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Chronic suppurative otitis media in Zimbabwean school children: a cross-sectional study

Published online by Cambridge University Press:  05 October 2020

C K Pedersen ,
P Zimani ,
M Frendø ,
N J Spindler ,
C Chidziva ,
C von Buchwald  and
R G Jensen
C K Pedersen*
Affiliation:
Department of ENT Surgery and Audiology, University Hospital Rigshospitalet, Copenhagen, Denmark
P Zimani
Affiliation:
Department of Surgery, University of Zimbabwe, Harare, Zimbabwe
M Frendø
Affiliation:
Department of ENT Surgery and Audiology, University Hospital Rigshospitalet, Copenhagen, Denmark Copenhagen Academy for Medical Education and Simulation, University of Copenhagen, Denmark
N J Spindler
Affiliation:
Department of ENT Surgery and Audiology, University Hospital Rigshospitalet, Copenhagen, Denmark
C Chidziva
Affiliation:
Department of Surgery, University of Zimbabwe, Harare, Zimbabwe
C von Buchwald
Affiliation:
Department of ENT Surgery and Audiology, University Hospital Rigshospitalet, Copenhagen, Denmark
R G Jensen
Affiliation:
Department of ENT Surgery and Audiology, University Hospital Rigshospitalet, Copenhagen, Denmark
*
Author for correspondence: Dr Christian Pedersen, Department of ENT Surgery and Audiology, University Hospital Rigshospitalet, Blegdamsvej 9, 2100Copenhagen, Denmark E-mail: chrkorped@gmail.com
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Abstract

Objective

Chronic suppurative otitis media is a major cause of disabling childhood hearing loss, especially in low-income countries. Estimates on its prevalence in sub-Saharan Africa range from the lowest to the highest in the world (less than one per cent to more than five per cent). However, the prevalence of chronic suppurative otitis media in Zimbabwe is largely unknown. This study aimed to determine the prevalence of paediatric chronic suppurative otitis media and other middle-ear pathology in rural Zimbabwe.

Method

A cross-sectional study was performed in primary school children aged 4–13 years from the rural province of Mashonaland East. Participants underwent video otoscopy and tympanometry.

Results

Out of 451 examined children, two (0.4 per cent) had chronic suppurative otitis media. Acute otitis media was present in one (0.2 per cent), otitis media with effusion was present in five (1.1 per cent) and scarring was present in 69 (15.3 per cent).

Conclusion

Chronic suppurative otitis media and otitis media sequelae were surprisingly uncommon in this sample of rural primary school children in Zimbabwe. More studies, preferably population-based, are needed to enable more precise estimates of chronic suppurative otitis media prevalence in Zimbabwe.

Keywords

Otitis MediaDeveloping CountriesEpidemiologyOtoscopy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 10 , October 2020 , pp. 867 - 871
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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Footnotes

Dr C K Pedersen takes responsibility for the integrity of the content of the paper

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