Causes of Delayed Care Seeking for Chronic Suppurative Otitis Media at a Rwandan Tertiary Hospital

Abstract

Background Chronic suppurative otitis media causes serious lifelong consequences when treatment is delayed. Early detection and effective treatment result in a good outcome and possible complications are thus avoided. The aim of this study was to determine the factors resulting in delayed care seeking for treatment of CSOM. Method and Patient The study was a cross-sectional survey conducted at a tertiary teaching hospital in Rwanda. A questionnaire was used to collect data of patients diagnosed with CSOM who attended ENT Department during the study period. We defined delayed care seeking as seeking treatment 6 months after onset of symptoms. Data was entered and analysed using SPSS 16.0. Result This study enrolled 109 patients, 97 (88.9%) of whom had delays in care seeking. Majority were young adults ranging between 21 and 30 years (39.2%) while 58.8% were rural residents. Fifty-eight patients (56.9%) of those with delayed presentation used traditional medicine. The main reason for delayed care seeking was low knowledge of CSOM reported by 88 (90.7%) patients. Conclusion This study shows that majority of patients with delayed care seeking are young adult patients. There is low knowledge concerning this disease and this significantly contributes to delayed care seeking.

Evaluation of Prognostic Factors and Middle Ear Risk Index in Type 1 Tympanoplasty

“…It was noticed that 45 (59.2%), and 52 (68.4%) patients with successful tympanoplasty had closed ABG after three and six months, respectively. ABG (5-10), ABG (10)(11)(12)(13)(14)(15), and ABG (> 15) were presented in 20 (26.3%), 7 (9.2%), and 4 (5.3%) patients with successful group after three months, respectively while 4 (5.3%), 11 (14.5%), and 9 (11.8%) of those patients had ABG (5-10), ABG (10)(11)(12)(13)(14)(15), and ABG (> 15) after six months, respectively (Table 6). Based on the current study, it was noticed that predictors for successful tympanoplasty were experience of surgeon more than 5 years (odd's ratio= 0.22, 95% confidence interval= 0.22-0.99; P < 0.001), absence of comorbidities (odd's ratio= 0.33, 95% confidence interval= 0.10-0.90; P < 0.001) and low middle ear risk score (odd's ratio= 0.76, 95% confidence interval= 0.22-0.99; P < 0.001) (Table 7).…”

“…The mean age of patients was 37.1 ± 14.3 years old. Likewise, Nshimirimana et al (14) conducted a cross-sectional survey at a tertiary teaching hospital in Rwanda. A questionnaire was used to collect data of patients diagnosed with CSOM who attended ENT Department during the study period.…”

Silent monster&nbsp;inside the ear! Understanding the level of awareness about Cholesteatoma in hospital visitors of Puducherry.

“…They concluded that low knowledge concerning this disease (90.7%) signi cantly contributes to delayed care-seeking. 7 Our study included hospital visitors of both genders, above 18 years of age. .…”

Connaissances, attitudes et pratiques des kinois sur l'otite moyenne chronique suppurée / République Démocratique du Congo (RDC)

“…Très peu d'études ont essayé d'analyser l'impact de ce manque de sensibilisation commuautaire sur l'OMCS dans une population ne souffrant pas d'OMCS. Cependant, Chandrashekharayya et al (14), en Inde en 2014, et Nshimirimana et al (15), au Rwanda en 2018, ayant traité de ce sujet sur des patients souffrants d'OMCS, ont trouvé dans leurs séries que les connaissances des patients sur l'OMCS étaient basses. Cette situation était à la base de l'arrivée tardive dans les structures de santé et le développement des complications.…”