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Published on: February 23, 2014
[Acute otitis media in the first year of life and its relationship with various risk factors]
C García Vera1, F Galve Royo, E Peñascal Pujol
1Centro de Salud Teruel.
Insights
In infants, acute otitis media (AOM) occurred in 40% during their first year. Male infants and those with older siblings faced higher AOM risks.
Area of Science:
- Pediatrics
- Otolaryngology
- Epidemiology
Context:
- Acute otitis media (AOM) is a common childhood illness.
- Understanding AOM incidence and risk factors in urban populations is crucial for public health.
- Early life factors may influence AOM development.
Purpose:
- To determine the frequency of AOM in urban infants during their first year.
- To investigate the association between AOM and various risk factors, including sex, gestational age, birth weight, breastfeeding, siblings, parental smoking, and nursery care.
Summary:
- A retrospective study of 240 infants found 40% experienced at least one AOM episode in the first year.
- AOM incidence was higher in winter/spring and after six months of age.
- Strong associations were found with older siblings (OR: 1.98) and male sex (OR: 1.98). Breastfeeding showed no statistically significant protective effect compared to formula feeding (p=0.11).
Impact:
- Identifies key risk factors for AOM in infants: male sex and presence of older siblings.
- Suggests breastfeeding may not offer a statistically significant protective effect against AOM compared to formula in this cohort.
- Highlights the need for further prospective research on breastfeeding and AOM.
Objective:
The purpose of the present study was to evaluate the frequency of acute otitis media (OMA) in our city (urban population) during the first year of life and its relationship to some risk factors.
Patients And Methods:
This is a retrospective study of 240 children. We collected information about risk factors (sex, gestational age, birthweight, duration of breastfeeding, older siblings, parental smoking and nursery care). We related these to the number of OMA episodes during the first year of life.
Results:
Of the infants studied 40% had suffered at least one episode of OMA during the first year of life. There was a higher incidence during winter and spring. Three out of every four episodes occurred after six months of age. The incidence of OMA was strongly associated to whether there were older siblings (odds ratio: 1.98) and to the male sex (odds ratio: 1.98). Children in the breastfed group (exclusive breastfeeding for at least 5 months) have less otitis episodes than the milk-adapted formula group, but the difference was not statistically different (0.41 +/- 0.68 vs 0.69 +/- 1.01 episodes; p = 0.11).
Conclusions:
In our report, the only risk factor strongly related with OMA in suckling infants are the presence of older siblings and the male sex. Breastfeeding did not have a protective effect in comparison to commercial formula, although a prospective study might be of interest for further addressing this issue.
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