Prevalence and impact of chronic otitis media in school age children in Brazil. First epidemiologic study concerning chronic otitis media in Latin America

Godinho, Ricardo; Gonçalves, Tânia M L; Nunes, Flávio Barbosa; Becker, Celso Gonçalves; Becker, Helena Maria Gonçalves; Guimarães, Roberto Eustáquio Santos; Sanfins, Fabrı́cio; Colosimo, Enrico A.; Oliveira, Reynaldo G.; Lamounier, Joel Alves

doi:10.1016/s0165-5876(01)00579-1

Cited by 34 publications

(32 citation statements)

References 27 publications

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“…Problemas oftalmológicos e audiológicos devem ser rastreados nas crianças antes do início da escolarização, a fim de que situações passíveis de correção possam ser abordadas [5][6][7][8][9] . O desenvolvimento psicomotor nos primeiros anos de vida pode dar indícios da integridade cognitiva do indivíduo.…”

Section: Aspectos Médicosunclassified

Avaliação e manejo da criança com dificuldade escolar e distúrbio de atenção

Araújo¹

2002

J. Pediatr. (Rio J.)

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ResumoObjetivo: esta revisão tem como objetivo oferecer aos pediatras noções atualizadas das principais causas encontradas em crianças com dificuldade escolar, com enfoque mais detalhado na avaliação e na conduta dos casos associados ao transtorno de déficit de atenção.Fontes dos dados: este artigo baseou-se em uma revisão sistemática da literatura médica a partir de levantamento de artigos indexados no Medline, através da busca pelo PubMed, nos últimos cinco anos, com as palavras chave de transtorno do aprendizado, déficit de atenção, dislexia (transtorno de leitura) e discalculia (transtorno de matemática). Foram incluídos os artigos com enfoque na avaliação e conduta. Incluem-se dados estatísticos do Datasus sobre alfabetização e escolaridade, e dados do sistema de avaliação do ensino básico do MEC.Síntese dos dados: observa-se uma escassez de dados estatísti-cos sobre causas médicas de baixo desempenho escolar no Brasil. A deficiência auditiva, visual e mental, além do transtorno de déficit de atenção (TDAH) e dos transtornos específicos do aprendizado, devem fazer parte do diagnóstico diferencial nestes casos. A importância do acompanhamento do desenvolvimento até a idade escolar em crianças com fatores de risco para o baixo desempenho escolar é fundamental. Conclusões:O tratamento medicamentoso com estimulantes, antidepressivos ou clonidina, associado ao acompanhamento multidisciplinar, concorre para o melhor desempenho das crianças com TDAH na escola. J Pediatr (Rio J) 2002; 78 (Supl.1): S104-S110: TDAH, dificuldade de desenvolvimento da leitura, aprendizado, diagnóstico, tratamento. AbstractObjective: this review aims at providing pediatricians with an update on the main causes involved in low school achievement. A more detailed approach is given for the management and treatment of attention deficit hyperactive disorder.Sources: data was obtained by a systematic review of published literature in Medline, through a search on Pubmed in the last five years. The key words used were learning disability, attention deficit, dyslexia (reading disorder) and dyscalculia (mathematical disorder). Studies focusing evaluation and management were retrieved. Governmental population educational data on literacy was also included.Summary of the findings: statistical medical Brazilian data on the subject is scarce. Hearing, visual and mental deficiency, together with attention deficit hyperactive disorder and specific learning disorders should be part of the differential diagnosis of children with poor school achievement. Development should be carefully followed until school entrance particularly in children at risk.Conclusions: therapy with stimulants, anti-depressive drugs or cloninidine with multimodal treatment improves school achievement in children with attention deficit hyperactive disorder.J Pediatr (Rio J) 2002; 78 (Supl.1): S104-S110: attention deficit disorder with hyperactivity, dyslexia, learning disorders, diagnosis, treatment.

