Background: Otorhinolaryngological problems are very common among children. The pattern of ENT disorders varies from community to hospital depending upon the demographic, socioeconomic and health facilities available in that particular region. The objective of the study was to evaluate and determine the hospital based prevalence of disorders of Ear, Nose and Throat among children. Methods: A prospective cross-sectional study was conducted in department of KIST Medical College and Teaching Hospital during the period of 1 year from 15th June 2021 to 15th June 2022. 320 patients attending the ENT outpatients during the study period were enrolled in the study. Informed consent was taken from patient and attendant. Diagnosis was made on the basis of history and clinical examination. Results were expressed in numbers and percentage. Results: Among the 320 (3.66%) respondents (58.7%) were Males and (42.2%) were Females. Most of the children belonged to age group 0-5 years (56.25%), were living in Nuclear family (73.4%), belong to Middle upper middle class of family (43.1%). The most common ENT disorders were ear wax (32.5%) among otological disorders, pharyngitis (6.9%) among throat disorders and rhinitis (6.6%) among nasal disorders. Conclusions: The study revealed ear wax, pharyngitis and rhinitis were the most common ENT related disorders in our area. We can improve the rate of prevalence of ENT disorders by firstly raising awareness among people and then taking further steps to improve education and health system.
Background: Self-medication is a practice of using medications without prescription. It is a common practice in developing world like Nepal. The study aimed to assess the practice of self-medication in patients attending ENT and Head and Neck outpatient department of KIST Medical College and Teaching Hospital. Methods: A descriptive cross-sectional study was conducted from December 2019- August 2021. Total 220 patients attending the ENT outpatients during the study period were enrolled in the study. Informed consent was taken from the patients. The semi structured pretested questionnaire was used to interview the patients by the trained medical doctor. Statistical analysis of data was performed by using Excel and SPSS. Results: Among the 220(8.7%) respondents’ 52.7 percent were males and 47.3 percent were females. Adults with age ranging between 30 to 44 were found to practice self-medication (34.5%). Most of them were house wives (25.9%). The common reasons for practice of self-medication were mild illness (64.1%), and the main source of self-medication was chemist (73.6%). Conclusions: Self-medication is common practice in Nepal however our study indicates a decreasing trend of self-medication, especially in urban areas where access to health service is easy. The findings of the study indicate antibiotics are used more frequently as self-medication even in urban settings. This indicates misuse of access to medicines and can lead to rise of antibiotics resistant. So, we think national guideline should be prepared to make self-medication practice safe and rational.
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