DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20181850

Ear infections in primary school children of south western Nigeria

Josephine A. E. Eziyi, Olumayowa A. Oninla, Temitope O. Salawu

Abstract


Background: Prevalence of ear infections in primary school children in Nigeria is scarcely documented and available studies are mostly hospital based. The aim of this Community based study is to define the point prevalence of ear infections among school children.

Methods: Using a multi- staged stratified sampling technique, 630 pupils aged 6-12years, attending Government owed primary schools in two local government areas in the South Western Nigeria were recruited for the application of a structured questionnaire, single examination and classification using their socioeconomic index.  

Results: Three hundred and seven (48.7%) were females and three hundred and twenty three (51.3%) were males. Chronic otitis media had the highest prevalence of 7.9%, followed by acute otitis media and otitis externa (3.2%) while otomycosis (1.6%) had the lowest. Majority of the infections were unilateral and more prevalent in the males. It was observed that all the ear infections were more prevalent in pupils from the low socioeconomic class although not statistically significant.

Conclusions: These results shows that ear infections is still common in our primary schools and that socioeconomic status and sex of the pupils did not significantly affect the occurrence of these ear infections. There is a need to incorporate health education programme in schools to prevent ear infections and the attendant disabilities.


Keywords


Ear, Infection, School pupils, Nigerian

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References


Akinpelu OV, Amusa YB. Otological diseases in Nigerian children. Internet J Otorhinolaryngol. 2007;7(1):1-6.

Lasisi AO, Sulaiman OA, Afolabi OA. Socio-economic status and hearing loss in chronic suppurative otitis media in Nigeria. Ann Trop Paediatr. 2007;27(4):291-6.

Rupa V, Jacob A, Joseph A. Chronic suppurative otitis media: Prevalence and practices among rural south Indian children. Int J Pediatr Otorhinolaryngol. 1999;48:217- 21.

Ologe FE, Nwawolo CC. Chronic suppurative otitis media in school pupils in Nigeria. East African Med J. 2003;80(3):130-4.

Maharjan M, Bhandari S, Singh I, Mishra SC. Prevalence of otitis media in school going children in eastern Nepal. Kathmandu University Med J. 2006;16:479-82.

Biswas AC, Joarder AH, Siddiquee BH. Prevalence of chronic suppurative otitis media among rural school children. Mymensingh Med J. 2005;14(2):152-5.

Morris PS, Leach AJ, Silberberg P, Mellon G, Wilson C, Hamilton E, Beissbarth J. Otitis media in young Aboriginal children from remote communities in northern and central Australia; a cross sectional survey. BMC Pediatrics. 2005;5:27.

Olatoke F, Ologe FE, Nwawolo CC, Saka MJ. The prevalence of hearing loss among schoolchildren with chronic suppurative otitis media in Nigeria and its effect on academic performance. Ear Nose Throat J. 2008;87(12): E19.

Amusa YB, Ijaduola IK, Onayade OO. Epidemiology of otitis media in a local tropical African population. West African J Med. 2005;24 (3):227-30.

Kim CS, Jung HW, Yoo KY. Prevalence and risk factors of chronic otitis media in Korea; result of a nation-wide survey. Acta Oto-laryngologica. 1993;113(3):369-75.

Shaheen MM, Raquib A, Ahmad SM. Chronic suppurative otitis media and its association with socio-econonic factors among rural primary school children of Bangladesh. Indian J Otolaryngol Head Neck Surg. 2012;64(1):36-41.

Shaheen MM, Raquib A, Ahmad SM. Prevalence and associated socio- demographic factors of chronic suppurative otitis media among rural primary school children of Bangladesh. Int J Pediatr Otorhinolaryngol. 2012;76(8):1201- 4.

Adhikari P, Khare DB, Ma J, Baral DR, Pandey T, Rijal R. et al. Pattern of otological diseases in school going children of Kathmandu valley. Arquivos Internacionais de Otorrinolaringologia. 2008;12(4):502-5.

Minja BM, Machemba A. Prevalence of otitis media hearing impairment and cerumen impaction among school children in rural and urban Dar es Salaam, Tanzania. Int J Pediatr Otorhinolaryngol. 1996;37(1):29-34.

Olubanjo OO. Epidemiology of Acute suppurative otitis media in Nigerian children. The Int J Pediatr Neonatol. 2008;8:1.

Ako-nai AK, Oluga AD, Adejuiyigbe EA, Amusa YB. The characterization of bacterial isolates from acute otitis media in Ile-Ife, south western Nigeria. Journal of Tropical Pediatrics. 2002;48:15-22.

Zakzouk SM, Jamal TS, Daghistani KJ. Epidemiology of acute otitis media among Saudi children. Int J Pediatr Otorhinolaryngol. 2002;62:219-22.

Homoe P, Christensen RB, Bretlau P. Acute otitis media and age at onset among children in Greenland. Acta Otolaryngol. 1999;119(1):65-71.

Alabi BS, Abdulkarim AA, Fatai O, Abdulmajeed SO. Prevalence of acute otitis media among children with pyrexia in a Nigerian hospital. Auris, Nasus, Larynx. 2009;36(5):532-5.

Koksal V, Reisli I. Acute otitis media in children. J Ankara Med School. 2002;56(1):19–24.

Pukander J, Luotonen J, Sipila M, Timonen M. Incidence of acute otitis media. Acta Oto-Laryngologica.1982;93(5-6):447-53.

Pukander J, Karma P, Sipila M. Incidence of occurrence and recurrence of acute otitis media among children. Acta Oto-Laryngologica.1982;94(5-6):479 -86.

Rowlands S, Devalia H, Smith C, Hubbard R, Dean A. Otitis externa in UK general practice research data base. British J General Practice. 2001;51(468):533-8.

Cervoni E. Complete prevalence of otitis externa in UK:A survey in West Lancashire, UK. Int J Otorhinolaryngol. 2006;4:2.

Rosenfeld RM, Brown L, Cannon CR, Dolor R J, Ganiats TG, Hannley M, et al. Clinical practice guideline:acute otitis externa. Otolaryngol Head Neck Surg. 2006;134(4 suppl),S4-23.

Holten KB, Gick J. Management of the patient with otitis externa. J Family Pract. 2001;50 (4):353-60.

Al-Asaaf SM, Farhan MJ. Otitis externa in a localized area at the south of Jordan. Saudi Med J. 2000;21(10):928-30.