小児中耳炎の発症と反復化および遷延化に関する疫学的検討:当科小児中耳炎外来通院患児と耳鼻咽喉科検診児の比較から

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To determine risk factors for otitis media, retrospective study was performed by interview and otorhinolaryngeal screening examinations. Three groups of age-matched (mean±SD: 4.5±2.0years) Japanese children were examined; 130 children who have visited our clinic for treatment of recurrent (>3 episodes) acute otitis media (AOM) or persistent otitis media with effusion (OME),171 children who had 1-2 episodes of AOM or were diagnosed with OME by otological examinations, and 299 children who never had AOM or OME. There was no difference in the distribution of gender, birth weight, or being breast fed among the 3 groups. Children with a long duration of breast feeding, no episode of recent upper respiratory infection or sinusitis, and siblings without episode of otitis media were more frequently found in the group without otitis media than in the remaining 2 groups. The recurrence of AOM or persistence of middle ear effusion was associated with infantile onset of otitis media, tonsillar or adenoidal hypertrophies, frequent upper respiratory infection, history of sinusitis, allergic rhinitis, and atopic dermatitis, parental history of otitis media, and parental and sibling history of allergic rhinitis.
耳鼻咽喉科臨床学会の論文