scholarly journals The Formation of Biofilm and Bacteriology in Otitis Media with Effusion in Children: A Prospective Cross-Sectional Study

2021 ◽  
Vol 18 (7) ◽  
pp. 3555
Author(s):  
Artur Niedzielski ◽  
Lechosław Paweł Chmielik ◽  
Tomasz Stankiewicz
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Otitis Media ◽  
Pathogenic Bacteria ◽  
Bacterial Culture ◽  
Otitis Media With Effusion ◽  
Cross Sectional ◽  
Opportunistic Bacteria ◽  
Positive Bacterial Culture ◽  
Staphylococcus Spp

Background: Otitis media with effusion (OME) can cause serious complications such as hearing impairment or development delays. The aim of the study was to assess the microbiological profile of organisms responsible for OME and to determine if a biofilm formation can be observed. Methods: Ninety-nine samples from 76 patients aged from 6 months to 12 years were collected for microbiological and molecular studies. Results: In microbiological studies, pathogenic bacteria Haemophilus influenzae (38.89%), Streptococcus pneumoniae (33.33%), and Staphylococcus aureus MSSA (27.78%), as well as opportunistic bacteria Staphylococcus spp. (74.14%), Diphtheroids (20.69%), Streptococcus viridans (3.45%), and Neisseria spp. (1.72%) were found. The average degree of hearing loss in the group of children with positive bacterial culture was 35.9 dB, while in the group with negative bacterial culture it was 25.9 dB (p = 0.0008). The type of cultured bacteria had a significant impact on the degree of hearing impairment in children (p = 0.0192). In total, 37.5% of Staphylococcus spp. strains were able to form biofilm. Conclusions: Staphylococcus spp. in OME may form biofilms, which can explain the chronic character of the disease. Pathogenic and opportunistic bacteria may be involved in the etiopathogenesis of OME. The degree of hearing loss was significantly higher in patients from which the positive bacterial cultures were obtained.

Microorganisms in Chronic Otitis Media with Effusion

1976 ◽  
Vol 85 (2_suppl) ◽  
pp. 245-249 ◽  
Author(s):  
Yea Sang Liu ◽  
David J. Lim ◽  
Raymond Lang ◽  
Herbert G. Birck
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Bacterial Culture ◽  
Otitis Media With Effusion ◽  
Chronic Otitis Media ◽  
Present Series ◽  
Positive Bacterial Culture ◽  
High Incidence

A total of 175 effusions obtained from 172 patients suffering from chronic otitis media with effusions was examined for bacterial smear and culture. Eighty percent showed positive bacterial smear, but only 49% yielded positive bacterial culture. The mucoid effusions had positive cultures in only 37%, whereas the bacterial culture rate was higher in serous (59%) and leukocytic (64%) types. The isolation of common pathogens accounted for about 50% of the isolates, and nonpathogens accounted for the remaining 50%. The high incidence of microorganisms in the middle ear effusions in the present series raises the possibility of bacterial contribution in many cases of OME.

scholarly journals Cost-effectiveness of audiometric screening of first-year preparatory pupils in Dhofar region, Oman

2004 ◽  
Vol 10 (3) ◽  
pp. 303-308
Author(s):  
T. Aasham ◽  
R. Khand ekar ◽  
M. Khabori ◽  
S. A. Helmi
Keyword(s):  
Hearing Loss ◽  
Cost Effectiveness ◽  
Hearing Impairment ◽  
Otitis Media ◽  
School Children ◽  
Otitis Media With Effusion ◽  
Cost Effective ◽  
First Year ◽  
Preparatory School ◽  
Suppurative Otitis Media

