Demographic and Clinical Patterns of Acute Otitis Media in a Secondary Care Setting
DOI:
https://doi.org/10.36312/ej.v6i2.2923Keywords:
Acute Otitis Media (AOM), Affected Ear, Symptom Treatment, Hearing ImpairmentAbstract
Acute Otitis Media (AOM) is an acute inflammation of the middle ear lasting less than three weeks and is a common condition in low-income countries such as Indonesia. Prompt and appropriate care is essential to prevent progression to more severe forms. This study aimed to describe the characteristics of AOM patients treated at the ENT Outpatient Clinic of Deli Serdang Lubuk Pakam Regional General Hospital in 2017. This was a descriptive cross-sectional study involving 102 AOM cases identified through total sampling at the ENT Outpatient Clinic of Deli Serdang Lubuk Pakam Regional General Hospital throughout 2017. The measured variables included age, gender, affected ear, chief complaint, treatment, and hearing impairment. Male patients accounted for 57.8% of cases, while females comprised 42.2%. Most patients were aged 0–5 years. The left ear was most affected (51.9%). The most frequent symptom was ear pain, reported in 36.3% of cases. All patients received medical treatment. Hearing impairment was observed in 54.9% of patients. Conclusion: AOM was most prevalent among male children aged 0–5 years. Ear pain was the most common presenting complaint. Medical therapy was the primary treatment modality, and over half of the patients experienced hearing impairment.
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References
Awuah, P., Duah, I., & Amedofu, G. (2012). Prevalence of Hearing Loss in Patients with Acute Otitis Media. Journal of Science and Technology (Ghana), 32(1), 11–17. https://doi.org/10.4314/just.v32i1.2
Coticchia, J. M., Chen, M., Sachdeva, L., & Mutchnick, S. (2013). New paradigms in the pathogenesis of otitis media in children. Frontiers in Pediatrics, 1(DEC), 1–7. https://doi.org/10.3389/fped.2013.00052
Culpepper, L., Froom, J., Bartelds, A. I., Bowers, P., Bridges-Webb, C., Grob, P., Grava-Gubins, I., Green, L., Lion, J., & Rosser, W. (1993). Acute otitis media in adults: a report from the International Primary Care Network. The Journal of the American Board of Family Practice, 6(4), 333–339.
Djaafar, Z. A., Helmi, & Restuti, R. D. (2012). Kelainan Telinga Tengah. In E. A. Soepardi, N. Iskandar, J. Bashiruddin, R. D. Restuti, & 7 (Eds.), Buku Ajar Ilmu Kesehatan Telinga Hidung Tenggorok Kepala & Leher (pp. 64–69). Balai Penerbit Fakultas Kedokteran Universitas Indonesia.
Donaldson, J. D. (2010). Middle Ear, Acute Otitis Media, Medical Treatment: Overview. In eMedicine. http://emedicine.medscape.com/article/859316-overview
Dubé, E., De Wals, P., Gilca, V., Boulianne, N., Ouakki, M., Lavoie, F., & Bradet, R. (2011). Burden of acute otitis media on Canadian families. Canadian Family Physician Medecin de Famille Canadien, 57(1), 60–65.
Geyik, M. F., Kokoglu, O. F., Hosoglu, S., & Ayaz, C. (2002). Acute bacterial meningitis as a complication of otitis media and related mortality factors. Yonsei Medical Journal, 43(5), 573–578. https://doi.org/10.3349/ymj.2002.43.5.573
Meropol, S. B., Glick, H. A., & Asch, D. A. (2008). Age inconsistency in the American Academy of Pediatrics guidelines for acute otitis media. Pediatrics, 121(4), 657–668. https://doi.org/10.1542/peds.2007-1913
Palandeng, W., Pelealu, O., & Mengko, S. (2013). Otitis Media Supuratif Akut Di Poliklinik Tht-Kl Blu Rsu. Prof. Dr. R. D. Kandou Manado Periode Januari 2010-Desember 2012. Jurnal E-Biomedik, 1(1). https://doi.org/10.35790/ebm.1.1.2013.4613
Redaelli de Zinis, L. O., Gamba, P., & Balzanelli, C. (2003). Acute Otitis Media and Facial Nerve Paralysis in Adults. Otology & Neurotology, 24(1). https://journals.lww.com/otology-neurotology/fulltext/2003/01000/acute_otitis_media_and_facial_nerve_paralysis_in.22.aspx
Soepardi, E. A., Iskandar, N., Bashiruddin, J., & Restuti, R. D. (2012). Buku Ajar Ilmu Kesehatan Telinga Hidung Tenggorok Kepala dan Leher. In Edisi ke-7. Balai Penerbit Fakultas Kedokteran Universitas Indonesia.
Titisari, H. (2005). Prevalensi dan Sensitivitas Haemophilus Influenzae pada Otitis Media Akut di RSCM dan RSAB Harapan Kita (Helmi (ed.)). Fakultas Kedokteran Universitas Indonesia.
Umar, S. (2013). Prevalensi dan Faktor Risiko Otitis Media Akut pada Anak-anak di Kotamadya Jakarta Timur = Prevalence and Risk Factor of Acute Otitis Media in Children East Jakarta (R. D. Restuti supervisor & M. Mansyur supervisor (eds.)) [Fakultas Kedokteran Universitas Indonesia]. https://lib.ui.ac.id
Wang, P.-C., Chang, Y.-H., Chuang, L.-J., Su, H.-F., & Li, C.-Y. (2011). Incidence and recurrence of acute otitis media in Taiwan’s pediatric population. Clinics (Sao Paulo, Brazil), 66(3), 395–399. https://doi.org/10.1590/s1807-59322011000300005
World Health Organization. (2007). Situation Review and Update on Deafness, Hearing Loss and Intervention Programmes Proposed Plans of Action for Prevention and Alleviation of Hearing Impairment in Countries of The South East Asia Region. WHO.
Yonamine, F. K., Tuma, J., Da Silva, R. F. N., Soares, M. C. M., & Testa, J. R. G. (2009). Facial paralysis associated with acute otitis media. Brazilian Journal of Otorhinolaryngology, 75(2), 228–230. https://doi.org/10.1016/S1808-8694(15)30782-5
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