Asoegwu C N, Nwawolo C C, Somefun A O
Department of Otorhinolaryngology, Lagos University Teaching Hospital, Idi Araba, Lagos.
Nig Q J Hosp Med. 2013 Jan-Mar;23(1):7-11.
The peak age prevalence of otitis media with effusion (OME) is in early childhood. Day care attendance has been established by various studies as a risk factor for the development of OME.
This study is aimed at evaluating the prevalence of OME among children aged 6 - 24 months, and the impact of day care center (DCCs) attendance on the OME occurrence.
A prospective cohort study conducted in children recruited from DCCs and immunization clinics in Surulere, Lagos state, Nigeria. They were matched mainly on their place of care, at home or at day care center and presence or absence of OME using pneumatic otoscopy and tympanometry.
A total of 152 children were studied. Based on their place of care, they were divided into day care attendees 64 (42.1%), and non day care attendees 88 (57.9%). The prevalence of OME was 37.7% overall, 43.7% in the day care attendees and 33.4% in the non day care attendees. Factors found to positively influence the prevalence of OME in this study include: young age 6-12 months, female gender and day care attendance.
OME is common in Nigerian children at young age. Day care facility attendance significantly increased OME prevalence.
分泌性中耳炎（OME）的发病年龄高峰在幼儿期。多项研究已证实入托是发生OME的一个风险因素。
本研究旨在评估6至24个月儿童中OME的患病率，以及日托中心（DCCs）入托情况对OME发生的影响。
在尼日利亚拉各斯州苏鲁雷的日托中心和免疫诊所招募儿童进行一项前瞻性队列研究。主要根据他们的照料场所（在家或在日托中心）以及使用鼓气耳镜和鼓室图检查有无OME进行匹配。
共研究了152名儿童。根据他们的照料场所，分为日托参与者64名（42.1%）和非日托参与者88名（57.9%）。OME的总体患病率为37.7%，日托参与者中为43.7%，非日托参与者中为33.4%。本研究中发现对OME患病率有正向影响的因素包括：6至12个月的低龄、女性性别和日托入托情况。
OME在尼日利亚幼儿中很常见。日托机构入托显著增加了OME患病率。
