[Risk factors and clinical features of the course of recurrent acute otitis media in children].

Autor: Vorobyeva MP; Russian Medical Academy for Continuous Professional Education, Moscow, Russia., Karpova EP; Russian Medical Academy for Continuous Professional Education, Moscow, Russia., Tulupov DA; Russian Medical Academy for Continuous Professional Education, Moscow, Russia., Naumov OG; Russian Medical Academy for Continuous Professional Education, Moscow, Russia., Zakharova IN; Russian Medical Academy for Continuous Professional Education, Moscow, Russia.
Jazyk: ruština
Zdroj: Vestnik otorinolaringologii [Vestn Otorinolaringol] 2022; Vol. 87 (1), pp. 9-13.
DOI: 10.17116/otorino2022870119
Abstrakt: This article discusses the problem of recurrent acute otitis media (RAOM) in children.
Objective: To study the risk factors and the clinical course of RAOM in children.
Material and Methods: 148 children (81 boys and 67 girls) from 1 to 14 years old were examined with a diagnosis of recurrent otitis media. The work was carried out in the ENT departments of Pediatric Clinical Hospital No. 13 named after N.F. Filatov, Pediatric Clinical Hospital named after Z.A. Bashlyaeva. The average age of the children was 4.1±1.5 years.
All children underwent a clinical study, a laboratory study on the content of the main metabolite of vitamin D - 25(OH)D 3 (25-hydroxyvitamin D, or calcidiol) in blood serum.
Results: Our clinical examination of children with RAOM allows us to identify the main risk factors for this pathology. Thus, the most significant risk factors for the development of RAOM in children included in the study were: early visits by children to preschool institutions (50.6%), allergic history (39.1%), pathology during pregnancy (28.3%), mixed (38.5%) or artificial (27.7%) feeding in the first year of life, frequent upper respiratory tract diseases (41.2%), burdened heredity in close relatives according to RAOM (33.7%), smoking in the family of one of the parents (65.5%) presence in the family of one more child (34.4%).
Conclusion: It was shown that the absolute number of children (96%) with RAOM is characterized by a reduced level of 25(OH) vitamin D in the blood serum, which can increase the likelihood of developing episodes of acute otitis media in children and requires therapeutic correction.
Databáze: MEDLINE
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