Epidemiology and pathogenesis of chronic suppurative otitis media: implications for prevention and treatment
Epidemiology and pathogenesis of chronic suppurative otitis media: implications for prevention and treatment
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DOI：
10.1016/s0165-5876(97)00147-x
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发表时间：
1998-01-01
影响因子：
1.5
通讯作者：
Bluestone, CD
中科院分区：
文献类型：
--
作者：
Bluestone, CD
尽管公共卫生和医疗保健取得了进步，慢性化脓性中耳炎在世界各地仍然普遍存在。它在发展中国家和发达国家的某些高危人群以及插入鼓膜造口管的儿童中最为常见。由于这种慢性感染是由持续性急性耳漏引起的，而急性耳漏通常继发于急性中耳炎，因此预防应针对急性中耳感染的及时和适当的治疗。慢性穿孔的修复应该可以防止复发，因为再感染是由于病原微生物从鼻咽回流到中耳，或者是外耳道的水污染造成的。流行病学研究的信息表明，人群可分为最高、高、低和最低患病率，有助于确定国家预防和治疗的优先事项。 (C) 1998 爱思唯尔科学爱尔兰有限公司
Despite advances in public health and medical care, chronic suppurative otitis media is still prevalent around the world. It is most common in developing countries and in certain high risk populations in developed nations, as well as among children who have tympanostomy tubes inserted. Since this chronic infection is caused by persistent acute otorrhea, which in turn is usually secondary to acute otitis media, prevention should be directed toward prompt and appropriate treatment of the acute middle-ear infection. Repair of chronic perforations should prevent recurrence, since reinfection is due either to reflux of pathogenic organisms from the nasopharynx into the middle ear, or water contamination from the external canal. Information from epidemiological studies, which show that populations can be categorized into highest, high, low and lowest prevalence, can be helpful in setting national priorities for prevention and treatment. (C) 1998 Elsevier Science Ireland Ltd.