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Helicobacter pylori in middle ear of children with otitis media with effusion
Chul-Won Park1, Jae-Ho Chung, Hyun-Jung Min
1Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Hanyang University, Seoul, Korea.
Background:
Otitis media with effusion (OME) is a common pediatric disease, but its pathogenesis remains uncertain. The relationship between OME and Helicobacter pylori (HP) is currently being studied, and a relationship has not yet been confirmed. The purpose of this study was to show that a relationship does exist between HP and OME.
Methods:
The study consisted of 60 patients who were diagnosed with OME and had ventilation tube insertions with or without an adenoidectomy. This study included an additional 30 patients who had only received an adenoidectomy without being diagnosed with OME. The effusion samples were analyzed with polymerase chain reaction (PCR) and the campylobacter-like organism (CLO) test. The adenoid tissue samples were analyzed with the CLO test.
Results:
Eighteen patients among the 60 patients (30%) tested positive for HP. In the cases with adenoids, 15.6% of the OME patients and 13.3% of the adenoidectomy only patients were positive for HP. There were no differences between the prevalence of HP in the adenoids of OME patients and the patients without OME.
Conclusion:
HP can be considered one of the causes of OME.
Insights
Helicobacter pylori (HP) infection may cause otitis media with effusion (OME) in children. This study found HP in 30% of OME patients, suggesting a link between HP and OME development.
Area of Science:
- Pediatric Otolaryngology
- Infectious Diseases
- Microbiology
Background:
- Otitis media with effusion (OME) is a prevalent pediatric condition with unclear origins.
- The potential role of Helicobacter pylori (HP) in OME pathogenesis is under investigation.
- Existing research has not definitively established a link between HP and OME.
Purpose of the Study:
- To investigate the association between Helicobacter pylori (HP) and otitis media with effusion (OME).
- To determine if HP is present in middle ear effusions of children with OME.
Main Methods:
- A cohort of 60 OME patients undergoing ventilation tube insertion and 30 adenoidectomy-only patients were studied.
- Middle ear effusion samples were analyzed using polymerase chain reaction (PCR) and the campylobacter-like organism (CLO) test.
- Adenoid tissue samples were also analyzed for HP presence using the CLO test.
Main Results:
- Helicobacter pylori (HP) was detected in 30% of OME patients.
- HP was found in 15.6% of OME patients' adenoid tissue and 13.3% of control adenoid tissue.
- No significant difference in HP prevalence was observed between OME and control groups in adenoid tissues.
Conclusions:
- The findings suggest that Helicobacter pylori (HP) is a potential causative agent of otitis media with effusion (OME).
- Further research is warranted to elucidate the precise mechanisms of HP involvement in OME.
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