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Acute otitis media in schoolchildren: allergic diseases and skin prick test positivity

Yngvild E Bentdal1, Per Nafstad, Gunnhild Karevold

  • 1Department of Otorhinolaryngology, Faculty Division of Akershus University Hospital, University of Oslo, Sykehusvagen 27, 1478 Lørenskog, Norway. y.e.bentdal@medisin.uio.no

Acta Oto-Laryngologica
|April 25, 2007
PubMed

Insights

Children with allergies, particularly asthma, face a higher risk of acute otitis media (AOM). SPT-negative children with asthma or allergic rhinoconjunctivitis showed increased AOM risk, suggesting allergy management may impact AOM incidence.

Area of Science:

  • Pediatrics
  • Allergy and Immunology
  • Epidemiology

Background:

  • Acute otitis media (AOM) is a common childhood infection.
  • Allergic diseases are prevalent in children and may influence AOM risk.
  • Understanding the interplay between AOM and allergies is crucial for effective management.

Purpose of the Study:

  • To investigate the association between AOM, allergic diseases, and skin prick test (SPT) positivity in 10-year-old children.
  • To determine if SPT results modify the relationship between allergic diseases and AOM.

Main Methods:

  • A population-based cross-sectional study involving 3406 10-year-old children.
  • Questionnaires collected data on AOM episodes and physician-diagnosed allergic diseases.
  • Skin prick testing was performed on 2657 children.
  • Logistic regression analyses were used to assess associations and control for confounders.

Main Results:

  • AOM was present in 13.8% of children; 4.1% experienced two or more episodes.
  • A significant association was found between AOM and reported allergic diseases, especially asthma.
  • SPT-negative children with asthma or allergic rhinoconjunctivitis had a notably increased risk of AOM.

Conclusions:

  • Single and recurrent AOM episodes in 10-year-olds are linked to reported allergic conditions.
  • SPT-negative children with asthma and allergic rhinoconjunctivitis exhibit a heightened risk for AOM.
  • Optimizing the management of allergic symptoms may potentially reduce AOM incidence in school-aged children.
Abstract

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