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Chronic suppurative otitis media: prevalence and practices among rural South Indian children
1Department of Otolaryngology, Christian Medical College and Hospital, Vellore, India.
Insights
A study found chronic suppurative otitis media (CSOM) affects 6% of rural South Indian children. This common ear infection showed similar prevalence in preschool and primary school age groups.
Area of Science:
- Public Health
- Pediatrics
- Epidemiology
Background:
- Chronic suppurative otitis media (CSOM) is a prevalent childhood condition, particularly in developing regions.
- Understanding the epidemiology of CSOM in rural South Indian children is crucial for targeted interventions.
Purpose of the Study:
- To determine the prevalence of CSOM in rural South Indian children.
- To investigate the prevalence of cholesteatomatous ear disease in this population.
- To explore parental beliefs and practices related to CSOM.
Main Methods:
- A cross-sectional survey was conducted among 914 children aged 2-10 years in Tamil Nadu, India.
- Participants were recruited from four primary schools and 12 preschools (balwadis).
- Data collection included clinical examination and assessment of parental beliefs and practices.
Main Results:
- The overall prevalence of CSOM was 6% among the surveyed children.
- CSOM prevalence was similar in preschool (5.7%) and primary school (6.2%) children (P=0.94).
- Cholesteatomatous ear disease was present in 1.2% of children, with higher rates in older children.
Conclusions:
- CSOM is a significant public health concern affecting 6% of rural South Indian children.
- The prevalence of CSOM is consistent across preschool and primary school age groups.
- Further research into parental practices and beliefs is warranted to inform prevention strategies.
Abstract:
In order to determine the prevalence of chronic suppurative otitis media (CSOM) in rural South Indian children, a cross-sectional survey was conducted among 914 children (484 boys and 430 girls) from four primary schools and 12 nurseries (balwadis; preschool), of adjacent villages of North Arcot District of Tamil Nadu state. The preschool children were aged 2-5 years, while the ages of the primary school children ranged from 6 to 10 years. The overall prevalence rate of CSOM was found to be 6%. The disease was equally prevalent in preschool children (5.7%) and primary school children (6.2%) (P = 0.94). Cholesteatomatous ear disease was observed in 1.2% of children, those of the older age group having a slightly higher prevalence rate (1.5%) than the younger age group (0.7%). Parental beliefs and existing practices with respect to the disease are also presented.