Otitis Media in Indonesian Urban and Rural School Children

被引：18

作者：

Anggraeni, Ratna ^{[1
]}

Hartanto, Widya W. ^{[1
]}

Djelantik, Bulantrisna ^{[1
]}

Ghanie, Abla ^{[2
]}

Utama, Denny S. ^{[2
]}

Setiawan, Eka P. ^{[3
]}

Lukman, Erica ^{[4
]}

Hardiningsih, Chintriany ^{[4
]}

Asmuni, Suprihati ^{[5
]}

Budiarti, Rery ^{[5
]}

Rahardjo, Sutji Pratiwi ^{[6
]}

Djamin, Riskiana ^{[6
]}

Mulyani, Tri ^{[7
]}

Mutyara, Kuswandewi ^{[7
]}

Carosone-Link, Phyllis ^{[8
,9
]}

Kartasasmita, Cissy B. ^{[7
]}

Simoes, Eric A. F. ^{[8
,9
]}

机构：

[1] Padjadjaran State Univ, Hasan Sadikin Gen Hosp, Fac Med, Dept Otorhinolaryngol Head & Neck Surg, Bandung, West Java, Indonesia

[2] Sriwijaya Univ, M Hoesin Hosp, Fac Med, Dept Otorhinolaryngol Head & Neck Surg, Palembang, South Sumatera, Indonesia

[3] Udayana Univ, Sanglah Hosp, Fac Med, Dept Otorhinolaryngol Head & Neck Surg, Denpasar, Bali, Indonesia

[4] Kanujoso Djatiwibowo Hosp, Dept Otorhinolaryngol Head & Neck Surg, Balikpapan, East Kalimantan, Indonesia

[5] Diponegoro Univ, Kariadi Hosp, Fac Med, Dept Otorhinolaryngol Head & Neck Surg, Semarang, Central Java, Indonesia

[6] Hasanuddin Univ, Wahidin Sudirohusodo Hosp, Fac Med, Dept Otorhinolaryngol Head & Neck Surg, Makasar, South Sulawesi, Indonesia

[7] Padjadjaran State Univ, Hasan Sadikin Gen Hosp, Fac Med, Hlth Res Unit, Bandung, West Java, Indonesia

[8] Univ Colorado, Dept Pediat, Infect Dis Sect, Denver Hlth Sci Ctr, Denver, CO 80202 USA

[9] Childrens Hosp, Denver, CO 80218 USA

来源：

PEDIATRIC INFECTIOUS DISEASE JOURNAL | 2014年 / 33卷 / 10期

关键词：

chronic suppurative otitis media; otitis media with effusion; acute otitis media; otoscopy; tympanic membrane perforation; HEARING IMPAIRMENT; STREPTOCOCCUS-PNEUMONIAE; SAUDI CHILDREN; EAR DISEASES; PREVALENCE; EPIDEMIOLOGY; PREVENTION; MANAGEMENT; TANZANIA; EFFUSION;

D O I：

10.1097/INF.0000000000000366

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Background: Although the epidemiology of otitis media is well-known in industrialized countries, the extent of otitis media in developing Asian countries, especially in south East Asia is not well studied. Methods: To define the burden of otitis media and its sequelae in children 6-15 years of age, we enrolled elementary and junior high school children in 6 areas in rural and urban Indonesia. Randomly selected schools and classrooms were selected. All children were administered a questionnaire and had ear examinations, pneumatic otoscopy and screening audiometry. Children with any abnormality on examination or with a relevant history underwent diagnostic audiometry and tympanometry, if indicated. Results: Of the 7005 children studied, 116 had chronic suppurative otitis media (CSOM), 30 had acute otitis media and 26 had otitis media with effusion. 2.7% of rural children had CSOM compared with 0.7% of urban children (P < 0.0001). The rates per 1000 of CSOM in rural Bali and Bandung were significantly higher (75 and 25, respectively) than in the rest of Indonesia (P < 0.05). In rural Bali, the rate per 1000 children of inactive CSOM was 63 in 6- to 9-year-old children, compared with 37 in children aged 13-15 years. Concomitantly, the rates of tympanosclerosis were 7 and 26/1000, respectively, in these age groups. Conclusions: In Indonesia, the prevalence of CSOM is relatively high with most disease occurring in rural areas. The high rates in rural Bali with early progression to tympanosclerosis suggest a significant burden of potentially vaccine preventable illness.

引用

页码：1010 / 1015

页数：6

共 44 条

[1] Pattern of ear diseases in rural school children: Experiences of free health camps in Nepal [J].