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[Otitis media with effusion in children younger than 1 year]
Renata Cantisani Di Francesco1, Vivian Boschesi Barros2, Rafael Ramos2
1Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo, SP, Brasil.
Insights
Otitis media with effusion affects about one-third of infants under one year old. Artificial feeding was the primary factor associated with this condition in young children.
Area of Science:
- Pediatrics
- Otolaryngology
- Epidemiology
Background:
- Otitis media with effusion (OME) is a common condition in infants.
- Understanding OME prevalence and risk factors is crucial for early intervention.
Purpose of the Study:
- To determine the prevalence of otitis media with effusion in children younger than 1 year.
- To investigate associations between OME and season, feeding type, and environmental factors.
Main Methods:
- Retrospective study of 184 healthy infants undergoing hearing screening.
- Diagnosis of OME based on otoscopy, tympanometry, and otoacoustic emissions.
- Exclusion of infants with acute infections, craniofacial anomalies, or neurological issues.
Main Results:
- 25.3% of infants had bilateral OME, 9.2% had unilateral OME.
- OME was associated with winter/fall seasons, artificial feeding, low Apgar scores, and daycare attendance.
- Multivariate analysis identified artificial feeding as the strongest associated factor.
Conclusions:
- Approximately one-third of infants under one year experienced otitis media with effusion.
- Artificial feeding is significantly associated with the development of OME in this age group.
Objective:
To determine the prevalence of otitis media with effusion in children younger than 1 year and its association with the season of the year, artificial feeding, environmental and perinatal factors.
Methods:
Retrospective study of 184 randomly included medical records from a total of 982 healthy infants evaluated for hearing screening tests. Diagnosis of otitis media with effusion was based on otoscopy (amber-gold color, fluid level, handle of malleus position), type B tympanometric curves and absence of otoacoustic emissions. Incomplete medical records or those describing acute otitis media, upper respiratory tract infections on the assessment day or in the last 3 months, neuropathies and craniofacial anomalies were excluded. Data such as gestational age, birth weight, Apgar score, type of feeding and day care attendance were compared between children with and without otitis media with effusion through likelihood tests and multivariate analysis.
Results:
25.3% of 184 infants had otitis media with bilateral effusion; 9.2% had unilateral. In infants with otitis media, the following were observed: chronological age of 9.6±1.7 months; gestational age >38 weeks in 43.4% and birth weight >2,500g in 48.4%. Otitis media with effusion was associated with winter/fall, artificial feeding, Apgar score <7 and day care attendance. The multivariate analysis showed that artificial feeding is the factor most often associated to otitis media with effusion.
Conclusions:
Otitis media with effusion was found in about one third of children younger than 1 year and was mainly associated with artificial feeding.
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