The association of iron deficiency anemia on chronic suppurative otitis media in children: A case-control study

Abstract

Background Chronic suppurative otitis media (CSOM) is the most common infectious disease in the world and the leading cause of hearing loss in children in developing countries. Iron deficiency anemia (IDA) is often found in children with CSOM. Objective This study was conducted to determine the association between IDA and the incidence of CSOM in children. Method This research is a case-control study using consecutive sampling. Participants were divided into case group which are children diagnosed with CSOM (n = 42) and control group which are children with normal ear (n = 42). All participants were examined for serum iron (FE), hemoglobin (Hb), total iron-binding capacity (TIBC), and ferritin levels. The analysis used in this study includes the chi-square test or fisher extract test and independence t -test or Man Whitney test with p < 0.05. Result The measurement results obtained values of Hb (13.00 ± 1.34 g/dL; p < 0.001), FE (95.13 ± 40.84 g/dL; p < 0.001), TIBC (354.18 ± 62.44 g/dL; p = 0.016), and ferritin levels (17.57 ± 8.55 g/dL; p < 0.001). Participants who experienced IDA were 21.43% which in the case group was 31.0% and control group was 11.9% ( OR = 3.32; p = 0.033). Conclusion IDA can increase the incidence of CSOM in children.

The Effect of Added Moringa Leaves (Moringa oleifera L.) and Quail Eggs (Coturnix-coturnix japonica) on Wingko as A Snack for Anemia

“…Risk factors for iron deficiency in anemia are commonly identified during pregnancy, breastfeeding, growth, and iron absorption. Anemia is a result of the lack of copper (Cu), vitamin A, vitamin B9, vitamin B12, vitamin B2, and vitamin C, as well as the presence of chronic infections and acute diseases such as tuberculosis, HIV, cancer, and malaria [19] [28].…”