[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.
Abstract

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