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  Patronage of the Polish Society of Audiology and Phoniatrics

vol 13. no 2. June 2014  

 Original articles
Risk factors and selected aspects of pathogenesis and treatment of acute otitis media in children: A clinical and audiological analysis of 311 cases
Elwira Nowak-Adamska, Jarosław Markowski, Wirginia Likus, Małgorzata Witkowska

Introduction. Acute otitis media (otitis media acuta, OMA)
is, according to epidemiological studies, one of the most
frequently occurring childhood diseases, affecting small children
in particular. OMA usually represents a complication of upper
respiratory tract infection.
Aim. The aim of the study is to determine the frequency of
exposure to risk factors, analyse acute otitis media in children,
and evaluate the treatment and complications of the disease.
Material and methods. The questionnaire study comprised
a group of 311 Polish children, age range 0-18, with the diagnosis
of acute otitis media, treated in Pediatric Outpatient Clinics
in central Poland, selected at random. After completion of
treatment a check-up was carried out including otolaryngological
examination and assessment of the organ of hearing.
Results. OMA occurred most often in children at pre-school
age, in children with recurring infections of the upper respiratory
tract, as well as in children living in infant communities. OMA
catarrhal nature was observed in 25% of the subjects, and it
did not require treatment with antibiotics. The treatment of
OMA in case of most of the children was within the accepted
standards (stage I and II antibiotics). The most frequently
occurring complications comprised recurrence of the disease
(17.3%) as well as hearing loss (15%); while in 15% of OMA
cases the disease eventually evolved into a chronic condition
– serous otitis media - SOM.
Conclusions. OMA occurred most often in children at
preschool age. The patients wit OMA should be monitored for
serous otitis media.

keywords: ostre wysiękowe zapalenie ucha, epidemiologia, niedosłuch przewodzeniowy u dzieci,acute otitis media, serous otitis media, epidemiology, conductive hearing loss, children

pages: from 105 to 113

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