Otitis Media and mastoiditis in infancy.

نویسندگان

  • G McConkey
  • E C Couper
چکیده

Otitis media and mastoiditis occurring in infancy have long been recognized as most troublesome disorders and, of recent years, would appear to be receiving the attention they merit. The frequency of otitis media or otitis media and mastoiditis found both in the infants' wards and in the autopsy room of the Alder Hey Children's Hospital has led to this statistical and clinical enquiry into this common and frequently lethal occurrence. Of the 1,324 infants under one year admitted to this hospital during the year 1936, 195 (14 per cent.) suffered at one time or another from otitis media or otitis media and mastoiditis. In a certain proportion the ear infection was undoubtedly secondary to some other pathological process. The remainder were cases in which the ear infection appeared to be responsible for the child's illness and in which, in the majority, suitable treatment of the ear resulted in improvement. This latter and more interesting group is here called 'primary.' The difficulties of making such a classification will at once be apparent, and any case which seemed in any way doubtful has been included in the secondary group. The greatest difficulty was encountered in those associated with nutritional defect. A recent otitis occurring in an infant who had been under observation for some time for hypothrepsia or athrepsia was considered as secondary. A comparatively long history of otorrhoea or otitis and more recent failure to gain in weight was regarded as probably 'primary otitis.' Doubtful cases were placed in the group of secondary otitis. Some of these were perplexing.

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عنوان ژورنال:
  • Archives of disease in childhood

دوره 13 74  شماره 

صفحات  -

تاریخ انتشار 1938