Audiometric screening was conducted in Dhofar region to study the magnitude of ear problems and cost-effectiveness of screening first-year preparatory-school children in Oman. None of the 1894 pupils had otitis media with effusion or sensory neuronal hearing loss. Six children [0.32%] had impacted wax, 4 [0.21%] chronic suppurative otitis media and 2 [0.11%] dry perforation of eardrum. In all, 14 children [0.74%] with suspected hearing impairment were referred to a specialist but only 2 attended. Physicians and nurses spent 8-10 minutes for ear examination per child for a yield of less than 1%. The screening expenditure was US$ 5 per pupil. As the prevalence of serious ear conditions was low, we conclude that exp and ing the audiometric screening of schoolchildren to first-year preparatory pupils is not cost-effective

scholarly journals Study on Hearing Impairment in Bangladesh

2021 ◽  
Vol 20 (1) ◽  
pp. 72-76
Author(s):  
Mohammad Mahabubul Alam Chowdhury ◽  
Kamrul Hassan Tarafder ◽  
Pran Gopal Datta ◽  
Mostafa Zaman ◽  
Nasima Akhtar ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Otitis Media ◽  
Conductive Hearing Loss ◽  
Otitis Media With Effusion ◽  
Public Awareness ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Ear Wax ◽  
Conductive Hearing

Background : Hearing impairment is one of the leading causes of disability in Bangladesh. Since half the cases can be prevented through public awareness, early detection and timely management, planning of public health interventions become necessary. To achieve this, a nationwide level of evidence is required. This survey was conducted with the aim of determining the prevalence of hearing impairment in Bangladesh. Materials and methods : The study was a cross-sectional one, conducted between January to May 2013, where a multistage, geographically clustered sampling approach was used. A total of 52 primary sampling units were selected, and from each unit households were selected at random followed by random selection of an individual from each household. In total, 5,220 people were targeted out of which data collection could be completed from 4260 individuals. (82%). Following clinical assessment of study subjects, hearing status was assessed by pure tone audiometry and otoacoustic emission test. Results : The mean age was 32 years among which 58% were females. Among men, there were 29% students, 28% agriculture workers and 14% business men. A major portion of females (63%) were home makers. On clinical examination, 11.5% respondents had impacted ear wax, 6.2% had chronic middle ear infections with eardrum perforation, and 5.3% had otitis media with effusion.On hearing assessment, 34.6% respondents had some form of hearing loss (>25dB in better ear). Conductive hearing loss was found in 12.0%, sensorineural in 4.5% and mixed in 3.8%, where the latter two increased in prevalence with age. Out of the total respondents, 9.6% had disabling hearing loss according to WHO criteria, with a higher prevalence in adults > 60 years(37%). Logistic regression analysis showed age, socioeconomic status, presence of ear wax, chronic suppurative otitis media, otitis media with effusion and otitis externa were significant predictors of disabling hearing loss. Conclusion : The major causes of conductive hearing loss are chronic suppurative otitis media and otitis media with effusion. Chatt Maa Shi Hosp Med Coll J; Vol.20 (1); January 2021; Page 72-76

scholarly journals Correlation of Enlarged Adenoids with conductive hearing impairment in children under twelve

2016 ◽  
Vol 21 (2) ◽  
pp. 62-68
Author(s):  
SM Sarwar ◽  
Masroor Rahman ◽  
Mohammad Idrish Ali ◽  
Md Morshed Alam ◽  
Md Anwar Hossain ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Otitis Media ◽  
Middle Ear ◽  
Otitis Media With Effusion ◽  
Neck Surgery ◽  
Middle Ear Pressure ◽  
Medical University ◽  
Conductive Hearing ◽  
Head Neck Surgery

