Paediatric otitis media at a primary healthcare clinic in South Africa.

نویسندگان

  • L Biagio
  • D W Swanepoel
  • C Laurent
  • T Lundberg
چکیده

BACKGROUND No published studies on the prevalence of paediatric otitis media at primary healthcare clinics (PHCs) in South Africa (SA) are available. OBJECTIVE To examine the point prevalence of otitis media in a paediatric population in a PHC in Johannesburg, SA, using otomicroscopy. METHODS A sample of 140 children aged 2 - 16 years (mean 6.4; 44.1% females) were recruited from patients attending the PHC. Otomicroscopy was completed for each of the participants' ears by a specialist otologist using a surgical microscope. RESULTS Cerumen removal was necessary in 36.0% of participants (23.5% of ears). Otitis media with effusion was the most frequent diagnosis (16.5%). Chronic suppurative otitis media (CSOM) was diagnosed in 6.6% of children and was the most common type of otitis media in participants aged 6 - 15 years. Acute otitis media was only diagnosed in the younger 2 - 5-year age group (1.7%). Otitis media was significantly more prevalent among younger (31.4%) than older children (16.7%). CONCLUSION CSOM prevalence, as classified by the World Health Organization, was high. Consequently diagnosis, treatment and subsequent referral protocols may need to be reviewed to prevent CSOM complications.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Paediatric cochlear implantation

The first paediatric CI was done at the House Ear Institute in Los Angeles in 1980. Initial concerns about device infection from otitis media and electrode problems caused by head growth were soon proven to be essentially irrelevant. In 1988 the first cochlear implantation was done in South Africa at the University of Stellenbosch-Tygerberg Hospital Cochlear Implant Unit. Since then 260 childre...

متن کامل

Paediatric cochlear implantation

The first paediatric CI was done at the House Ear Institute in Los Angeles in 1980. Initial concerns about device infection from otitis media and electrode problems caused by head growth were soon proven to be essentially irrelevant. In 1988 the first cochlear implantation was done in South Africa at the University of Stellenbosch-Tygerberg Hospital Cochlear Implant Unit. Since then 260 childre...

متن کامل

Chronic otorrhoea: spectrum of microorganisms and antibiotic sensitivity in a South African cohort.

BACKGROUND Chronic otorrhoea is difficult to treat, with treatment in South Africa (SA) being protocol driven and generally initiated at the primary healthcare level. There is a lack of local studies that focus on the bacteriology and antimicrobial sensitivities of chronic otorrhoea, which underpins the management advice offered. AIMS To determine the microbiological profile and antimicrobial...

متن کامل

Paediatric chronic suppurative otitis media in the Free State Province: clinical and audiological features.

BACKGROUND Chronic suppurative otitis media (CSOM) is a chronic infection of the middle ear cleft. In sub-Saharan Africa >50% of cases occur in children <10 years of age. OBJECTIVES To describe the otological, audiological and bacteriological findings in children with CSOM. METHODS We conducted a prospective study at the Ear, Nose and Throat (ENT) Clinic at Universitas Academic Hospital bet...

متن کامل

Acute otitis media guidelines in selected developed and developing countries: uniformity and diversity.

BACKGROUND Acute otitis media (AOM) is a common childhood disease, with an enormous economic and healthcare-related burden. Guidelines and consensus papers for AOM diagnosis and management were published in many countries. Our objective was to study the differences and similarities between these protocols in developing and developed countries. METHODS The keywords: 'acute otitis media' AND 'c...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde

دوره 104 6  شماره 

صفحات  -

تاریخ انتشار 2014