Department of Otorhinolaryngology, Helsinki University Central Hospital, Helsinki University, Medical Faculty, Helsinki, Finland.
Acta Paediatr. 2011 Aug;100(8):e84-8. doi: 10.1111/j.1651-2227.2011.02192.x. Epub 2011 Apr 8.
Evaluation of clinical characteristics, bacteriology and hearing in paediatric patients with and without chronic suppurative otitis media (CSOM) in Luanda, Angola.
Interview, clinical examination, ear-discharge culture, open air pure-tone audiometry and brainstem auditory-evoked potentials of 23 outpatients with CSOM and 23 controls in a paediatric hospital.
Of the CSOM vs. control children, 35% vs. 26% had running water, 70% vs. 70% electricity, 64% vs. 0% HIV (p<0.0001) and 36% vs. 0% tuberculosis in history (p=0.002). Ten (43%) children had bilateral CSOM. The major ear-discharge pathogens were Proteus spp. (44%) and Pseudomonas (22%). Hearing impairment of >25 dB was present in 52% of CSOM-affected ears and bilateral hearing loss in 7 (30%) CSOM children vs. zero control child (p=0.009). Only one hearing-impaired child's family had previously detected the handicap.
CSOM occurred in children with high co-morbidity. Persistent otorrhoea was usually caused by Proteus spp. or Pseudomonas, and often suggestive of either HIV or hearing impairment. In the developing countries, prompt diagnosis and treatment of CSOM would enhance the children's linguistic and academic development.
评估安哥拉罗安达儿科慢性化脓性中耳炎（CSOM）患者与非 CSOM 患者的临床特征、细菌学和听力情况。
对儿科医院的 23 例 CSOM 门诊患者和 23 例对照儿童进行访谈、临床检查、耳分泌物培养、气导纯音听阈测试和脑干听觉诱发电位检查。
CSOM 组与对照组儿童中，分别有 35%和 26%有流水史，70%和 70%有触电史，64%和 0%有 HIV（p<0.0001），36%和 0%有结核病（p=0.002）。10 例（43%）儿童患有双侧 CSOM。主要的耳分泌物病原体是变形杆菌（44%）和假单胞菌（22%）。CSOM 受累耳听力障碍>25dB 的比例为 52%，7 例（30%）CSOM 儿童双侧听力损失，而对照儿童无一例（p=0.009）。只有 1 个听力受损儿童的家庭之前发现了听力障碍。
CSOM 患儿合并症较高。持续性耳漏通常由变形杆菌或假单胞菌引起，常提示 HIV 或听力障碍。在发展中国家，及时诊断和治疗 CSOM 可促进儿童的语言和学业发展。
Zotero 插件