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Otitis media related hearing loss in Indonesian school children.
Int J Pediatr Otorhinolaryngol. 2019 Oct; 125:44-50.IJ

Abstract

OBJECTIVE

There are scant recent studies from low middle-income countries that investigate the impact of otitis media (OM) on hearing loss (HL) in school children.

METHODS

This was a prospective epidemiological survey conducted by otorhinolaryngologists and audiologists in a sample of 7005 public school children (6-15 years) from 6 urban and rural sub-districts, in Indonesia. Children with otoscopic abnormalities or who failed a hearing-screening test conducted at school, underwent diagnostic audiometry and tympanometry.

RESULTS

OM was detected in 172 children (2.5%), acute otitis media - AOM (17%), otitis media with effusion - OME (15%), and chronic suppurative otitis media - CSOM (67%). The overall rate of HL in the school children was 181/10,000, which was almost three-fold higher in rural (273/10,000) than urban areas 92.6/10,000. OME accounted for much of the mild HL, while CSOM accounted for most of the moderate HL. There was a significantly higher rate of OM related HL in rural areas (116.2/10,000), than in urban areas (47.4/10,000), p = 0.002. OM related disabling HL was found at a rate of 44.2/10,000, mostly due to CSOM (37.1/10,000).

CONCLUSION

Otitis media contributed to 57% of all HL in school children, and posed a significant burden on Indonesian school children. Most of the disabling HL was due to CSOM. Efforts to find these children and offer ear and hearing care are important.

Authors+Show Affiliations

Medicine Padjadjaran University/Hasan Sadikin General Hospital, Bandung, Indonesia.University of Colorado School of Medicine, Aurora, CO, USA.Medicine Padjadjaran University/Hasan Sadikin General Hospital, Bandung, Indonesia.Medicine Udayana University/Sanglah Hospital, Denpasar, Indonesia.Medicine Padjadjaran University/Hasan Sadikin General Hospital, Bandung, Indonesia.(d)Sriwijaya University/ M. Husien Hospital, Palembang, Indonesia.(d)Sriwijaya University/ M. Husien Hospital, Palembang, Indonesia.Kanujoso Djatiwibowo Hospital, Balikpapan, Indonesia.Diponegoro University/Kariadi Hospital, Semarang, Indonesia.Diponegoro University/Kariadi Hospital, Semarang, Indonesia.Hasanuddin University/Wahidin Sudirohusodo Hospital, Makasar, Indonesia.Hasanuddin University/Wahidin Sudirohusodo Hospital, Makasar, Indonesia.Medicine Padjadjaran University/Hasan Sadikin General Hospital, Bandung, Indonesia.Medicine Padjadjaran University/Hasan Sadikin General Hospital, Bandung, Indonesia.Medicine Padjadjaran University/Hasan Sadikin General Hospital, Bandung, Indonesia.University of Colorado School of Medicine, Aurora, CO, USA; Colorado School of Public Health, Aurora, CO, USA. Electronic address: eric.simoes@ucdenver.edu.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31252198

Citation

Anggraeni, Ratna, et al. "Otitis Media Related Hearing Loss in Indonesian School Children." International Journal of Pediatric Otorhinolaryngology, vol. 125, 2019, pp. 44-50.
Anggraeni R, Carosone-Link P, Djelantik B, et al. Otitis media related hearing loss in Indonesian school children. Int J Pediatr Otorhinolaryngol. 2019;125:44-50.
Anggraeni, R., Carosone-Link, P., Djelantik, B., Setiawan, E. P., Hartanto, W. W., Ghanie, A., Utama, D. S., Lukman, E., Winarto, S., Dewi, A. M. K., Rahardjo, S. P., Djamin, R., Mulyani, T., Mutyara, K., Kartasasmita, C. B., & Simões, E. A. F. (2019). Otitis media related hearing loss in Indonesian school children. International Journal of Pediatric Otorhinolaryngology, 125, 44-50. https://doi.org/10.1016/j.ijporl.2019.06.019
Anggraeni R, et al. Otitis Media Related Hearing Loss in Indonesian School Children. Int J Pediatr Otorhinolaryngol. 2019;125:44-50. PubMed PMID: 31252198.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Otitis media related hearing loss in Indonesian school children. AU - Anggraeni,Ratna, AU - Carosone-Link,Phyllis, AU - Djelantik,Bulantrisna, AU - Setiawan,Eka P, AU - Hartanto,Widya W, AU - Ghanie,Abla, AU - Utama,Denny S, AU - Lukman,Erica, AU - Winarto,Suprihati, AU - Dewi,Anna M K, AU - Rahardjo,Sutji Pratiwi, AU - Djamin,Riskiana, AU - Mulyani,Tri, AU - Mutyara,Kuswandewi, AU - Kartasasmita,Cissy B, AU - Simões,Eric A F, Y1 - 2019/06/19/ PY - 2019/03/18/received PY - 2019/05/13/revised PY - 2019/06/16/accepted PY - 2019/6/30/pubmed PY - 2019/12/27/medline PY - 2019/6/29/entrez KW - Acute otitis media KW - Chronic suppurative otitis media KW - Hearing impairment KW - Otitis media with effusion SP - 44 EP - 50 JF - International journal of pediatric otorhinolaryngology JO - Int J Pediatr Otorhinolaryngol VL - 125 N2 - OBJECTIVE: There are scant recent studies from low middle-income countries that investigate the impact of otitis media (OM) on hearing loss (HL) in school children. METHODS: This was a prospective epidemiological survey conducted by otorhinolaryngologists and audiologists in a sample of 7005 public school children (6-15 years) from 6 urban and rural sub-districts, in Indonesia. Children with otoscopic abnormalities or who failed a hearing-screening test conducted at school, underwent diagnostic audiometry and tympanometry. RESULTS: OM was detected in 172 children (2.5%), acute otitis media - AOM (17%), otitis media with effusion - OME (15%), and chronic suppurative otitis media - CSOM (67%). The overall rate of HL in the school children was 181/10,000, which was almost three-fold higher in rural (273/10,000) than urban areas 92.6/10,000. OME accounted for much of the mild HL, while CSOM accounted for most of the moderate HL. There was a significantly higher rate of OM related HL in rural areas (116.2/10,000), than in urban areas (47.4/10,000), p = 0.002. OM related disabling HL was found at a rate of 44.2/10,000, mostly due to CSOM (37.1/10,000). CONCLUSION: Otitis media contributed to 57% of all HL in school children, and posed a significant burden on Indonesian school children. Most of the disabling HL was due to CSOM. Efforts to find these children and offer ear and hearing care are important. SN - 1872-8464 UR - https://www.unboundmedicine.com/medline/citation/31252198/Otitis_media_related_hearing_loss_in_Indonesian_school_children_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-5876(19)30293-9 DB - PRIME DP - Unbound Medicine ER -