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Title: Acute otitis media during the first two years of life in a rural community in Bangladesh: a prospective cohort study
Authors: Roy, Eliza
Hasan, Kh. Zahid
Haque, Fazlul
Siddique, A.K.M.
Sack, Richard Bradley
Keywords: Acute Disease
Age Factors
Child, Preschool
Cohort Studies
Otitis Media-epidemiology
Prospective Studies
Rural Health
Sentinel Surveillance
Issue Date: Dec-2007
Citation: J Health Popul Nutr 2007 Dec;25(4):414-21
Abstract: The study investigated the burden of acute otitis media (AOM) during the first two years of life in a cohort of 252 newborns in rural Bangladesh using data collected on occurrences of AOM. Trained community health workers (CHWs) conducted household surveillance and picked up cases of AOM using the study algorithm. The incidence rate was 0.9 episodes per child-year observed. Forty-six percent (n=115) of the 252 subjects developed AOM: 36% (n=91) during the first year of life and 10% (n=24) during the second year of life (p<0.001). The age-specific incidence rates of AOM varied; peaks occurred in the 6-12-month age-group and the lowest in the first three months of life. In total, 20% (n=49) of the study subjects had single, 26% (n=66) recurrent, and 54% (n=137) no episode of AOM. Perforation with discharge developed in 85% (n=322) of 375 episodes. The duration of discharge from the ears was < or =6 weeks in 95% of the episodes, but in 5% of the episodes, discharge from the ears continued for >6 weeks. The incidence of AOM was higher in the monsoon season compared to the summer season (p<0.003). The study documented AOM as an important cause of morbidity among rural children up to two years of age in Bangladesh and should be addressed with strategies to overcome the burden of disease
URI: http://hdl.handle.net/123456789/2986
Appears in Collections:Child health research papers

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