Risk factors for persistent otitis media with effusion in children: a case-control study
Background Otitis media with effusion (OME) is defined as middle ear effusion without acute signs of infection. OME usually resolves spontaneously; however, persistent OME may require the insertion of a ventilation tube. This study investigated risk factors for persistent OME in children who undergo...
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Yeungnam University College of Medicine
2018-06-01
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| Series: | Yeungnam University Journal of Medicine |
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| Online Access: | http://yujm.yu.ac.kr/upload/pdf/yujm-35-70.pdf |
| _version_ | 1829494932354629632 |
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| author | Ju Yeon Lee Se-Hyung Kim Chan Il Song Young Ree Kim Yoon-Joo Kim Jae Hong Choi |
| author_facet | Ju Yeon Lee Se-Hyung Kim Chan Il Song Young Ree Kim Yoon-Joo Kim Jae Hong Choi |
| author_sort | Ju Yeon Lee |
| collection | DOAJ |
| description | Background Otitis media with effusion (OME) is defined as middle ear effusion without acute signs of infection. OME usually resolves spontaneously; however, persistent OME may require the insertion of a ventilation tube. This study investigated risk factors for persistent OME in children who undergo ventilation tube insertion. Methods Children who were admitted to undergo ventilation tube insertion at Jeju National University Hospital between August 2015 and July 2016 were enrolled as the case group. Healthy children without persistent OME from August 2016 to July 2017 were enrolled as the control group. Baseline characteristics and predisposing factor data were collected using an interview questionnaire. Middle ear fluids were collected from the case group. Results A total of 31 patients underwent ventilation tube insertion. The mean age of the case group was 4.53 years, with a male-to-female ratio of 21:10. Twenty-nine (93.5%) children attended a daycare center, and 21 (67.7%) had experience with bottle feeding. Fifteen (48.4%) children in the case group and 3 (9.7%) in the control group first attended a daycare center at <1 year of age (odds ratio=9.96; 95% confidence interval=2.44-39.70; p=0.001). No bacteria were found in middle ear fluid collected from the 31 operated children. Nasopharyngeal bacterial colonization was found in 13 (41.9%) and 17 (54.8%) children in the case and control groups, respectively. Conclusion Earlier attendance at a daycare center was the only predisposing factor for ventilation tube insertion in our study. The aseptic nature of middle ear fluids found in children with OME highlights the efficacy of antimicrobial use. |
| first_indexed | 2024-12-16T07:01:45Z |
| format | Article |
| id | doaj.art-b1f7db3c4605469bb1b106f0030b3c81 |
| institution | Directory Open Access Journal |
| issn | 2384-0293 |
| language | English |
| last_indexed | 2024-12-16T07:01:45Z |
| publishDate | 2018-06-01 |
| publisher | Yeungnam University College of Medicine |
| record_format | Article |
| series | Yeungnam University Journal of Medicine |
| spelling | doaj.art-b1f7db3c4605469bb1b106f0030b3c812022-12-21T22:40:09ZengYeungnam University College of MedicineYeungnam University Journal of Medicine2384-02932018-06-01351707510.12701/yujm.2018.35.1.701896Risk factors for persistent otitis media with effusion in children: a case-control studyJu Yeon Lee0Se-Hyung Kim1Chan Il Song2Young Ree Kim3Yoon-Joo Kim4Jae Hong Choi5 Department of Pediatrics, Jeju National University Hospital, Jeju, Korea Department of Otorhinolaryngology, Jeju National University School of Medicine, Jeju, Korea Department of Otorhinolaryngology, Jeju National University School of Medicine, Jeju, Korea Department of Laboratory Medicine, Jeju National University School of Medicine, Jeju, Korea Department of Pediatrics, Jeju National University School of Medicine, Jeju, Korea Department of Pediatrics, Jeju National University School of Medicine, Jeju, KoreaBackground Otitis media with effusion (OME) is defined as middle ear effusion without acute signs of infection. OME usually resolves spontaneously; however, persistent OME may require the insertion of a ventilation tube. This study investigated risk factors for persistent OME in children who undergo ventilation tube insertion. Methods Children who were admitted to undergo ventilation tube insertion at Jeju National University Hospital between August 2015 and July 2016 were enrolled as the case group. Healthy children without persistent OME from August 2016 to July 2017 were enrolled as the control group. Baseline characteristics and predisposing factor data were collected using an interview questionnaire. Middle ear fluids were collected from the case group. Results A total of 31 patients underwent ventilation tube insertion. The mean age of the case group was 4.53 years, with a male-to-female ratio of 21:10. Twenty-nine (93.5%) children attended a daycare center, and 21 (67.7%) had experience with bottle feeding. Fifteen (48.4%) children in the case group and 3 (9.7%) in the control group first attended a daycare center at <1 year of age (odds ratio=9.96; 95% confidence interval=2.44-39.70; p=0.001). No bacteria were found in middle ear fluid collected from the 31 operated children. Nasopharyngeal bacterial colonization was found in 13 (41.9%) and 17 (54.8%) children in the case and control groups, respectively. Conclusion Earlier attendance at a daycare center was the only predisposing factor for ventilation tube insertion in our study. The aseptic nature of middle ear fluids found in children with OME highlights the efficacy of antimicrobial use.http://yujm.yu.ac.kr/upload/pdf/yujm-35-70.pdfOtitis media with effusionMiddle ear ventilationRisk factors |
| spellingShingle | Ju Yeon Lee Se-Hyung Kim Chan Il Song Young Ree Kim Yoon-Joo Kim Jae Hong Choi Risk factors for persistent otitis media with effusion in children: a case-control study Yeungnam University Journal of Medicine Otitis media with effusion Middle ear ventilation Risk factors |
| title | Risk factors for persistent otitis media with effusion in children: a case-control study |
| title_full | Risk factors for persistent otitis media with effusion in children: a case-control study |
| title_fullStr | Risk factors for persistent otitis media with effusion in children: a case-control study |
| title_full_unstemmed | Risk factors for persistent otitis media with effusion in children: a case-control study |
| title_short | Risk factors for persistent otitis media with effusion in children: a case-control study |
| title_sort | risk factors for persistent otitis media with effusion in children a case control study |
| topic | Otitis media with effusion Middle ear ventilation Risk factors |
| url | http://yujm.yu.ac.kr/upload/pdf/yujm-35-70.pdf |
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