Prevalence of paediatric chronic suppurative otitis media and hearing impairment in rural Malawi: A cross-sectional survey.
Prevalence of paediatric chronic suppurative otitis media and hearing impairment in rural Malawi: A cross-sectional survey.
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DOI：
10.1371/journal.pone.0188950
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发表时间：
2017
期刊：
影响因子：
3.7
通讯作者：
Mortimer K
中科院分区：
文献类型：
--
作者：
Hunt L;Mulwafu W;Knott V;Ndamala CB;Naunje AW;Dewhurst S;Hall A;Mortimer K
旨在估计马拉维农村地区入学年龄儿童的人口代表性样本中世界卫生组织定义的慢性化脓性中耳炎 (CSOM) 和轻度听力障碍的患病率。第二个目标是探索该人群中与 CSOM 相关的因素。我们采用村级集群设计，对马拉维南部 Chikhwawa 区 4-6 岁儿童进行了一项基于社区的横断面研究。参与者接受了结构化的临床评估，包括视频耳镜检查和听力筛查。两名耳鼻喉科医生远程进行诊断，他们独立审查现场收集的临床数据和图像。听力障碍被归类为无法听到 1、2 或 4kHz 25dB 或更高的纯音。我们在 10 个集群中招募了 281 名儿童。 CSOM、单侧听力障碍和双侧听力障碍的患病率估计分别为 5.4% (95%CI 2.2–8.6)、24.5% (95%CI 16.3–30.0) 和 12.5% (95%CI 6.2–16.9)。 46.9%的听力障碍儿童患有中耳疾病。如果与超过 2 个其他孩子一起睡在一个房子里，则观察到 CSOM 风险增加的趋势。我们发现，在马拉维农村地区的入学年龄儿童样本中，中耳疾病和可预防的听力障碍的负担很高。这些发现对公共卫生具有重要意义，因为 CSOM 和听力障碍会影响教育成果，并可能影响后续发展。中耳疾病和听力障碍的识别和治疗是该人群未满足的主要需求。
To estimate the prevalence of World Health Organization-defined chronic suppurative otitis media (CSOM) and mild hearing impairment in a population representative sample of school-entry age children in rural Malawi. A secondary objective was to explore factors associated with CSOM in this population. We performed a community-based cross-sectional study of children aged 4–6 years in Chikhwawa District, Southern Malawi, utilising a village-level cluster design. Participants underwent a structured clinical assessment, including video-otoscopy and screening audiometry. Diagnoses were made remotely by two otolaryngologists who independently reviewed clinical data and images collected in the field. Hearing impairment was classified as failure to hear a pure tone of 25dB or greater at 1, 2 or 4kHz. We recruited 281 children across 10 clusters. The prevalence estimates of CSOM, unilateral hearing impairment and bilateral hearing impairment were 5.4% (95%CI 2.2–8.6), 24.5% (95%CI 16.3–30.0), and 12.5% (95%CI 6.2–16.9) respectively. Middle ear disease was seen in 46.9% of children with hearing impairment. A trend towards increased risk of CSOM was observed with sleeping in a house with >2 other children. We found a high burden of middle ear disease and preventable hearing impairment in our sample of school-entry age children in rural Malawi. There are important public health implications of these findings as CSOM and hearing impairment can affect educational outcomes, and may impact subsequent development. The identification and management of middle ear disease and hearing impairment represent major unmet needs in this population.
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影响因子：
0.6
作者：
Mulwafu, Wakisa;Nyirenda, Thomas Elliot;Chitule, Jean
通讯作者：
Chitule, Jean
DOI：
10.1016/j.ijporl.2013.04.011
发表时间：
2013-07-01
影响因子：
1.5
作者：
Aduda, Dickens S. O.;Macharia, Isaac M.;Mackenzie, Ian
通讯作者：
Mackenzie, Ian
影响因子：
4.7
作者：
Biagio, Leigh;Swanepoel, De Wet;Vinck, Bart
通讯作者：
Vinck, Bart
影响因子：
3.7
作者：
Mahomed-Asmail, Faheema;Swanepoel, De Wet;Hall, James, III
通讯作者：
Hall, James, III
影响因子：
7.7
作者：
da Costa, JL;Navarro, A;Martin, M
通讯作者：
Martin, M