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Comparison of chronic suppurative otitis media in rural and urban primary school children in Bangladesh

Published online by Cambridge University Press:  04 June 2014

M M Shaheen  and
S Nahar
M M Shaheen*
Affiliation:
Shaheed Suhrawardi Medical College, Dhaka, Bangladesh
S Nahar
Affiliation:
National Institute of Mental Health, Dhaka, Bangladesh
*
Address for correspondence: Dr. M M Shaheen, Shaheed Suhrawardi Medical College, Sher-E-Banglanagar, Dhaka, Bangladesh E-mail: mazhar1047@yahoo.com
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Abstract

Objectives:

To compare chronic suppurative otitis media prevalence in rural and urban primary school children in Bangladesh, and to determine its relationship with specific sociodemographic factors.

Methods:

In this cross-sectional survey, 681 rural primary school children from Shibpur upazilla, Narsingdi district, and 964 urban primary school children from Dhaka Metropolitan City, underwent an ENT check-up by doctors trained in ENT. Their parents or guardians were interviewed with regard to their sociodemographic status and other related issues using a pre-tested protocol.

Results:

In this study, 6.02 per cent of the rural primary school children and 2.07 per cent of the urban primary school children had chronic suppurative otitis media. (Overall, 3.71 per cent of the children had the disorder.) The disorder was slightly more prevalent among girls than boys in both rural (6.05 vs 5.98 per cent) and urban (2.33 vs 1.82 per cent) communities. There was a significant association between the presence of chronic suppurative otitis media in children and: parents' or guardians' occupation and their annual income, housing type, family size, maternal education, and bathing habit.

Conclusion:

Improvement of associated sociodemographic factors would reduce the prevalence and resultant complications of chronic suppurative otitis media in primary school children in developing countries.

Keywords

Otitis Media, SuppurativePrevalenceRural PopulationUrban PopulationChildSocioeconomic FactorsBangladesh

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 6 , June 2014 , pp. 499 - 503
Copyright
Copyright © JLO (1984) Limited 2014 

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References

1Berman, S. Otitis media in developing countries. Paediatrics 1995;96:126–31Google ScholarPubMed
2Shenoi, PM. Management of chronic suppurative otitis media. In: Booth, JB, ed. Scott-Brown's Otolaryngology, 5th edn, London: Butterworths and Co, 1987;215–23Google Scholar
3WHO. Prevention of Hearing Impairment from Chronic Otitis Media. Report of a WHO/CIBA Foundation Workshop, CIBA Foundation Workshop, London: 19–21 November 1996. WHO, 1998Google Scholar
4Gray, RF. Acute and chronic suppurative otitis media in children. In: Kerr, AG, ed. Scott-Brown's Otolaryngology, 6th edn, vol 6. London: Butterworths and Co, 1997;6/8/7Google Scholar
5Kacker, SK. Primary and secondary prevention of hearing impairment in rural areas. ICMR Bulletin 1993;23:15–20Google Scholar
6Datta, PG, Neuton, VE, Amin, MN, Chowdhury, RKD. Chronic suppurative otitis media – a major cause of hearing impairment in developing countries. J Bangladesh Coll Phys Surg 1995;13:24–7Google Scholar
7Okafor, BC. The chronic discharging ear in Nigeria. J Laryngol Otol 1984;98:113–19CrossRefGoogle ScholarPubMed
8Biswas, AC, Joarder, AH, Siddiquee, BH. Prevalence of CSOM among rural school going children. Mymensingh Med J 2005;14:152–5Google Scholar
9Maharjan, M, Bhandari, S, Singh, I, Mishra, SC. Prevalence of otitis media in school going children in Eastern Nepal. Kathmandu Univ Med J (KUMJ) 2006;4:479–82Google Scholar
10Rahim, MM, Joarder, MAH, Taous, A, Hossain, D, Ahmed, MU, Sayeed, AHMN. Prevalence of CSOM in selected rural and urban community of Bangladesh. Bangladesh J Otorhinolaryngol 2006;12:1–6Google Scholar
11Ologe, FE, Nwawolo, CC. Chronic suppurative otitis media in school pupils in Nigeria. East Afr Med J 2003;80:130–4Google ScholarPubMed
12Minja, BM, Machemba, A. Prevalence of otitis media in children: epidemiology, pathogenesis, clinical manifestations and complications. Int J Pediatr Otorhinolaryngol 1996;37:29–34Google Scholar
13Chadha, SK, Agarwal, AK, Gulati, A, Garg, A. A comparative evaluation of ear diseases in children of higher versus lower socioeconomic status. J Laryngol Otol 2006;120:16–19Google Scholar
14Neeraj, K, Sanjeev, J, Pareek, SM. Determinants of SNHL in chronic middle ear disease. Indian J Otolaryngol Head Neck Surg 2004;56:269–73Google Scholar
15Berg, AL, Papri, H, Ferdous, S, Khan, NZ, Durkin, MS. Screening methods for childhood hearing impairment in rural Bangladesh. Int J Pediatr Otorhinolaryngol 2006;70:107–14Google Scholar
16Matkin, ND. Re-evaluating our approach to evaluation: demographics are changing – are we? In: Bess, FH, ed. Hearing Impairment in Children. Parkton, MD: York Press, 1988;101–11Google Scholar
17Chowdhury, MSN, Salauddin, AKM. A note on a survey of chronic suppurative otitis media amongst school children at Narayanganj. Journal of Preventive and Social Medicine 1982;1:63–6Google Scholar
18Audhikari, P, Sinha, BK, Pokharel, NR, Kharel, B, Aryal, R. Chronic suppurative otitis media in school children of Kathmandu valley. Int Arch Otorhinolaryngol 2007;11:1–5Google Scholar
19Kamal, N, Joarder, AH, Chowdhury, AA, Khan, AW. Prevalence of chronic suppurative otitis media (CSOM) among the children living in two selected slums of Dhaka City. Bangladesh Med Res Counc Bull 2004;30:95–104Google Scholar
20Verma, AK, Vohra, A, Maitra, A, Banerjee, M, Singh, R, Mittal, SK et al. Epidemiology of CSOM and deafness in a rural area and developing an intervention strategy. Indian J Pediatr 1995;62:725–9CrossRefGoogle Scholar
21Rupa, V, Jacob, A, Joseph, A. CSOM: prevalence and practices among rural South Indian children. Int J Pediatr Otorhinolaryngol 1999;48:217–21Google Scholar
22Gray, RF, Hawthorne, M. Synopsis of Otolaryngology, 5th edn. London: Butterworth-Heinemann, 1992;112–19Google Scholar