Objective: To find out the relation of conductive hearing loss in children with enlarged adenoids.Methods: Study was conducted in out patients department and Indoor wards of the Department of Otolaryngology on Head Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka during the periods of October 2005 to March 2006. 60 patients with enlarged amides were included in this study. The assessment of the patients were established on the basic of history clinical, 2 and audiological examination was done. Data were collected and analyzed using statistical package for Social Science.Results: In this study 60 patients (from 3 years to 12 years age) diagnosed as having ‘enlarged adenoids’ in the Otolaryngology and Head-Neck Surgery out patient and in patient Departments of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka from May 2005 to March 2006 are included in this series. Most of the patients presented with multiple symptoms, the commonest was the hearing impairment (58.33%). Other common symptoms were mouth breathing (50.00%), Nasal obstruction (50.00%), snoring (46.67%). Majority of them were male (62.85%) and 53.33% were in the 5-10 years age group. Middle class family occupy the lion share (58.33%). 60.00% patients live in a overcrowded condition. 50.00% patients were found with gross enlargement of adenoids. Hearing impairment was found in 58.33% ears of-patients of adenoids. Reduced middle ear pressure and compliance were found in 64.00% ears. Among the patients of enlarged adenoids otitis media with effusion was found in 58.33% (35) of patients. Among the patients of OME majority was male (62.85%). There was 77.14% (27) bilateral and 22.85% (8) unilateral cases. On otoscopy of OME patients, all patients had retraction of tympanic membrane, cone of lights were distorted in 50.00%, fluidlevels in 68.57% and bubbles were in 28.57% of ears. 71.43% OME patients had hearing loss in the range of 26-40 dB. Middle ear pressure and compliance were found reduced in 88.57% (62) ears of OME patients. There were 58.33% incidence of OME among enlarged adenoids cases. All the patients of OME with enlarged adenoids had a hearing loss between 26-55dB. Out of the 22 OME cases with gross adenoids, 16 had a middle ear pressure between -201 to-300 mm of H20 and 19 had a middle ear pressure between -101 to -200 mm of H20. On myringotomy fluid came out from all 62 (100%) ears. From majority (38) ears serous type of fluid came out.Conclusion: This is an endeavor to find out a correlation of enlarged adenoids with conductive hearing impairment in children. Otitis media with effusion is suspected in all children suffering from enlarged adenoids. All together 60 patients with enlarged adenoids were included in the study. Result of this study may not be the actual picture of overall situation due to many limitations is this study. Still it can be concluded that enlarged adenoids has a definite role in causing OME and conductive hearing impairment. So early diagnosis and treatment of enlarged adenoids can be encouraged to decrease the actual incidence, morbidity and complications of otitis media with effusion and thus conductive hearing impairment in childhood.Bangladesh J Otorhinolaryngol; October 2015; 21(2): 62-68

scholarly journals Audiometric Evaluation of Hearing Loss– A Study of 100 Cases

2016 ◽  
Vol 12 (2) ◽  
pp. 30-34
Author(s):  
AKM Asaduzzaman ◽  
Sarder Mohammad Golam Rabbani ◽  
Md Tauhidul Islam ◽  
Mohammod Delwar Hossain ◽  
Shafiul Alam ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Mixed Type ◽  
Otitis Media With Effusion ◽  
Pure Tone Audiometry ◽  
Armed Forces ◽  
Neck Surgery ◽  
Military Hospital ◽  
Cross Sectional ◽  
Suppurative Otitis Media

Introduction: Audiometry is the measurement of hearing acuity. If it is done by using pure tones then it is called pure tone audiometry. It is the most commonly used method for hearing measurement. Objective: To find out the type and degree of hearing loss. Materials and Methods: The cross sectional prospective study was carried out in the Audiology unit of the Department of Otolaryngology-Head and Neck Surgery, Combined Military Hospital (CMH), Dhaka, in a period of 06 months from o1.03.2016 to 31.08.2016 among those complaining hearing loss attending in this hospital. 100 cases of hearing impaired people were taken and the data were collected by interviewing the cases as per questionnaire from history, examinations and investigation reports. Results: This study revealed that people of 21-30 years were most common sufferer of hearing loss and female was predominant (61%). The most common type of hearing loss was conductive type. In the right ear type of deafness were 46 cases (51.11%) of conductive type of deafness, 20 cases (23%) of mixed type of deafness and 17 cases (18.88%) of sensorineural type of deafness. In the left ear it was 53 cases (61.62%) of conductive type of deafness, 20 cases (23.25%) of mixed type of deafness and 13 cases (15.13%) of sensorineural type of deafness. This study showed that other ranks (ORs) families (45%) were commonest group of people. This study also revealed that Chronic suppurative otitis media (CSOM) (39%) was the commonest cause of hearing loss. Conclusion: This study denoted that commonest type of hearing loss was conductive type, commonest degree of hearing loss was mild degree and commonest causes of hearing losses were CSOM and otitis media with effusion (OME). Since, these conditions are preventable. So, appropriate measures can prevent hearing impairment in this study group. Journal of Armed Forces Medical College Bangladesh Vol.12(2) 2016: 30-34

