

Published

2018-12-31

How to Cite

Aziz Koye, Z. M., & Mustafa Shem, A. A. (2018). Prevalence of otitis media with effusion among preschool-age children in Erbil governorate. Zanco Journal of Medical Sciences (Zanco J Med Sci), 22(3), 282–291. https://doi.org/10.15218/zjms.2018.037

Issue

Section

Original Articles