Preliminary study on the feasibility of a two‐stage screening strategy for otitis media with effusion in children

Aim To evaluate the feasibility of a two‐stage screening strategy for otitis media with effusion (OME) in pre‐school and school children. The risk factors of OME were also studied. Methods One hundred and eighty‐nine children aged 4–8 years were recruited. The two‐stage screening consisted of an on‐...

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Bibliographic Details
Published in:Journal of paediatrics and child health 2020-10, Vol.56 (10), p.1544-1550
Main Authors: Yang, Jia, Zhang, Hu, Zhao, Na, Shi, Zhong‐Gang, Xu, Anting
Format: Article
Language:English
Subjects:
Age groups
Child
Child, Preschool
Ear diseases
Elementary school students
Feasibility Studies
Humans
Infections
Mass Screening
Medical screening
otitis media
Otitis Media with Effusion - diagnosis
Otitis Media with Effusion - epidemiology
Otoscopy
Pediatrics
portable endoscope
Preschool children
Prevalence
Risk Factors
screening
tonsil hypertrophy
upper respiratory infection
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Summary:Aim To evaluate the feasibility of a two‐stage screening strategy for otitis media with effusion (OME) in pre‐school and school children. The risk factors of OME were also studied. Methods One hundred and eighty‐nine children aged 4–8 years were recruited. The two‐stage screening consisted of an on‐site screening with a portable otoscopy along with a questionnaire to both diagnose children with OME and identify children at risk, and a standard screening performed at a regional hospital for final diagnosis. The prevalence detected from the two‐stage screening approach was compared to the actual prevalence. Results The detection rate of OME through the two‐stage screening approach was not significantly different from the actual prevalence rate (12.7% vs. 13.4%, P = 0.847). Children from the urban area had a lower risk for OME than that from the rural area (P = 0.007, odds ratio (OR) = 0.28, 95% confidence interval (CI): 0.11–0.74). Compared to childcare dining, family dining helped to reduce the chance of OME (P < 0.001, OR = 0.15, 95% CI: 0.06–0.38). Conclusions The two‐stage screening strategy was effective for screening for OME among pre‐school and school children. It can be used in rural areas that have a high prevalence of OME and limited medical resources.
ISSN:1034-4810
1440-1754
DOI:10.1111/jpc.14987