scholarly journals Disabling hearing impairment in the Bangladeshi population

2015 ◽  
Vol 129 (2) ◽  
pp. 126-135 ◽  
Author(s):  
K H Tarafder ◽  
N Akhtar ◽  
M M Zaman ◽  
M A Rasel ◽  
M R Bhuiyan ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Otitis Media ◽  
Otoacoustic Emissions ◽  
Otitis Media With Effusion ◽  
Multiple Logistic Regression Analysis ◽  
Pure Tone Audiometry ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Ear Wax

AbstractObjective:This study aimed to determine the prevalence of hearing impairment in Bangladeshi people of all ages.Methods:A nationally representative cross-sectional survey was carried out in 2013. A total of 4260 subjects (1774 males and 2486 females), with a mean age of 32 years, participated. Hearing impairment was determined by pure tone audiometry and otoacoustic emissions testing.Results:Disabling hearing loss (greater than 40 dB loss in adults, and greater than 30 dB loss in children younger than 15 years, in their better hearing ears) was present in 9.6 per cent (95 per cent confidence interval, 8.5–10.8 per cent) of the respondents. Hearing loss was more prevalent in socio-economically deprived people and in those older than 60 years. Multiple logistic regression analysis identified age, socio-economic deprivation, family history, impacted ear wax, chronic suppurative otitis media, otitis media with effusion, and otitis externa as the significant predictors of disabling hearing loss.Conclusion:Deafness prevention should focus mainly on chronic suppurative otitis media, otitis media with effusion, and impacted ear wax prevention, integrated within the primary healthcare system and addressing the equity issue.

scholarly journals CORRELATION OF ENLARGED ADENOIDS WITH CONDUCTIVE HEARING IMPAIRMENT IN CHILDREN UNDER TWELVE AT ENT DEPARTMENT OF SKMCH, MUZAFFARPUR, BIHAR

2021 ◽  
pp. 1-3
Author(s):  
Mukul Kumar Sinha ◽  
P. K. Lal ◽  
Debarshi Jana
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Otitis Media ◽  
Middle Ear ◽  
Otitis Media With Effusion ◽  
Medical College ◽  
Middle Ear Pressure ◽  
Middle Class Family ◽  
Fluid Levels ◽  
Conductive Hearing

