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CORRELATES OF VARIOUS PRESENTATION MODES OF ACUTE OTITIS MEDIA IN SAUDI CHILDREN

PURPOSE: To describe correlates of various modes of presentation and identify some surrogates of poor outcome of children less than 5 years with Acute Otitis Media (AOM). PATIENTS AND METHODS: This is a cross-sectional survey conducted at 11 primary health care centers in Riyadh city over 3 month pe...

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Autor principal: Al-Quaiz, Al-Joharaah M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2001
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3437056/
https://www.ncbi.nlm.nih.gov/pubmed/23008640
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author Al-Quaiz, Al-Joharaah M.
author_facet Al-Quaiz, Al-Joharaah M.
author_sort Al-Quaiz, Al-Joharaah M.
collection PubMed
description PURPOSE: To describe correlates of various modes of presentation and identify some surrogates of poor outcome of children less than 5 years with Acute Otitis Media (AOM). PATIENTS AND METHODS: This is a cross-sectional survey conducted at 11 primary health care centers in Riyadh city over 3 month period. A total of 140 children, each less than 5 years of age and presenting with a new episode of AOM were enrolled. Twenty-eight family physicians participated in the study. Each physician made the diagnosis of AOM based on history and clinical examination of the tympanic membranes (TM) using an otosocope. Poor outcome was defined as children presenting with otorrhea. RESULTS: The majority of children presented with fever (62%), URTI (58%) and earache (54%). Presence of URTI, irritability, or sleeplessness were positively associated with redness and dullness of TM (p<0.05). Thumb sucking reduced the risk of bulging (OR = 0.29, 95% CI: 0.07-0.94). Children of illiterate fathers were more likely to present with otorrhea (X(2) = 4.66, p< 0.05). Bottle feeding increased the risk of otorrhea by two fold (OR = 2.26, 95% CI:1.01-5.05). CONCLUSION: Children with AOM presenting as URTI, irritability or sleeplessness will showed redness and dullness of the TM as clinical signs of the disease. Thumb sucking was found to be protective from bulging of the TM. Having an illiterate father and being bottle fed were found to be surrogates of otorrhea .
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spelling pubmed-34370562012-09-24 CORRELATES OF VARIOUS PRESENTATION MODES OF ACUTE OTITIS MEDIA IN SAUDI CHILDREN Al-Quaiz, Al-Joharaah M. J Family Community Med Original Article PURPOSE: To describe correlates of various modes of presentation and identify some surrogates of poor outcome of children less than 5 years with Acute Otitis Media (AOM). PATIENTS AND METHODS: This is a cross-sectional survey conducted at 11 primary health care centers in Riyadh city over 3 month period. A total of 140 children, each less than 5 years of age and presenting with a new episode of AOM were enrolled. Twenty-eight family physicians participated in the study. Each physician made the diagnosis of AOM based on history and clinical examination of the tympanic membranes (TM) using an otosocope. Poor outcome was defined as children presenting with otorrhea. RESULTS: The majority of children presented with fever (62%), URTI (58%) and earache (54%). Presence of URTI, irritability, or sleeplessness were positively associated with redness and dullness of TM (p<0.05). Thumb sucking reduced the risk of bulging (OR = 0.29, 95% CI: 0.07-0.94). Children of illiterate fathers were more likely to present with otorrhea (X(2) = 4.66, p< 0.05). Bottle feeding increased the risk of otorrhea by two fold (OR = 2.26, 95% CI:1.01-5.05). CONCLUSION: Children with AOM presenting as URTI, irritability or sleeplessness will showed redness and dullness of the TM as clinical signs of the disease. Thumb sucking was found to be protective from bulging of the TM. Having an illiterate father and being bottle fed were found to be surrogates of otorrhea . Medknow Publications & Media Pvt Ltd 2001 /pmc/articles/PMC3437056/ /pubmed/23008640 Text en Copyright: © Journal of Family and Community Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Al-Quaiz, Al-Joharaah M.
CORRELATES OF VARIOUS PRESENTATION MODES OF ACUTE OTITIS MEDIA IN SAUDI CHILDREN
title CORRELATES OF VARIOUS PRESENTATION MODES OF ACUTE OTITIS MEDIA IN SAUDI CHILDREN
title_full CORRELATES OF VARIOUS PRESENTATION MODES OF ACUTE OTITIS MEDIA IN SAUDI CHILDREN
title_fullStr CORRELATES OF VARIOUS PRESENTATION MODES OF ACUTE OTITIS MEDIA IN SAUDI CHILDREN
title_full_unstemmed CORRELATES OF VARIOUS PRESENTATION MODES OF ACUTE OTITIS MEDIA IN SAUDI CHILDREN
title_short CORRELATES OF VARIOUS PRESENTATION MODES OF ACUTE OTITIS MEDIA IN SAUDI CHILDREN
title_sort correlates of various presentation modes of acute otitis media in saudi children
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3437056/
https://www.ncbi.nlm.nih.gov/pubmed/23008640
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