Saad Khaled, Abdelmoghny Abobakr, Abdel-Raheem Yasser F, Gad Eman Fathalla, Elhoufey Amira
Department of Pediatrics, Faculty of Medicine, Assiut University, Assiut, Egypt.
Department of ENT, Faculty of Medicine, Al-Azhar University, Assiut, Egypt.
World J Otorhinolaryngol Head Neck Surg. 2020 Sep 19;7(4):280-284. doi: 10.1016/j.wjorl.2020.08.002. eCollection 2021 Oct.
We conducted this study to determine the associations of possible risk factors and prevalence of recurrent otitis media with effusion (OME) in a cohort of children in Upper Egypt.
This was a cross-sectional study undertaken in two tertiary referral centers in Upper Egypt. Associations of possible risk factors with prevalence of recurrent OME were studied. Multi-factor logistic regression analysis was done to recognize the statistically significant risk factors associated with recurrent OME.
We collected the data of 2003 pediatric patients, of which 1016 were males (50.7%). A total number of 310 children have OME, including 159 males (51.3%). The prevalence rate of OME in our cohort was 15.5%. Multi-factor logistic regression analysis of the risk factors related to recurrent OME showed it was strongly associated with adenoid hypertrophy ( < 0.0001), tonsil hypertrophy ( < 0.0001), sinusitis ( < 0.0001), posterior nostril polyps ( = 0.009), allergic rhinitis ( < 0.0001), recurrent URTIs ( = 0.029) and gastroesophageal reflux ( = 0.031).
Our study showed that recurrent OME in children in Upper Egypt is a common multifactorial problem, especially in young age. In our locality, allergic rhinitis, recurrent upper respiratory tract infections, gastroesophageal reflux, adenoid and tonsil hypertrophy were the most important associated factors related to the etiopathogenesis of OME.
我们开展这项研究以确定埃及上埃及地区一组儿童中耳积液（OME）复发的可能危险因素及患病率。
这是一项在上埃及两个三级转诊中心进行的横断面研究。研究了可能的危险因素与复发性OME患病率之间的关联。进行多因素逻辑回归分析以识别与复发性OME相关的具有统计学意义的危险因素。
我们收集了2003名儿科患者的数据，其中1016名是男性（50.7%）。共有310名儿童患有OME，其中159名男性（51.3%）。我们队列中OME的患病率为15.5%。对与复发性OME相关的危险因素进行多因素逻辑回归分析显示，它与腺样体肥大（<0.0001）、扁桃体肥大（<0.0001）、鼻窦炎（<0.0001）、后鼻孔息肉（=0.009）、过敏性鼻炎（<0.0001）、复发性上呼吸道感染（=0.029）和胃食管反流（=0.031）密切相关。
我们的研究表明，埃及上埃及地区儿童复发性OME是一个常见的多因素问题，尤其是在幼儿中。在我们当地，过敏性鼻炎、复发性上呼吸道感染、胃食管反流、腺样体和扁桃体肥大是与OME发病机制相关的最重要的相关因素。
