Risk Factors for Otitis Media in Children Referred to Abuzar Hospital in Ahvaz: A Case-Control Study

Hardani, Amir Kamal; Esfandabadi, Fatemeh Moghimi; Delphi, Maryam; Samir, Mohsen Ali; Abdollahi, Farzaneh Zamiri

doi:10.7759/cureus.9766

Cited by 11 publications

(20 citation statements)

References 21 publications

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“…Clinical evidence from the literature seems to be in favor of an association between allergic rhinitis/atopic status and OME, whereas results about a hypothetical correlation with AOM and RAOM are contradictory and inconclusive because one of the major critical points is that some authors fail to distinguish among the different phenotypes of middle ear inflammation in children (articles included in the qualitative analyses are reported in Table 2). Salah et al did not find evidence linking allergy to AOM/RAOM, 10 whereas authors 11‐13 demonstrated that AR in children may increase the risk of otitis, even if they failed in distinguishing among different phenotypes of OM. Accordingly, authors 34,35 demonstrated that atopic children may have a significantly increased risk of recurrent or persistent OM needing repeated tympanostomy tube insertions without distinguishing between AOM and OME.…”

Section: Resultsmentioning

confidence: 99%

“…Furthermore, studies have documented that AR patients have a higher risk of ET dysfunction, particularly during childhood, than non‐allergic ones 12,43 . Therefore, AR seems to be a common risk factor in children with OME and there is significant hearing loss compared to non‐AR children with OME; in addition, the hearing level improved significantly with medical therapy 11 …”

Section: Resultsmentioning

confidence: 99%

“…9 The association between AR and otitis media is still controversial. From a clinical point of view, in fact some authors 10 did not find a link between allergy and otitis media, whereas others [11][12][13] demon- The aim of the present systematic review was to evaluate clinical and laboratory evidence, linking allergy to different phenotypes of otitis media in children. Allergy in these conditions may be evocated not only as a risk, but also as a worsening factor.…”

Section: Introductionmentioning

confidence: 94%

“…Table 2). Salah et al did not find evidence linking allergy to AOM/ RAOM, 10 whereas authors [11][12][13] demonstrated that AR in children may increase the risk of otitis, even if they failed in distinguishing among different phenotypes of OM. Accordingly, authors 34,35 demonstrated that atopic children may have a significantly in-…”

Section: Link To Allergymentioning

confidence: 99%

“…From a clinical point of view, in fact some authors 10 did not find a link between allergy and otitis media, whereas others 11‐13 demonstrated that children with AR had a significantly higher risk of otitis, although they did not distinguish among different phenotypes of OM. An adequate phenotyping is crucial because AR can cause swelling of nasal mucosa resulting in Eustachian tube (ET) dysfunction, and subsequently, it may contribute to pathogenesis of some subtypes of otitis media such as otitis media with effusion (OME) that is characterized by inflammation of the mucous membrane with fluid collection in the middle ear, in the absence of acute infection 11 . The aim of the present systematic review was to evaluate clinical and laboratory evidence, linking allergy to different phenotypes of otitis media in children.…”

Section: Introductionmentioning

confidence: 97%

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Otitis media in children: Which phenotypes are most linked to allergy? A systematic review

Corso

Cantone²,

Galli

et al. 2021

Pediatric Allergy Immunology

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Background: Allergic rhinitis is a common childhood disease responsible for a major impact on quality of life and healthcare resources. Many hypotheses have been proposed to explain the link between allergy and otitis media, although a definitive mechanism has not been identified yet. One of the major critical points is that authors failed in distinguishing among different phenotypes of middle ear inflammation. This review pointed out literature evidence from the laboratory and clinical experience linking allergy to different phenotypes of otitis media in children. Methods: We performed a systematic review in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) process. Our search yielded 3010 articles that were finally screened. This resulted in 20 manuscripts of which the full texts were included in a qualitative analysis. We paid particular attention in distinguishing among phenotypes of otitis media. Results: Clinical evidence and analyses of biomarkers suggested that allergy may be linked to some phenotypes of otitis media and, in particular, to otitis media with effusion (OME) and acute re-exacerbations in children with middle ear effusion. It was not possible to perform the analysis for allergy and acute and chronic otitis media because of paucity and heterogeneity of data. Conclusion: Allergy should be considered in the diagnostic workup of children with OME as well as OME should be excluded in children with persistent moderate to severe AR. In these cases, clinicians should evaluate prompt and accurate treatment of allergy in improving outcomes, although futures studies are required to increase evidence supporting that anti-allergy treatment may be effective in the recovery and outcome of otitis media with effusion.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 94%

Section: Link To Allergymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

See 3 more Smart Citations

Otitis media in children: Which phenotypes are most linked to allergy? A systematic review

Corso

Cantone²,

Galli

et al. 2021

Pediatric Allergy Immunology

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Knowledge, Attitude, and Practices Regarding Risk Factors for Otitis Media among Caretakers of Children in Puducherry– A Descriptive Cross Sectional Study

Chilakamarri,

Amalanathan,

Colbert

et al. 2024

Indian J Otolaryngol Head Neck Surg

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Risk factors of acute otitis media among infants in a tertiary care hospital in Rawalpindi: a descriptive cross-sectional study

Khan

Akram²,

Muneer³

et al. 2022

Int J Otorhinolaryngol Head Neck Surg

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Background: Acute otitis media (AOM) is the second most common disease of childhood. Many factors play role in the causation of AOM. However, the research-based data on risk factors for AOM in infants is still inadequate. Objective were this study aimed to determine the risk factors for AOM in infants with AOM.Methods: This descriptive cross-sectional study was conducted among 189 infant patients with AOM in the otorhinolaryngology outpatient department of allied hospital of Rawalpindi medical university, Rawalpindi. Established inclusion and exclusion criteria and non-probability convenience sampling technique were utilized for the selection of patients. After taking informed consent, data were collected through a self-adapted questionnaire. Descriptive analysis was accomplished through SPSS version 25.Results: AOM was more common among patients who had, an age group with a range of 9-12 months (41.28%), male gender (55.02%), lower birth order (49.73%), mothers with illiterate educational status (53.96%), mothers with the job (57.14%), lower socioeconomic status (59.25%), used bottle-feeding (46.56%), supine position during feeding (61.37%), used a pacifier (67.73%), poor feeding hygiene (58.21%), unvaccinated pneumococcal status (57.15%), and large family (63.50%). In the case of family ear infection and passive smoking, AOM incidence was more frequent among infants whose family had no history of ear infection (69.85%) and no smoking exposure (53.44%).Conclusions: In short, the age group with a range of 9-12 months, male gender, low birth order, illiterate mothers, mothers with the job, lower socioeconomic status, bottle-feeding, supine feeding position, pacifier use, poor feeding hygiene, unvaccinated pneumococcal status, and large family size, all raise the risk of AOM incidence in infants.

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Risk Factors for Otitis Media in Children Referred to Abuzar Hospital in Ahvaz: A Case-Control Study

Abstract: Hardani et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Cited by 11 publications

References 21 publications

Otitis media in children: Which phenotypes are most linked to allergy? A systematic review

Otitis media in children: Which phenotypes are most linked to allergy? A systematic review

Knowledge, Attitude, and Practices Regarding Risk Factors for Otitis Media among Caretakers of Children in Puducherry– A Descriptive Cross Sectional Study

Risk factors of acute otitis media among infants in a tertiary care hospital in Rawalpindi: a descriptive cross-sectional study

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