Pattern of otological diseases in school going children of Kathmandu valley

Abstract

Introduction: Ear disease in children is a major public health concern in developing countries. In spite of availability of potent antibiotics, severe life threatening complications of ear diseases can occur. Objective: This study was done to find out the prevalence of different types of otological disease in school going children of Kathmandu valley. Method: This is prospective study among 1245 school children aged between 5-12 years in the time period of June 2007 - May 2008. Students were randomly selected from 4 different schools of Kathmandu valley. All these children were interviewed, examined otoscopically and findings were noted in the performa. Informed consent was taken from guardians to participate in this study. Statistical analysis was done using frequency and percentage. Results: Out of 1245 children, 64.0% were male and 36.0% female children. The most common otological diseases were wax (60.6%), followed by chronic suppurative otitis media (5.7%) and otitis media with effusion (3.7%). In CSOM, there was 85.9% tubotympanic type. Overall otological diseases were present in 75.7% children. Conclusion: There is a high prevalence of otological diseases in school going children of Kathmandu valley. Health education, improvement of socioeconomic status and health facilities will be helpful in reducing the prevalence of otological diseases.

Keywords

• Otological diseases
• School children
• Kathmandu