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重度急性营养不良儿童的中耳炎:一项范围综述

Otitis Media in Children with Severe Acute Malnutrition: A Scoping Review.

作者信息

Eslick Casey Jane, Govender Samantha, Ntuli Senamile, Rikhotso Beleza, Mabada Lufuno Zwivhuya, Matjena Selaelo

机构信息

Department of Speech-Language Pathology and Audiology, School of Health Care Sciences, Sefako Makgatho Health Sciences University, Molotlegi St., Ga-Rankuwa Zone 1, Pretoria 0208, South Africa.

出版信息

Children (Basel). 2025 Mar 21;12(4):397. doi: 10.3390/children12040397.

Abstract

: Severe acute malnutrition (SAM) increases susceptibility to infections, including otitis media (OM). Research establishes the association between malnutrition and OM. : This scoping review specifically explored the prevalence, risk factors, co-morbidities, and management strategies for OM in children under 5 years with SAM with the goal of identifying future research directions to address gaps in the literature. : A scoping review methodology was adopted to identify the English literature published since 2014. The Arskey and O'Malley framework and Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines were followed. EBSCOhost, PubMed, Medline, Scopus, Science Direct, and Google Scholar were searched using keywords to refine the search. : Seven papers met the inclusion criteria, showing limited studies were available on the topic. Four deductive themes, including prevalence, risk factors, co-morbidities and management strategies, were explored. None of the studies suggested the role of an audiologist in SAM management. : Children with SAM face an increased risk of OM due to multiple factors. Associated hearing loss underscores the importance of community-based interventions. Interprofessional collaboration, community education, and integrating audiologists can enhance early OM detection and management for children with SAM. Prospective research and education on audiologists' roles in SAM management can promote health outcomes in this vulnerable population.

摘要

重度急性营养不良(SAM)会增加包括中耳炎(OM)在内的感染易感性。研究证实了营养不良与中耳炎之间的关联。:本综述特别探讨了5岁以下患重度急性营养不良儿童中耳炎的患病率、风险因素、合并症及管理策略,目的是确定未来的研究方向,以填补文献中的空白。:采用综述方法来确定自2014年以来发表的英文文献。遵循了阿斯基和奥马利框架以及系统评价和元分析扩展的首选报告项目(PRISMA-ScR)指南。使用关键词在EBSCOhost、PubMed、Medline、Scopus、ScienceDirect和谷歌学术上进行搜索,以优化搜索。:七篇论文符合纳入标准,表明关于该主题的研究有限。探讨了四个演绎主题,包括患病率、风险因素、合并症和管理策略。没有研究表明听力学家在重度急性营养不良管理中的作用。:由于多种因素,患重度急性营养不良的儿童患中耳炎的风险增加。相关的听力损失凸显了基于社区的干预措施的重要性。跨专业协作、社区教育以及纳入听力学家可以加强对患重度急性营养不良儿童中耳炎的早期检测和管理。关于听力学家在重度急性营养不良管理中作用的前瞻性研究和教育可以改善这一弱势群体的健康状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2454/12025682/e7233e2d88b4/children-12-00397-g001.jpg

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