AlEnazi Abdulaziz S, Al Sharhan Salma S, Telmesani Laila M, Aljazan Nasser A, Al Qahtani Bander M, Lotfy Mohamed A
Department of Otorhinolaryngology - Head and Neck Surgery, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia.
Department of Otorhinolaryngology - Head and Neck Surgery, Faculty of Medicine, Imam Abdulrahman Bin Faisal University, KFUH, Al-Khobar, Saudi Arabia.
J Family Community Med. 2019 Jan-Apr;26(1):23-29. doi: 10.4103/jfcm.JFCM_187_17.
Diabetes and ear disease are some of the most widespread health concerns. The focus here is on the impact of using the term "Diabetic Ear" for patients with skull base osteomyelitis (SBM) in the context of malignant otitis externa (MOE). The aim of this study was to discover the awareness of general practitioners (GPs), residents, specialists, and consultants at Primary Health Care Centers about necrotizing otitis externa (NOE), also known previously as malignant external otitis (MOE), assess their deficiencies and provide solutions; also assist them for the early detection and possible prevention of diabetes- related ear diseases and their complications.
A cross-sectional study was conducted among a random sample of physicians (residents, specialists, and consultants) working at the Primary Health Care Centers in Al-Khobar and Dammam cities of the Eastern Province, Saudi Arabia. Data was collected using a standardized questionnaire. SPSS was used for data entry and analysis.
The total number of medical practitioners was 84. Their mean age was 33.97 (±9.55). The proportion of females was higher than males, only 28.3% of the participants responded correctly when asked about MOE. Similarly, very few were aware of the risks of MOE (2.5%), complications associated with it (17.3%) and the necessary procedures for managing patients (24.2%). The awareness of doctors in the primary health clinics about MOE was significantly better than those in hospitals ( = 0.002).
There was a significant deficiency in the knowledge of GPs on MOE. Therefore, health education and awareness programs on MOE are recommended. Furthermore, we recommend that it is necessary to encourage the use of the term "Diabetic EAR "to increase the level of awareness of physicians about MOE.
糖尿病和耳部疾病是一些最为普遍的健康问题。本文重点关注在恶性外耳道炎（MOE）背景下，将“糖尿病性耳病”这一术语用于颅底骨髓炎（SBM）患者所产生的影响。本研究的目的是了解初级卫生保健中心的全科医生（GP）、住院医师、专科医生和顾问对坏死性外耳道炎（NOE，以前也称为恶性外耳道炎（MOE））的认知情况，评估他们的不足之处并提供解决方案；同时帮助他们早期发现并可能预防与糖尿病相关的耳部疾病及其并发症。
在沙特阿拉伯东部省胡巴尔市和达曼市初级卫生保健中心工作的医生（住院医师、专科医生和顾问）随机样本中进行了一项横断面研究。使用标准化问卷收集数据。采用SPSS进行数据录入和分析。
执业医生总数为84人。他们的平均年龄为33.97（±9.55）。女性比例高于男性，当被问及MOE时，只有28.3%的参与者回答正确。同样，很少有人了解MOE的风险（2.5%）、与之相关的并发症（17.3%）以及管理患者的必要程序（24.2%）。初级卫生诊所医生对MOE的认知明显优于医院医生（P = 0.002）。
全科医生对MOE的知识存在显著不足。因此，建议开展关于MOE的健康教育和提高认知的项目。此外，我们建议有必要鼓励使用“糖尿病性耳病”这一术语，以提高医生对MOE的认知水平。
