The effects of the COVID-19 pandemic on pediatric patients with otitis media with effusion

Year 2023, Volume: 40 Issue: 1, 100 - 102, 18.03.2023

Nesrettin Fatih Turgut

Abstract

Otitis media with effusion (OME) is a frequently self-limiting middle ear fluid accumulation. During the COVID-19 pandemic, there was a decrease in patient referrals to pediatric Otorhinolaryngology (pENT) outpatient clinics. The aim of this study was to compare the patients who presented at our pENT outpatient clinic with OME during the pandemic with patients who presented during the equivalent period before the pandemic, and to investigate the effects of pandemic measures on OME. The study included patients aged 1-15 years who presented at the pENT Outpatient Clinic due to OME. Four groups were created based on the date of March 2020, when the first COVID-19 case was recorded in Turkey. The groups were formed as one for each year from March 2018 to March 2022. The total number of patients admitted to the pENT outpatient clinic was recorded. Group 1 (March 2018-March 2019) included 1338 patients diagnosed with OME, which constituted 12% of the total number of patients. Group 2 (March 2019- March 2020) included 1238 patients, Group 3 (March 2020-March 2021) 241 (8%), and Group 4 (March 2021-March 2022) 432 (9.4%). From this study, it was observed that the greater attention paid to the mask, social distance and hygiene rules during the COVID-19 pandemic, and the implementation of distance education decreased the frequency of upper respiratory tract infections, and had a positive effect on the number of OME cases.

Keywords

COVID-19, children, otitis media, effusion

References

• 1. Qureishi A, Lee Y, Belfield K, Birchall JP, Daniel M. Update on otitis media - Prevention and treatment. Infection and Drug Resistance. 2014; 7: 15-24.
• 2. Schilder AGM, Chonmaitree T, Cripps AW, Rosenfeld RM, Casselbrant ML, Haggard MP, et al. Otitis media. Nat Rev Dis Prim. 2016; 2(1): 1-69.
• 3. Rosenfeld RM, Tunkel DE, Schwartz SR, Anne S, Bishop CE, Chelius DC, et al. Clinical Practice Guideline: Tympanostomy Tubes in Children (Update). Otolaryngol - Head Neck Surg. 2022; 166(1_suppl) :1-55.
• 4. Nguyen DK, Jueng J, Maul TM, Wei JL. Middle ear effusion prevalence at time of tympanostomy before and during COVID-19 pandemic. Int J Pediatr Otorhinolaryngol . 2021;147:1-5.
• 5. Torretta S, Capaccio P, Coro I, Bosis S, Pace ME, Bosi P, et al. Correction to: Incidental lowering of otitis-media complaints in otitis-prone children during COVID-19 pandemic: not all evil comes to hurt. Eur J Pediatr. 2020; 180(2): 649-652.
• 6. Ian Williamson M. Otitis media with effusion in children. BMJ Clin Evid . 2011; 5(2): 1-74.
• 7. Williamson I, Benge S, Mullee M, Little P. Consultations for middle ear disease, antibiotic prescribing and risk factors for reattendance: A case-linked cohort study. Br J Gen Pract. 2006; 56(524). 170-175.
• 8. Gultekin E, Develioǧlu ÖN, Yener M, Ozdemir I, Külekçi M. Prevalence and risk factors for persistent otitis media with effusion in primary school children in Istanbul, Turkey. Auris Nasus Larynx. 2010;37(2) : 145-149.
• 9. Kucur C, Şimşek E, Kuduban O, Özbay İ. 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: 230–235. 10. Atkinson H, Wallis S, Coatesworth AP. Otitis media with effusion. Postgrad Med. 2015; 127(4): 381-385 .
• 11. Hayashi T, Kitamura K, Hashimoto S, Hotomi M, Kojima H, Kudo F, et al. Clinical practice guidelines for the diagnosis and management of acute otitis media in children—2018 update. Auris Nasus Larynx. 2020; 47(4): 493-526.
• 12. Macintyre EA, Karr CJ, Koehoorn Phd M, Demers P, Tamburic Bsc L, Lencar C, et al. Otitis media incidence and risk factors in a population-based birth cohort. Paediatr Child Health. 2010; 15(7): 437-442.
• 13. Kemaloglu YK, Beder L, Göksu N. Tympanometry and acoustic reflectometry in ears with chronic retraction without effusion. International Journal of Pediatric Otorhinolaryngology. 2000; 55(1): 21-27.
• 14. Anwar K, Khan S, Habib-ur-Rehman, Javaid M, Shahabi I. Otitis media with effusion: Accuracy of tympanometry in detecting fluid in the middle ears of children at myringotomies. Pakistan J Med Sci. 2016; 32(2): 466-470.
• 15. Aldè M, Di Berardino F, Marchisio P, Cantarella G, Ambrosetti U, Consonni D, et al. Effects of COVID-19 Lockdown on Otitis Media With Effusion in Children: Future Therapeutic Implications. Otolaryngol - Head Neck Surg (United States). 2021; 165(5): 710–715.