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Supervised Nasal Saline Irrigations in Otitis-Prone Children

Sara Torretta1,2, Lorenzo Pignataro1,2, Tullio Ibba1

  • 1Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Frontiers in Pediatrics
|June 20, 2019
PubMed

Insights

Supervised daily nasal saline irrigations (NSI) significantly reduced acute otitis media (AOM) episodes and antibiotic use in young children with recurrent AOM. Proper parent training is key for effective treatment.

Area of Science:

  • Pediatrics
  • Otolaryngology
  • Infectious Diseases

Background:

  • Recurrent acute otitis media (RAOM) is common in children.
  • Otitis-prone children often experience frequent middle ear infections.
  • Nasal saline irrigations (NSI) are a potential adjunctive therapy.

Purpose of the Study:

  • To investigate the impact of supervised daily nasal saline irrigations (NSI) in children with a history of recurrent acute otitis media (RAOM).
  • To evaluate the effectiveness of NSI in reducing the number of acute otitis media (AOM) episodes in otitis-prone children.

Main Methods:

  • Retrospective pilot study analyzing data from 173 children aged 1-5 years.
  • Comparison between children receiving supervised NSI and those not instructed on NSI performance.
  • 4-month follow-up to assess AOM episodes and antibiotic treatments.

Main Results:

  • Children receiving supervised NSI had significantly fewer AOM episodes (1.03 vs. 2.08, p < 0.001).
  • Supervised NSI group also showed significantly reduced antibiotic treatments (1.48 vs. 2.59, p < 0.001).
  • 52.0% of children were not instructed on NSI, while 48.0% received supervised NSI.

Conclusions:

  • Supervised daily NSI should be considered in the management of children with RAOM.
  • NSI can be a valuable daily adjunctive treatment to decrease infectious exacerbations in otitis-prone patients.
  • Accurate parent training is crucial for improving children's compliance and treatment effectiveness.

Keywords:
acute otitis mediachildrennasal saline irrigationsotitis-prone childrenotolaryngology

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