scholarly journals Prevalensi Otitis Media Akut di RS Islam Siti Rahmah Padang Tahun 2017

2019 ◽  
Vol 1 (1) ◽  
pp. 59-63
Author(s):  
Delpi Yuniarti ◽  
Seres Triola ◽  
Betty Fitriyasti

Acute Otitis Media (OMA) is an acute inflammation of the middle ear that lasts less than three weeks. OMA is a common infectious disease at an early age and is a common reason for treatment. This infectious disease can be caused by many factors. This study aims to determine the prevalence of acute otitis media at Siti Rahmah Islamic Hospital in Padang. Method This type of research is descriptive retrospective using secondary data in the form of medical records. The study was conducted from July 2018 - January 2019 in the ENT section of the Siti Rahmah Islamic Hospital in Padang. The research subjects were 63 patients with Acute Otitis Media. This study reports the frequency distribution of research characteristics such as age, sex, stage, and infected ears. The result of this study report the prevalence of 63 patients with Acute Otitis Media. Based on age, the majority suffered at the age of five as many as 12 cases (19%). Based on gender, the majority of women suffered 35 cases (55.6%). Based on the stage, the most cases were at the stage of hyperemia 31 cases (49.2%). Based on the infected ear, the most cases were unilateral in 61 cases (96.8%). In this study the prevalence of acute otitis media in patients aged 0-5 years, female, hyperemic stage and unilateral infected ears were found.

2021 ◽  
Vol 64 (9) ◽  
pp. 624-630
Author(s):  
Junghun Kown ◽  
Juyong Chung

Background: Acute otitis media (AOM) is diagnosed in patients with acute onset of signs and symptoms of inflammation in the middle ear, accompanied by middle ear effusion. AOM is a common infectious disease in children, and its diagnosis and treatment can have significant impacts on the health of children.Current Concepts: The evidence-based clinical practice guidelines in Korea and other countries provide recommendations to primary care clinicians regarding the management of children with AOM. The treatment strategy for AOM depends on the patient’s age, severity of symptoms, the presence of otorrhea, and the laterality.Discussion and Conclusion: For children aged from 6-months to 2-years with unilateral non-severe AOM and children aged 2 years or older with unilateral or bilateral non-severe AOM, the published guidelines provide the option of observation rather than immediate treatment with antibiotics. High-dose amoxicillin (80 to 90 mg a day) is the firstline antibiotic for treating AOM in patients without penicillin allergies. Children in whom symptoms persist after 48 to 72 hours of antibiotic treatment should be re-examined and amoxicillin/clavulanate should be used as second-line antibiotics. Careful follow-up is required to identify the complications and sequelae of AOM, and to determine the optimum treatment.


2011 ◽  
Vol 41 (1) ◽  
pp. 23
Author(s):  
Harim Priyono ◽  
Ratna Dwi Restuti ◽  
Andre Iswara ◽  
Setyo Handryastuti

Background: Acute otitis media (AOM) is an acute inflammation in the middle ear caused by various factors such as blockage of Eustachian tube, infection and allergy. Purpose: The case report is to forewarn general practitioners and ENT specialists concerning AOM potentially causes intratemporal and intracranial complications. Case: We report an eleven-years-old girl with acute otitis media with intratemporal complications (labirynthitis and sensorineural hearingloss) and intracranial complication (meningitis). Case management: The recent management of acute otitis media with complications includes  empiric antibiotics, analgesic, anti-inflammatory drugs and miringotomy with ventilation tube insertion. Conclusion: The accuracy of diagnosing AOM with complication depends on the clinical symptomps such as vertigo, fever, seizure, meningism and unconsciousness. The pneumatic otoscopy examination is the gold standard in diagnosing AOM. Our patient was given antibiotics for 14 days, anti- inflamation and myringotomy with ventilation tube insertion procedure. Keywords: acute otitis media, intracranial complications, intratemporal complications    Abstrak :  Latar belakang: Otitis media akut (OMA) merupakan peradangan akut yang berlangsung di telinga tengah akibat berbagai faktor predisposisi seperti sumbatan tuba Eustachius, infeksi dan alergi.Tujuan: Kasus ini diajukan untuk mengingatkan dokter umum maupun spesialis THT mengenali gejala komplikasi OMA pada anak yang mempunyai potensi menimbulkan komplikasi intratemporal dan intrakranial. Kasus: Dilaporkan satu kasus OMA dengan komplikasi intratemporal (labirintitis dan tuli saraf) dan intrakranial (meningitis) pada anak perempuan usia 11 tahun.Penatalaksanaan: Penatalaksanaan otitis media akut dengan komplikasi intrakranial dan intratemporal mencakup pemberian antibiotik empiris, analgetik, anti-inflamasi dan tindakan miringotomi dengan pemasangan pipa ventilasi. Kesimpulan: Ketepatan dalam mendiagnosis OMA dengan komplikasi tergantung pada gejala klinis yang bisa dikenali seperti pusing berputar, demam, kejang, kaku kuduk dan penurunan kesadaran. Pemeriksaan otoskopi pneumatik merupakan gold standard dalam membantu diagnosis. Terapi untuk kasus ini terdiri atas antibiotik selama 14 hari, anti-inflamasi dan tindakan berupa miringotomi dengan pemasangan pipa ventilasi.Kata kunci: otitis media akut, komplikasi intrakranial, komplikasi temporal


