Download PDF
CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2020; 10(01): 27-30
DOI: 10.1055/s-0040-1712324
Original Article

Prevalence of Chronic Otitis Media among Undernourished Children

Shehanaaz Shajahan
1   K.S. Hegde Medical Academy, Mangalore, Karnataka, India
,
Rajeshwary Aroor
2   Department of ENT, K.S. Hegde Medical Academy, Mangalore, Karnataka, India
› Author Affiliations
› Further Information
   Permissions and Reprints

Abstract

Objective This study aimed to identify the role of nutrition in the etiology of chronic suppurative otitis media (CSOM) by comparing the prevalence of CSOM between undernourished children with normal children aged between 10 and 12 years.

Materials and Methods A total of 200 children aged between 10 and 12 years studying in government schools were selected for the study. All the children underwent a general and detailed ENT examination in addition to nutritional assessment based on body mass index calculation, using World Health Organization (WHO) Child Growth Standards Chart. The children were divided into two groups: Group A and Group B. Group A consisted of 100 children who were malnourished and Group B consisted of 100 children who were normal. The presence of CSOM in the two groups was noted.

Results and Observations Of the total 200 children, 112 were boys (56%) and 88 were girls (44%). Of the 112 boys, 22 (19.64%) had CSOM and out of 88 girls, 24 (27.27%) had CSOM. Of the total 46 children found to have CSOM, 35 children (76.1%) belonged to Group A and 11 children (23.9%) belonged to Group B.

Conclusion Our study shows that there is a higher prevalence of CSOM among undernourished children than in normal children. High prevalence of CSOM in undernourished children is a preventable health problem that needs health education and active intervention.

Keywords

chronic suppurative otitis media - undernourished children - prevalence


Publication History

Article published online:
08 May 2020

© .

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 

  • References

  • 1 Okafor BC. The chronic discharging ear in Nigeria. J Laryngol Otol 1984; 98 (02) 113-119
    CrossrefPubMedGoogle Scholar
  • 2 Batia PL, Varughese R. Pattern of otorhinolaryngological diseases in Jos community. Niger Med J 1987; 17: 67-73
    Google Scholar
  • 3 Teele DW, Klein JO, Rosner BA. Epidemiology of otitis media in children. Ann Otol Rhinol Laryngol Suppl 1980; 89 (3 Pt 2) 5-6
    PubMedGoogle Scholar
  • 4 Maharjan M, Bhandari S, Singh I, Mishra SC. Prevalence of otitis media in school going children in Eastern Nepal. Kathmandu Univ Med J (KUMJ) 2006; 4 (04) 479-482
    PubMedGoogle Scholar
  • 5 Lasisi AO, Olaniyan FA, Muibi SA. et al. Clinical and demographic risk factors associated with chronic suppurative otitis media. Int J Pediatr Otorhinolaryngol 2007; 71 (10) 1549-1554
    CrossrefPubMedGoogle Scholar
  • 6 WHO. The WHO Child Growth Standards. Available at: https://www.who.int/childgrowth/standards/en/. Accessed April 27, 2020
  • 7 Browning GG, Justine W, Kelly G, Swan RC. Scott-Browns Otolaryngology and Otology. 8th edition. London: CRC Press; 2018: 977-994
    Google Scholar
  • 8 Jose Acuin. World Health Organization. Chronic Suppurative Otitis Media. Burden of Illness and Management Options. 2004. Available at: https://apps.who.int/iris/handle/10665/42941. Accessed April 4, 2020
  • 9 Kamal N, Joarder AH, Chowdhury AA, Khan AW. Prevalence of chronic suppurative otitis media among the children living in two selected slums of Dhaka City. Bangladesh Med Res Counc Bull 2004; 30 (03) 95-104
    PubMedGoogle Scholar
  • 10 Bandyopadhyay R, Sengupta A, Dasgupta A, Biswas R, Mukherjee S, Biswas AB. A comparative study of common ear morbidity pattern among the primary school children of an urban slum of Kolkata and rural area of Hooghly. J Indian Med Assoc 2005; 103 (08) 428-432, 430–432
    PubMedGoogle Scholar
  • 11 Yaor MA. Care of the discharging ear in children. Afr Health 1999; 21 (06) 15
    Google Scholar
  • 12 Lasisi AO, Olayemi O, Irabor AE. Early onset otitis media: risk factors and effects on the outcome of chronic suppurative otitis media. Eur Arch Otorhinolaryngol 2008; 265 (07) 765-768
    CrossrefPubMedGoogle Scholar
  • 13 Elemraid MA, Mackenzie IJ, Fraser WD, Brabin BJ. Nutritional factors in the pathogenesis of ear disease in children: a systematic review. Ann Trop Paediatr 2009; 29 (02) 85-99
    CrossrefPubMedGoogle Scholar
  • 14 Elemraid MA, Mackenzie IJ, Fraser WD. et al. A case-control study of nutritional factors associated with chronic suppurative otitis media in Yemeni children. Eur J Clin Nutr 2011; 65 (08) 895-902
    CrossrefPubMedGoogle Scholar
  • 15 Uddin W, Hussain A, Khan A. et al. Prevalence and comparison of chronic suppurative otitis media in government and private schools. Ann Pak Inst Med Sci 2009; 5 (03) 141-144
    Google Scholar
  • 16 Olatoke F, Olage FE, Nwawolo CC, Saka MJ. The prevalence of hearing loss among school children with chronic suppurative otitis media in Nigeria and its effect on academic performance. Eur J Clin Nutr 2011; 65 (08) 895-902
    CrossrefPubMedGoogle Scholar
  • 17 Rao MV, Jayakar PA. Bacteriological study of chronic suppurative otitis media. J Indian Med Assoc 1980; 75 (02) 30-34
    PubMedGoogle Scholar