Awareness among the Patients of Chronic Suppurative Otitis Media about the Disease and its Complications
Keywords:
Chronic suppurative otitis media, Awareness, complications, Perforation, VertigoAbstract
Objective:To assess the level of awareness among patients of chronic suppurative otitis media (CSOM) about disease and its complications.
Materials and Methods:This cross-sectional study was carried out in Combined Military Hospital Rawalpindi, Cantonment General Hospital Rawalpindi and Pakistan Institute of Medical Sciences Islamabad from April to September 2014.Diagnosed out-patients of CSOM after history and clinical examination were included in the study and interviewed with the help of structured questionnaireto assess the knowledge about their disease and its complications. The data was analyzed using SPSS 18.
Results: Majority(48.8 %) patients were 15 to 30 years of age. Male to female ratio was 3:2. Only 49.6 % patients knew they had a perforation in their ear drum and 30.4% understood perforation as the cause of continued discharge from the ear. Only 33.6% patients had knowledge about entry of water in the ear as a cause of recurrence of discharge. Most patients (71.2%) did not know they had either the safe or the unsafe type of disease and only 48.8% patients knew that this disease could cause serious complications.58.4% knew that it can cause permanent hearing loss, 19.2% were aware that infection could spread to brain, 11.2% knew it could cause facial paralysis. Only 0.8% knew it could cause giddiness and vertigo. 27.2% were aware that their disease could be cured by surgery and 26.4% thought early surgery is necessary.
Conclusion:Awareness among patients of CSOM about their disease and its complications is very low.
References
Okafor BC. The chronic discharging ear in Nigeria. J Laryngol Otol. 1984;98(2):113-9.
UNICEF 1987. The State of the World`s Children 1987.
Fliss DM, ShohamI,Leiberman A, Dagan R. Chronic sup-purativeotitis media without cholesteatoma in children in southern Israel: incidence and risk factors. Paediatricin-fection disease journal.1991; 10: 895-99.
Govt. of India, CSSM review a newsletter on child survi-val and safe Motherhood program Jan 1995, No 25.
WHO 2004, strategic directions to Improve newborn health in the south- east Asia Region, New Delhi.
WHO, UNICEF.Handbook IMCI, Integrated Management of Childhood Illness, 2005.
Biswas AC, Joarder A H, Siddiquee BH. Prevalence of CSOM among rural school going children. Mymensingh Med J. 2005;14:152-5.
Seven H, Coskun BU, Calis AB, Sayin I, Turgut S. Intracranial abscesses associated with chronic suppurative otitis media. Eur Arch Otorhinolaryngo 2005;262(10):847–51.
Matanda RN, Muyunga KC, Sabue MJ. Chronic suppurative otitis media and related complications at the university clinic of Kinshasa.B-ENT. 2005:1(2): 57-62.
Verhoeff M, van der Veen EL, Rovers MM.Chronic sup-purative otitis media: a review. Int J Pediatr Otorhinola-ryngol 2006; 70:1-10.
Smith JA, Danner CJ. Complications of chronic otitis media and cholesteatoma.Otolaryngol Clin North Am. 2006; 39:1237-55.
Acuin J; Chronic suppurative otitis media. Clin Evid (On-line). 2007 Feb 1;2007. pii: 0507.
Chandrashekharayya S.H, Kavitha M.M., PrakashHandi. To Study the level of awareness about complications of chronic suppurative otitis media (CSOM) in CSOM patients. J Clin Diagn Res. Feb 2014; 8(2): 59–61.
Neogi R, Dan A, Maity K. Clinico-epidemiological pro-file of chronic suppurative otitis media patientsattendind a tertiary care hospital. J Indian Med Assoc. 2011;109(5):324-6.
Dubey SP, Larawin V. Complications of chronic suppurative otitis media and their management. Laryngoscope. 2007; 117(2):264-7.
Matsuda Y, Kurita T, Ueda Y, Ito S, Nakashima T. Effect of tympanic membrane perforation on middleear sound transmission. J Laryngol Otol. May 2009;123Suppl 31:81-9.
UNICEF. State of World`s Children, 2009, material and Newborn Health.
Dubey SP, Larawin V, Molumi CP. Intracranial spread of chronic middle ear suppuration. Am J Otolaryngol 2010;31(2):73–7.
Nwokoye NN, Egwari LO, Coker AO, Olubi OO, Ugoji EO, Nwachukwu SC. Predisposing and bacteriological features of otitis media. Afr J Microbiol Res. 2012;6:520–5.
Monasta L, Ronfani L, Marchetti F. Burden of disease caused by otitis media: systematic review and global est-imates. PLoS One. 2012;7(4):e36226. Epub 2012 Apr 30.
Yorgancilar E, Yildirim M, Gun R. Complications of chr-onic suppurative otitis media: a retrospective review. Eur Arch Otorhinolaryngol. 2013; 270(1):69-76.
Orji F. A survey of the burden of management of chronic suppurative otitis media in a developing country.Ann Med Health Sci Res. 2013;3(4):598-601.
World Health Organization. Neglected tropical diseases. CSOM [cited 2014 September 28], Available from: URL
http://www.who.int/neglected_diseases/diseases/otitis/en/. 24.Foster TO, Benjamin O, Onuoha O. Determinants of non-healing ear discharge in chronic suppurative otitis media in a developing country. European archives of Oto-Rhino-
Laryngology. 2014
Cohen R, Varon E, Doit C, Schlemmer C, Romain O, Thollot F et al. Vaccine. 2015 pii: S0264-410X(15)01124-X. doi: 10.1016/j.vaccine. 2015.08.010.PMID:26271823.
Fischer JB, Prout A, Blackwood RA, WarrierK.Infect Dis Rep. 2015;7(2):5922. doi:10.4081/idr.2015.5922. eCollection 2015 Apr 15.PMID:26294952.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2015 Sheikh Ishaq Ahmed Qureshi, Muhammad Arshad Chohan, Hassaan Uddin Hassan, Sana Arshad Chohan
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Journal of Bahria University Medical & Dental College is an open access journal and is licensed under CC BY-NC 4.0. which permits unrestricted non commercial use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this license, visit https://creativecommons.org/licenses/by-nc/4.0 