Objective: To find out the relation of conductive hearing loss in children with enlarged adenoids. Methods: Study was conducted in outpatients department and Indoor wards of the Department of ENT, Sri Krishna Medical College & Hospital, Muzaffarpur, Bihar from May 2020 to September 2020. 60 patients with enlarged amides were included in this study. The assessment of the patients were established on the basic of history clinical, and audiological examination was done. Data were collected and analyzed using statistical package of Microsoft Excel. Results: In this study 60 patients (from 3 years to 12 years age) diagnosed as having ‘enlarged adenoids’ in the ENT Department of SKMCH, Muzaffarpur outpatient and in patients Departments of SKMCH are included in this series. Most of the patients presented with multiple symptoms, the commonest was the hearing impairment (58.33%). Other common symptoms were mouth breathing (50.00%), Nasal obstruction (50.00%), snoring (46.67%). Majority of them were male (62.85%) and 53.33% were in the 5-10 years age group. Middle class family occupy the lion share (58.33%). 60.00% patients live in a overcrowded condition. 50.00% patients were found with gross enlargement of adenoids. Hearing impairment was found in 58.33% ears of-patients of adenoids. Reduced middle ear pressure and compliance were found in 64.00% ears. Among the patients of enlarged adenoids otitis media with effusion was found in 58.33% (35) of patients. Among the patients of OME majority was male (62.85%). There was 77.14% (27) bilateral and 22.85% (8) unilateral cases. On otoscopy of OME patients, all patients had retraction of tympanic membrane, cone of lights were distorted in 50.00%, fluid levels in 68.57% and bubbles were in 28.57% of ears. 71.43% OME patients had hearing loss in the range of 26-40 dB. Middle ear pressure and compliance were found reduced in 88.57% (62) ears of OME patients. There were 58.33% incidence of OME among enlarged adenoids cases. All the patients of OME with enlarged adenoids had a hearing loss between 26-55dB. Out of the 22 OME cases with gross adenoids, 16 had a middle ear pressure between -201 to-300 mm of H20 and 19 had a middle ear pressure between -101 to -200 mm of H20. On myringotomy fluid came out from all 62 (100%) ears. From majority (38) ears serous type of fluid came out. Conclusion: This is an endeavor to find out a correlation of enlarged adenoids with conductive hearing impairment in children. Otitis media with effusion is suspected in all children suffering from enlarged adenoids. All together 60 patients with enlarged adenoids were included in the study. Result of this study may not be the actual picture of overall situation due to many limitations is this study. Still it can be concluded that enlarged adenoids has a definite role in causing OME and conductive hearing impairment. So early diagnosis and treatment of enlarged adenoids can be encouraged to decrease the actual incidence, morbidity and complications of otitis media with effusion and thus conductive hearing impairment in childhood.

scholarly journals The factors associated with hearing impairment in school children

2016 ◽  
Vol 4 (1) ◽  
pp. 200 ◽  
Author(s):  
Prasan Norman ◽  
Mahendran Chandran ◽  
Pandiyan Kr ◽  
Kokila Selvaraj
Keyword(s):  
Hearing Impairment ◽  
Otitis Media ◽  
School Children ◽  
Otitis Media With Effusion ◽  
Cross Sectional Study ◽  
School Level ◽  
Cross Sectional ◽  
Suppurative Otitis Media ◽  
Foreign Body Impaction ◽  
Early Health

Background: The morbidity of ENT infections have increased considerably in recent decades, so that they are now amongst the most common chronic disorders of childhood. Awareness of hearing deficit is poor in India. The major proportion of childhood hearing impairment in developing countries is secondary to preventable causes. At the same time, even mild degrees of hearing impairment can affect proper learning in noisy class rooms where speech is produced at a distance. This in turn can have significant impact on the scholastic performance and overall development.Methods: A cross sectional study was conducted to identify the factors leading to hearing impairment in school children aged 8years to 14 years in the schools in Vadamavanthal area during the months of January 2013 to July 2013. The students were interviewed through pre - tested questionnaire and aural examination was done by a qualified otolaryngologist.Results: Out of 700 school, 216(30.9%) school children were suffering from hearing impairment. 139 (19.9%) students were found to be suffering from impacted wax, 67 (9.6%) were suffering from otitis media with effusion, 17 (2.4%) students were suffering from chronic suppurative otitis media and 5 (0.7%) students were suffering from foreign body impaction in ear.Conclusions: Simple measures like regular screening for ear diseases and hearing assessment done at the school level can help identify hearing impairment which can be modified with early health education for students and teachers.