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Section: Aspectos Médicosunclassified

Avaliação e manejo da criança com dificuldade escolar e distúrbio de atenção

Araújo¹

2002

J. Pediatr. (Rio J.)

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“…For the cases of chronic otitis media with effusion, the treatment includes low complexity surgery, with return of hearing at normal threshold. 10,16,17,19 Chronic nasal obstruction was, in the present study, the main otolaryngological disorder in primary care. Most common causes of nasal obstruction in childhood are allergic rhinitis, sinusitis and tonsillar and adenoidal hypertrophy.…”

Section: Discussionmentioning

confidence: 58%

Otorrinolaringologia pediátrica no Sistema Público de Saúde de Belo Horizonte

et al. 2007

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OBJECTIVE:To assess the suitability of referral from primary to secondary care in pediatric Otolaryngology. METHODS:The study was performed in the city of Belo Horizonte, in the state of Minas Gerais, from March 2004 to May 2005. A total of 408 pre-school children referred from primary care to secondary care in the department of Otolaryngology presenting with otitis, tonsillitis, sinusitis, allergic rhinitis, and tonsillar/adenoidal hypertrophy was assessed. The studied variables were: agreement between diagnoses in primary and secondary care; waiting time for doctor's appointment; follow-up, and professional (pediatrician or family physician) that examined children in primary care. Agreement of diagnoses was assessed using kappa statistics. RESULTS:Patients were fi ve years old on average, 214 (52.5%) were boys, mean waiting time for appointment was 3.7 months. Diagnoses in primary and secondary care were respectively: otitis (44%, 49%), tonsillar/adenoidal hypertrophy (22%, 33%), tonsillitis (18%, 23%), sinusitis (13%, 21%), allergic rhinitis (3%, 33%). Agreement analysis of kappa was 0.15 for otitis with effusion, 0.35 for recurrent otitis, 0.04 for tonsillar/adenoidal hypertrophy, 0.43 for tonsillitis, 0.05 for allergic rhinitis, and 0.2 for sinusitis. Diagnoses in primary care referred to secondary care were in agreement when given either by pediatrician or family physician. CONCLUSIONS:Unsuitability of referrals from primary to secondary care in Otolaryngology was expressed by the long time waiting for appointments and by the low agreement between diagnoses in different level of care for the same patients. Primary health care could be more effi cient if professionals were better qualifi ed in Otolaryngology.

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“…In developing countries, the prevalence of middle ear infections reaches 72 cases per 1,000 inhabitants and chronic otitis media is the main cause of hearing loss in children 2 . In Brazil, epidemiological studies show an association between chronic otitis media and hearing loss in school age children 3 . Now, considering suppurative chronic otitis media (SCOM), this may or may not be associated with the development of a cholesteatoma, and conductive hearing loss is the characteristic audiologic alteration 4 .…”

Section: Introductionmentioning

confidence: 99%

“…There is much controversy about the correlation between SNHL with the patient's age and chronic otitis media duration time [5][6][7][8][9][10][11][12] . The socio-economic environment could also be a possible factor influencing SNHL evolution 2,3 . The goal of the present investigation was to correlate SCOM associated with SNHL with cholesteatoma with patient's age and disease duration.…”

Section: Introductionmentioning

confidence: 99%

Perda auditiva sensório-neural na otite média crônica supurativa em pacientes com e sem colesteatoma

Azevedo

Pinto

Souza

et al. 2007

Rev. Bras. Otorrinolaringol.

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Sensori neural hearing loss (SNHL) related to chronic suppurative otitis media (CSOM) was studied to clarify the involvement of cholesteatomas in this context. Aim: to evaluate SNHL related to CSOM and its association with cholesteatomas, disease duration and patients' ages. Methods: Retrospective analysis of 115 patients with CSOM with and without cholesteatoma submitted to surgical treatment. Inclusion criteria were active unilateral disease, normal contralateral ear and age below 60 years. Results: The average age was 26.3 years, 58 males and 57 females. The duration of ear disease was, in average, 12.4 years. The average threshold of hearing was 40 dB in CSOM ear and 22 dB in the normal contralateral ear (P=0.002). CSOM with cholesteatoma occurred in 78 of 115 cases. In the abnormal ear, SNHL was seen in 15 cases, being 6 cases of profound loss, that correlated with adjusted-age (P=0.003) and absence of cholesteatoma (P=0.01), but not with disease duration (P=0.458). Conclusion: SNHL occurred in 13% of the patients with CSOM, and was correlated with older age, but not with the presence of cholesteatoma or longer duration of ear disease.

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Prevalence and impact of chronic otitis media in school age children in Brazil. First epidemiologic study concerning chronic otitis media in Latin America

Cited by 34 publications

References 27 publications

Avaliação e manejo da criança com dificuldade escolar e distúrbio de atenção

Avaliação e manejo da criança com dificuldade escolar e distúrbio de atenção

Otorrinolaringologia pediátrica no Sistema Público de Saúde de Belo Horizonte

Perda auditiva sensório-neural na otite média crônica supurativa em pacientes com e sem colesteatoma

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