WATER PRECAUTIONS AND TYMPANOSTOMY TUBES

水注意事项和鼓膜造口管

• 批准号: 6276764
• 负责人: NIRA A GOLDSTEIN
• 金额: $ 1.51万
• 依托单位: CHILDREN'S HOSP PITTSBURGH/UPMC HLTH SYS
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-12-01 至 1998-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6276764
• 关键词: antibiotics; child (0-11); clinical research; disease /disorder prevention /control; diving /swimming; ear infection; ear surgery; exudate /transudate; human subject; human therapy evaluation; microorganism culture; otitis media

Children with tympanostomy tubes have traditionally been advised to protect their ears when swimming and bathing. Although acute otorrhea through a patent tube is a common occurrence, there is no published evidence that water exposure is causative. We will prospectively randomize 182 children, ages 6 months to 6 years, who have had bilateral tympanostomy tubes placed within one month of entry to one of 2 groups: 1) swimming and bathing without earplugh or 2) swimming and bathing with earplugs. We will stratify the groups by age (<4 years, >4 years) and by diagnosis (recurrent acute otitis media, otitis media with effusion). Parents will be given a calendar to record all swimming acitvity. The children will be seen monthly for one year, and whenever there is an intercurrent ear, nose, or throat problem. If otorrhea develops, a culture will be performed and the child will be treated with an oral antibiotic and ototopical drops. The primary comparison will be the incidence of otorrhea in each experimental group and the second comparison will be the average number of episodes per child in the two group. Examination of the culture results will help determine the pathogenic mechanisms responsible for the otorrhea.

传统上建议安装鼓膜造孔管的儿童 游泳和洗澡时要保护耳朵。 虽然急性耳病 通过专利管是一种常见的情况下，没有公布 水暴露是病因的证据。 我们将前瞻性地 随机抽取182名6个月至6岁的儿童， 2组之一在入组后1个月内放置鼓膜造口管： 1)游泳和洗澡时不戴耳塞或2）游泳和洗澡时戴耳塞 耳塞 我们将按年龄（<4岁，>4岁）和 诊断（复发性急性中耳炎、渗出性中耳炎）。 家长将得到一个日历，记录所有的游泳活动。 的 孩子们将每月看到一年，每当有一个 并发的耳、鼻或喉问题。 如果耳鼻喉发展， 将进行文化和儿童将与口腔治疗 抗生素和耳局部滴剂。 主要比较将是 各实验组耳畸形发生率及第二次比较 将是两组中每个孩子的平均发作次数。 检查培养结果有助于确定致病性 负责耳鼻喉的机制。