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Does Acute Otitis Media in the First Month of Life Increase the Risk for Recurrent Otitis?

Orli Megged1, Suzan Abdulgany1, Maskit Bar-Meir1

  • 11 Shaare-Zedek Medical Center (affiliated with Hebrew University-Hadassah School of Medicine), Jerusalem, Israel.

Clinical Pediatrics
|September 28, 2017
PubMed

Insights

Infants with acute otitis media (AOM) in their first month are four times more likely to develop recurrent AOM (rAOM) later. This early AOM is a significant predictor of future ear infections in children.

Area of Science:

  • Pediatrics
  • Otolaryngology
  • Infectious Diseases

Background:

  • Acute otitis media (AOM) is a prevalent childhood ailment.
  • Identifying early predictors for recurrent AOM (rAOM) is crucial for effective management.

Purpose of the Study:

  • To determine if AOM in the first month of life predicts rAOM in early childhood.
  • To assess the independent predictive value of neonatal AOM for subsequent rAOM.

Main Methods:

  • Retrospective review of medical records for neonates diagnosed with AOM and bacterial pathogen isolation.
  • Inclusion of a control group of neonates admitted for fever workup without AOM.
  • Parental phone interviews to collect data on rAOM and potential risk factors.

Main Results:

  • Eighty-four neonates with AOM were identified; 30% experienced rAOM.
  • The control group showed a 10% rate of rAOM.
  • Neonatal AOM was associated with a fourfold increased odds of rAOM (OR=4, P=.008).

Conclusions:

  • AOM during the neonatal period is a significant risk factor for developing recurrent AOM in infancy.
  • This association remains significant regardless of other common risk factors like smoke exposure or daycare attendance.

Keywords:
acute otitis medianeonaterecurrent otitis mediatympanostomy tubes

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