Danić D, Jelić A
Medicinski centar, Slavonski Brod.
Lijec Vjesn. 1990 Sep-Oct;112(9-10):297-301.
The authors studied the incidence of acute and relapsing inflammations of the middle ear, together with factors relating to inflammation in 393 children aged up to 36 months. The results revealed that of 393 children followed up for 12 months, 175 (44.52%) had acute otitis media and 40 (22.85%) had relapses. No relationship was found between age and acute inflammation, but the rate of relapses was significantly higher during the first year of life. There was no significant influence of the sex of the child, socioeconomic status and place of living on the appearance of the inflammations. The attendance of infant nurseries and day-care centres had significant influence on higher rate of acute inflammations but not on relapses. There was no influence of acute otitis media of the members of the family on incidence of the same disease in their children, but there was evidence of influence on relapses. The highest incidence of inflammation occurred in autumn and winter months, November, December and January (61.67%) versus only 1.76% in summer months (July, August). Only 2 children had scars of the eardrums presenting as an early consequence of the disease, while none had any complications of the middle ear inflammation.
作者对393名36个月以下儿童中耳急性和复发性炎症的发病率以及与炎症相关的因素进行了研究。结果显示,在随访12个月的393名儿童中,175名(44.52%)患有急性中耳炎,40名(22.85%)出现复发。未发现年龄与急性炎症之间存在关联,但在生命的第一年复发率明显更高。儿童的性别、社会经济地位和居住地点对炎症的出现没有显著影响。婴儿托儿所和日托中心的入托情况对急性炎症的较高发生率有显著影响,但对复发没有影响。家庭成员的急性中耳炎对其子女患同一种疾病的发病率没有影响,但有证据表明对复发有影响。炎症的最高发病率出现在秋冬月份,即11月、12月和1月(61.67%),而夏季月份(7月、8月)仅为1.76%。只有2名儿童有鼓膜瘢痕,这是该病的早期后果,而没有儿童出现中耳炎症的任何并发症。