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Chronic suppurative otitis media in Tanzanian school children and its effects on hearing

Minja, B M; Moshi, N H; Ingvarsson, Leif LU ; Bastos, Inga LU and Grenner, Jan LU (2006) In East African Medical Journal 83(6). p.5-322
Abstract
OBJECTIVES: To compare different treatment regimens of chronic suppurative otitis media (CSOM) in school children, in regard to their consequence in hearing and discharge from the ear drum perforation. DESIGN: Randomised controlled trial. SETTING: Randomly selected primary schools within Dar es Salaam. SUBJECTS: Three hundred and twenty eight children between 5-17 years of age with CSOM in one or both ears. RESULTS: Three to four months after the onset of treatment 31% of group 1, 54% of group 2, and 56% of group 3, had dry ears. Treatment with dry mopping and boric acid in alcohol ear drops was significantly better than dry mopping alone. Adding amoxicillin to the treatment did not improve the end results. Hearing test performed before... (More)
OBJECTIVES: To compare different treatment regimens of chronic suppurative otitis media (CSOM) in school children, in regard to their consequence in hearing and discharge from the ear drum perforation. DESIGN: Randomised controlled trial. SETTING: Randomly selected primary schools within Dar es Salaam. SUBJECTS: Three hundred and twenty eight children between 5-17 years of age with CSOM in one or both ears. RESULTS: Three to four months after the onset of treatment 31% of group 1, 54% of group 2, and 56% of group 3, had dry ears. Treatment with dry mopping and boric acid in alcohol ear drops was significantly better than dry mopping alone. Adding amoxicillin to the treatment did not improve the end results. Hearing test performed before and after treatment showed that the hearing thresholds were the same or better after the treatment. The possible risk that boric acid in alcohol ear drops should lead to sensorineural hearing loss has not been confirmed. CONCLUSION: Based on the above results, the treatment of choice for CSOM in children in Dar es Salaam should be dry mopping and boric acid in spirit ear drops. (Less)
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organization
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type
Contribution to journal
publication status
published
subject
keywords
Adolescent, Amoxicillin, Anti-Bacterial Agents, Audiometry, Boric Acids, Child, Preschool, Chronic Disease, Female, Hearing Loss, Humans, Male, Otitis Media, Suppurative, Risk Assessment, Risk Factors, Schools, Tanzania
in
East African Medical Journal
volume
83
issue
6
pages
5 - 322
publisher
Medical Association of East Africa
external identifiers
  • pmid:16989377
  • scopus:33748508845
ISSN
0012-835X
language
English
LU publication?
yes
id
06186856-ec17-49c5-917d-1b9757e586e3 (old id 1136098)
date added to LUP
2008-06-12 14:27:02
date last changed
2019-09-26 02:42:48
@article{06186856-ec17-49c5-917d-1b9757e586e3,
  abstract     = {OBJECTIVES: To compare different treatment regimens of chronic suppurative otitis media (CSOM) in school children, in regard to their consequence in hearing and discharge from the ear drum perforation. DESIGN: Randomised controlled trial. SETTING: Randomly selected primary schools within Dar es Salaam. SUBJECTS: Three hundred and twenty eight children between 5-17 years of age with CSOM in one or both ears. RESULTS: Three to four months after the onset of treatment 31% of group 1, 54% of group 2, and 56% of group 3, had dry ears. Treatment with dry mopping and boric acid in alcohol ear drops was significantly better than dry mopping alone. Adding amoxicillin to the treatment did not improve the end results. Hearing test performed before and after treatment showed that the hearing thresholds were the same or better after the treatment. The possible risk that boric acid in alcohol ear drops should lead to sensorineural hearing loss has not been confirmed. CONCLUSION: Based on the above results, the treatment of choice for CSOM in children in Dar es Salaam should be dry mopping and boric acid in spirit ear drops.},
  author       = {Minja, B M and Moshi, N H and Ingvarsson, Leif and Bastos, Inga and Grenner, Jan},
  issn         = {0012-835X},
  keyword      = {Adolescent,Amoxicillin,Anti-Bacterial Agents,Audiometry,Boric Acids,Child,Preschool,Chronic Disease,Female,Hearing Loss,Humans,Male,Otitis Media,Suppurative,Risk Assessment,Risk Factors,Schools,Tanzania},
  language     = {eng},
  number       = {6},
  pages        = {5--322},
  publisher    = {Medical Association of East Africa},
  series       = {East African Medical Journal},
  title        = {Chronic suppurative otitis media in Tanzanian school children and its effects on hearing},
  volume       = {83},
  year         = {2006},
}