1994 ◽  
Vol 110 (1) ◽  
pp. 115-121 ◽  
Author(s):  
P ANTONELLI ◽  
S JUHN ◽  
C LE ◽  
G GIEBINK

Author(s):  
Cecilia Rosso ◽  
Antonio Mario Bulfamante ◽  
Carlotta Pipolo ◽  
Emanuela Fuccillo ◽  
Alberto Maccari ◽  
...  

Abstract Purpose Cleft palate children have a higher incidence of otitis media with effusion, more frequent recurrent acute otitis media episodes, and worse conductive hearing losses than non-cleft children. Nevertheless, data on adenoidectomy for middle ear disease in this patient group are scarce, since many feared worsening of velopharyngeal insufficiency after the procedure. This review aims at collecting the available evidence on this subject, to frame possible further areas of research and interventions. Methods A PRISMA-compliant systematic review was performed. Multiple databases were searched with criteria designed to include all studies focusing on the role of adenoidectomy in treating middle ear disease in cleft palate children. After duplicate removal, abstract and full-text selection, and quality assessment, we reviewed eligible articles for clinical indications and outcomes. Results Among 321 unique citations, 3 studies published between 1964 and 1972 (2 case series and a retrospective cohort study) were deemed eligible, with 136 treated patients. The outcomes were positive in all three articles in terms of conductive hearing loss improvement, recurrent otitis media episodes reduction, and effusive otitis media resolution. Conclusion Despite promising results, research on adenoidectomy in treating middle ear disease in the cleft population has stopped in the mid-Seventies. No data are, therefore, available on the role of modern conservative adenoidectomy techniques (endoscopic and/or partial) in this context. Prospective studies are required to define the role of adenoidectomy in cleft children, most interestingly in specific subgroups such as patients requiring re-tympanostomy, given their known risk of otologic sequelae.


1982 ◽  
Vol 93 (sup386) ◽  
pp. 100-102 ◽  
Author(s):  
J. Luotonen ◽  
A. M. M. Jokipii ◽  
P. Sipilä ◽  
J. Väyrynen ◽  
L. Jokipii ◽  
...  

1984 ◽  
Vol 77 (9) ◽  
pp. 754-757 ◽  
Author(s):  
Robert Mills ◽  
Ann Uttley ◽  
Michelle McIntyre

A total of 204 chronic middle ear effusions from 122 children have been studied. Bacteria were isolated from 30 effusions. The commonest species found were Strep. pneumoniae and H. influenzae. These are also the commonest organisms causing acute otitis media (AOM). A similar pattern of serotypes was also demonstrated. In vitro sensitivity testing showed that most of the organisms isolated were sensitive to most commonly-used antibiotics. The main exception was resistance to penicillin amongst strains of H. influenzae and Staph. aureus. It is suggested that some cases of chronic secretory otitis media (SOM) may arise as a result of incomplete resolution of AOM and that the use of penicillin to treat AOM may be one factor in this process.


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