scholarly journals MIDDLE EAR DISORDERS AMONG CLEFT LIP AND PALATE IN CHILDREN: A CONJOINT EXPOSITION

2021 ◽  
Vol 71 (Suppl-3) ◽  
pp. S457-61
Author(s):  
Saba Islam ◽  
Nazia Mumtaz ◽  
Ghulam Saqulain
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Middle Ear ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Otitis Media With Effusion ◽  
Acute Otitis Media ◽  
Rehabilitation Medicine ◽  
Sample Population ◽  
Cross Sectional

Objective: To analyze the frequency of middle ear disorders among the cleft lip and palate and association with hearing Loss. Study Design: Cross Sectional analytical study. Place and Duration of Study: Audiology Department of Cleft Hospital, Gujrat and ENT department of National Institute of Rehabilitation Medicine, Islamabad, from Oct 2018 to Mar 2019. Methodology: We recruited a sample of 100 cleft lip and palate children of both genders, aged 3 month to 12 years, using nonprobability sampling. Screening was performed with otoscopy, tympanometry and hearing assessment. Results: Out of sample population, 62% were males and 38% females with a mean age of 2.27 ± 2.73 years. The middle ear disorders were found to be 70%. Among these otitis media with effusion was the most common 43 (61.43%), followed by Acute otitis media 8 (11.43%) and Eustachian tube dysfunction 6 (8.57%). Tympanosclerosis and dry tympanic membrane perforation were the least common. Statistically significant association of hearing loss was found with the middle ear disorders (p<0.001). Conclusion: Middle ear disorders especially otitis media with effusion are common in cleft lip/ palate children.

scholarly journals Ear diseases pattern and hearing impairment in the Eastern Nepal- A study in a combined eye and ear set up

2015 ◽  
Vol 6 (5) ◽  
pp. 51-55
Author(s):  
Sanjeev Kumar Thakur ◽  
Sanjay Kumar Singh ◽  
Bindeshwar Mahato ◽  
Anand Singh
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Otitis Media ◽  
Otitis Externa ◽  
Otitis Media With Effusion ◽  
Medical Sciences ◽  
Suppurative Otitis Media ◽  
Ear Diseases ◽  
Tuning Forks ◽  
Set Up

Background: This is a prevalence study of ear diseases and hearing impairment done in acombined eye and ear set up of Biratnagar Eye Hospital. This study was conducted in theSunsari and Morang districts of Nepal. Its aim is to fi nd out the ear disease and hearingimpairment prevalent in the community.Materials and Methods: A total of 2259 people who visited eyecamps were screened for ear diseases. Patients were examined by the eye and ear assistantsunder supervision of otolaryngologist. A head mirror, an otoscope, an aural syringe, kidneytrays and light source and a set of tuning forks (512 and 256 Hz) were used to assessthe ear diseases and hearing loss.Results: A total of 1094 patients presented with eardiseases. Males were more than females [608(55.42%) vs. 486(44.57%)]. Children up toand below 15 years were 386 (35.28%). The frequency of ear diseases were as follows:Impacted wax- 319 (29.15%), chronic suppurative otitis media mucosal type - 307(28.06%),otomycosis - 66 (6.03%), furunculosis/otitis externa - 46 (4.29%), Acute suppurative otitismedia - 46 (4.2%), tubal catarrhal - 34(3.1%), otitis media with effusion - 24 (2.19%),perichondritis - 21(1.91%), Unsafe otitis media - 14(1.27%), Foreign body in theear - 4 (0.36%) cases, Postraumatic perforation of tympanic membrane - 2 (0.18%), deafand mute - 12 (1.09%). presbyacusis and other sensorineural hearing loss- 199(18.19%).The point prevalence of otitis media was 17.3% (391) people. Hearing impairment was64.99 %(635 out of 977 patients above 5 years).Conclusion: Ear diseases and hearingimpairment are very common in Sunsari and Morang districts of Nepal demanding immediatetreatment.DOI: http://dx.doi.org/10.3126/ajms.v6i5.11621 Asian Journal of Medical Sciences Vol.6(5) 2015 51-55    

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