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Recurrent acute otitis media in infants: analysis of risk factors

Mohamed Salah1, Mosaad Abdel-Aziz, Ahmed Al-Farok

  • 1Department of Otolaryngology, Faculty of Medicine, Cairo University, Egypt.

International Journal of Pediatric Otorhinolaryngology
|August 20, 2013
PubMed

Insights

Pacifier use, short breastfeeding, older age, winter, and upper respiratory infections are key risk factors for recurrent acute otitis media in infants. Adenoid hypertrophy and short breastfeeding also impact treatment success.

Area of Science:

  • Pediatrics
  • Otolaryngology
  • Infectious Diseases

Background:

  • Recurrent acute otitis media (RAOM) in infants leads to significant morbidity and parental distress.
  • Identifying risk factors is crucial for managing RAOM and preventing treatment failures.

Purpose of the Study:

  • To analyze risk factors for RAOM in infants.
  • To determine the impact of these factors on treatment failure.

Main Methods:

  • Retrospective study of 340 infants diagnosed with RAOM.
  • Data collected from medical charts, analyzing factors like age, breastfeeding duration, pacifier use, URTI, and adenoid hypertrophy.

Main Results:

  • Identified risk factors for RAOM include pacifier use, short breastfeeding duration, older infant age, winter season, URTI, and adenoid hypertrophy.
  • Treatment failure was associated with adenoid hypertrophy, short breastfeeding, and older infant age.

Conclusions:

  • Pacifier use, limited breastfeeding, older infant age, winter seasonality, URTI, and adenoid hypertrophy are significant contributors to RAOM.
  • Adenoid hypertrophy and short breastfeeding duration are linked to treatment failure, highlighting areas for improved management.
Abstract

Keywords:
Acute otitis mediaAdenoidAllergyBreastfeedingInfantile infectionUpper respiratory infection

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