Otitis media in young Aboriginal children from remote communities in Northern and Central Australia: A cross-sectional survey

被引：108

作者：

Morris P.S. ^{[1
,2
,3
]}

Leach A.J. ^{[1
,2
]}

Silberberg P. ^{[1
,2
]}

Mellon G. ^{[1
,2
]}

Wilson C. ^{[1
,2
]}

Hamilton E. ^{[1
,2
]}

Beissbarth J. ^{[1
,2
]}

机构：

[1] Ear Health and Education Unit, Menzies School of Health Research, Darwin, North. Territ.

[2] Institute of Advanced Studies, Charles Darwin University, Alice Springs, North. Territ.

[3] Northern Territory Clinical School, Flinders University, Darwin, North. Territ.

来源：

BMC Pediatrics | / 5卷 / 1期

关键词：

Otitis Medium; Tympanic Membrane; Acute Otitis Medium; Otitis Medium With Effusion; Chronic Suppurative Otitis Medium;

D O I：

10.1186/1471-2431-5-27

中图分类号：

学科分类号：

摘要：

Background: Middle ear disease (otitis media) is common and frequently severe in Australian Aboriginal children. There have not been any recent large-scale surveys using clear definitions and a standardised middle ear assessment. The aim of the study was to determine the prevalence of middle ear disease (otitis media) in a high-risk population of young Aboriginal children from remote communities in Northern and Central Australia. Methods: 709 Aboriginal children aged 6-30 months living in 29 communities from 4 health regions participated in the study between May and November 2001. Otitis media (OM) and perforation of the tympanic membrane (TM) were diagnosed by tympanometry, pneumatic otoscopy, and video-otoscopy. We used otoscopic criteria (bulging TM or recent perforation) to diagnose acute otitis media. Results: 914 children were eligible to participate in the study and 709 were assessed (78%). Otitis media affected nearly all children (91%, 95%CI 88, 94). Overall prevalence estimates adjusted for clustering by community were: 10% (95%CI 8, 12) for unilateral otitis media with effusion (OME); 31% (95%CI 27, 34) for bilateral OME; 26% (95%CI 23, 30) for acute otitis media without perforation (AOM/woP); 7% (95%CI 4, 9) for AOM with perforation (AOM/wiP); 2% (95%CI 1, 3) for dry perforation; and 15% (95%CI 11, 19) for chronic suppurative otitis media (CSOM). The perforation prevalence ranged from 0-60% between communities and from 19-33% between regions. Perforations of the tympanic membrane affected 40% of children in their first 18 months of life. These were not always persistent. Conclusion: Overall, 1 in every 2 children examined had otoscopic signs consistent with suppurative ear disease and 1 in 4 children had a perforated tympanic membrane. Some of the children with intact tympanic membranes had experienced a perforation that healed before the survey. In this high-risk population, high rates of tympanic perforation were associated with high rates of bulging of the tympanic membrane. © 2005 Morris et al; licensee BioMed Central Ltd.

引用

页数：10

共 31 条

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