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PEDIATRICS Vol. 103 No. 1 January 1999, pp. 15-19

A Longitudinal Study of Otitis Media With Effusion Among 2- to 5-Year-Old African-American Children in Child Care

Received Apr 23, 1998; accepted Jul 21, 1998.

Susan A. Zeisel*, Dagger , Joanne E. Roberts*, §, Eloise C. Neebe*, Rhodus Riggins Jr*, and Frederick W. Henderson*, parallel

From the * Frank Porter Graham Child Development Center Dagger  School of Nursing, § Division of Speech and Hearing Sciences, and parallel  Department of Pediatrics, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Objective.  To prospectively document the prevalence of otitis media with effusion (OME) in 86 African-American children between ages 2 and 5 years.

Study Design.  Eighty-six children in center-based child care whose ear status had been followed from infancy continued to be observed. Middle ear status was assessed by pneumatic otoscopy and tympanometry biweekly.

Results.  The prevalence of OME decreased as children became older. The mean proportion of examinations demonstrating bilateral OME (BOME) ranged from 12% between 24 to 30 months to 4% between 54 to 60 months of age. The mean proportion of exams revealing bilateral normal ears increased from 77% at 24 to 30 months to 88% at 54 to 60 months of age. Although 60 children had experienced BOME that lasted 4 months or longer in the 6- to 24-month age period, only 8 of these children experienced at least 4 months of continuous BOME between 24 to 60 months.

Conclusions.  The proportion of time with BOME decreased progressively with increasing age in this population. Only 8 of 60 children who had experienced more than 4 consecutive months of BOME before 2 years of age continued to manifest persistent effusion or experience recurrences of prolonged BOME after 2 years of age.  Key words:  otitis media, children, child care.




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