Prevalence of otitis media with effusion among school age children in rural parts of Konya province, Turkey

Year 2015, Volume: 25 Issue: 4, 200 - 204, 25.09.2015

Yasin Kürsad Varsak Zuhal Gül Mehmet Akif Eryılmaz Hamdi Arbağ

Abstract

Objectives: This study aims to evaluate the current prevalence of serous otitis media SOM among school age children living in rural areas of Konya province located in southern Turkey. Patients and Methods: This cross sectional study which was conducted between October 2012 and January 2013 included 2,352 children 1,179 males, 1,173 females; mean age 8.9±2.8 years; range 4 to 15 years who attended 36 different primary schools in rural parts of the Konya province. Otologic complaints, findings, and tympanometry results were recorded. Diagnosis of SOM was obtained based on history, symptoms, abnormal otoscopy and tympanogram findings. Results: The overall prevalence of SOM was 4.6%. The highest prevalence was at the age of four 11.2% . There was a significantly higher prevalence of SOM at the age of six 11.1% . The overall prevalence was higher in males 6.17% compared to females 3.16% in all age groups p<0.05 . Conclusion: Compared to the literature, overall prevalence of SOM in our study was lower. Development of preventive and therapeutic strategies in the first step health care service may have a considerable effect on this low rate.

Keywords

Child, prevalence, serous otitis media

Türkiye’de Konya ilinin kırsal kesimlerinde okul çağındaki çocuklarda efüzyonlu otitis media prevalansı

Abstract

Amaç: Bu çalışmada Türkiye’nin güneyinde yer alan Konya ilinin kırsal kesimlerinde yaşayan okul çağındaki çocuklarda güncel seröz otitis media SOM prevalansı değerlendirildi.Hastalar ve Yöntemler: Ekim 2012 - Ocak 2013 tarihleri arasında yürütülen bu kesitsel çalışmaya Konya ilinin kırsal kesimlerinde 36 farklı ilkokula giden 2352 çocuk 1179 erkek, 1173 kız; ort. yaş 8.9±2.8 yıl; dağılım 4-15 yıl dahil edildi. Otolojik yakınmalar, bulgular ve timpanometri bulguları kaydedildi. Seröz otitis media tanısı öykü, semptomlar, anormal otoskopi ve timpanogram sonuçlarına dayanarak konuldu.Bulgular: Toplam SOM prevalansı %4.6 idi. En yüksek prevalans dört yaşında idi %11.2 . Seröz otitis media prevalansı altı yaşında anlamlı olarak daha yüksekti %11.1 . Tüm yaş gruplarında toplam prevalans erkeklerde %6.17 kızlara %3.16 kıyasla daha yüksekti p

Keywords

Çocuk, prevalans, seröz otitis media

References

• Iversen M, Birch L, Lundqvist GR, Elbrİnd O. Middle ear effusion in children and the indoor environment: an epidemiological study. Arch Environ Health 1985;40:74-9.
• Bennett KE, Haggard MP. Accumulation of factors influencing children’s middle ear disease: risk factor modelling on a large population cohort. J Epidemiol Community Health 1998;52:786-93.
• Ahn JH, Yoon TH, Pae KH, Kim TS, Chung JW, Lee KS. Clinical manifestations and risk factors of children receiving triple ventilating tube insertions for treatment of recurrent otitis media with effusion. Pediatrics 2006;117:1119-23.
• 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.
• Zhang Q, Wei J, Xu M, Zhang Q, Zhang X, Zhang Z, et al. Prevalence of otitis media with effusion among children in Xi’an, China: a randomized survey in China’s mainland. Ann Otol Rhinol Laryngol 2011;120:617-21.
• Teele DW, Klein JO, Rosner BA. Otitis media with effusion during the first three years of life and development of speech and language. Pediatrics 1984;74:282-7.
• Jerger J. Clinical experience with impedance audiometry. Arch Otolaryngol 1970;92:311-24.
• Wallace IF, Berkman ND, Lohr KN, Harrison MF, Kimple AJ, Steiner MJ. Surgical treatments for otitis media with effusion: a systematic review. Pediatrics 2014;133:296-311.
• Surgical management of children with otitis media with effusion (OME). London: National Institute for Health and Clinical Excellence; 2008 [updated May 30, 2012]. Available from: http://guidance.nice.org.uk/ CG60. [Accessed October 30, 2013]
• Bluestone CD, Klein JO. Management. In: Otitism Media in Infants and Children. 2 nd ed. Philadelphia: W.B. Saunders; 1995. p. 226-27.
• 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.
• Kırıs 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.
• 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.
• 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.
• Keleş E, Kaygusuz I, Karlidag T, Yalçin S, Açik Y, Alpay HC, et al. Prevalence of otitis media with effusion in first and second grade primary school students and its correlation with BCG vaccination. Int J Pediatr Otorhinolaryngol 2004;68:1069-74.
• Gultekin E, Develioğlu ON, 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;37:145-9.
• Saim A, Saim L, Saim S, Ruszymah BH, Sani A. Prevalence of otitis media with effusion amongst pre-school children in Malaysia. Int J Pediatr Otorhinolaryngol 1997;41:21-8.
• Holmquist J, Al Fadala S, Qattan Y. Prevalence of secretory otitis media among school children in Kuwait. J Laryngol Otol 1987;101:116-9.
• Zielhuis GA, Rach GH, van den Bosch A, van den Broek P. The prevalence of otitis media with effusion: a critical review of the literature. Clin Otolaryngol Allied Sci 1990;15:283-8.
• Ozkiriş M, Kapusuz Z, Saydam L. The prevalence of middle ear diseases among 7- to 13-year-old primary school students in Yozgat province. Turk J Pediatr 2012;54:493-6.