| Autor: |
Kalcıoğlu, Mahmut Tayyar, Sallavaci, Suela, Hrncic, Nermin, Beishenova, Munar, Cakar, Marina, Vlaski, Ljiljana, Adylova, Farzona, Berezniuk, Igor, Khasanov, Ulugbek, Uzun, Cem, Erinç, Murat, Bendo, Evis, Hrncic, Selma, Beyshee-va, Cholpon, Ivanovska, Valentina, Komazec, Slobodanka Lemajic, Solieva, Shahnoza, Berezniuk, Volodymyr, Khaydarova, Gavkhar, Güven, Selis Gülseven |
| Předmět: |
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| Zdroj: |
Turkish Archives of Otolaryngology / Türk Otolarengoloji Arsivi; 2019 Supplement, Vol. 57, pS8-S9, 2p |
| Abstrakt: |
Objective: Otitis media with effusion (OME) is a very common multifactorial disease in childhood. Because its symptoms are insidious and therefore diagnosis is often delayed, OME causes conductive hearing loss and adversely affects academic performance. Despite all the advancements, OME still remains a major health problem all over the world. Research on the prevalence of OME consist only of studies carried out in several different countries, in different seasons and focused on different etiologic factors. The aim of our study was to contribute to the literature with a study on the prevalence of OME in the 4-7 age group through a survey inquiring about the many associated factors along with otoscopic examination, tympanometric examination and acoustic reflex test and by also considering the possible influence of the altitude and the latitude of the study centers. The study was conducted in the same season in countries located on different geographical latitudes and at different altitudes. Methods: The study was planned with the participation of centers from 18 cities in 16 countries spanning the Balkans and the Caspian Basin. The target age group was 4-7 years. After receiving the ethics committee approvals, children of the families who have filled-out and signed the informed consent form and completed the questionnaire were included in the study. The results of the survey, which included the possible factors deemed to be involved in the etiology of OME, were evaluated together with otoscopic examination, tympanometry and acoustic reflex results. Results: Of the 18 planned centers, 10 received the legal permission and launched the study. In these 10 centers, a total of 4,768 children were evaluated together with their examination findings, and tympanometry and survey results. Although OME prevalence based on oto-scopic examination varied among the centers, in overall, bilateral prevalence was 12%, unilateral was 10.36% and total was 20.08%. When this overall prevalence, which is based only on the otoscopic diagnosis results, are analyzed together with the results of Type B tympanometry, overall prevalence decreased to 13.74%. And when the presence of negative acoustic reflex was also considered the overall prevalence was found 5.58%. Major factors that were found to have statistically significant effect on OME prevalence were identified as: mother's education at high school or a lower level (p=0.016), child's age of less than 7 years (p=0.006), history of one or more URTI incidences in the past one year (p=0.001), smoking father (p=0.011), stay-at-home or blue-collar-worker mother (p=0.013), vaccinations (p=0.002), history of allergies (p=0.001), presence of allergic symptom (p=0.019), and history of asthma (p=0.044). Conclusion: This unique multi-center study that was conducted in a wide geography from the Balkans to the Caspian Basin has provided access to important information about the prevalence and factors affecting OME. Clinical examination and tympanometry may give different results. Therefore, all components should be considered for diagnosis. Focusing on the factors that increase the incidence of OME and addressing the preventable factors like smoking, education, combat with allergies may reduce the incidence of this public health issue. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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