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Deepak Kumar
Reyazul Janat
Sanjay Nigam
Nashra Afaq
Nusrat Nabi
Firoza Bano
Madhu Yadav


CSOM, Prevalence, Risk Factors, Tubotympanic, Atticoantral


Introduction: Otitis media is an inflammation of the middle ear cleft with or without intact tympanic membrane. It is known to be one of the most common childhood infections and a leading reason for antibiotic prescriptions in the developed world. The global burden of CSOM varies between 1 and 46%. A prevalence of 4% or greater indicates a public health problem that needs urgent attention.

Aim and Objective: To determine the prevalence and identify the role played by various associated factors responsible for onset of CSOM and its subtypes leading to hearing loss in the Uttar Pradesh, Indian population.

Material and Methods: This was a cross-sectional, descriptive and analytical study carried out in the ENT Department and the Microbiology Department at a tertiary care centre, Uttar Pradesh  for a period of 1 year. All the patients that were diagnosed with chronic suppurative otitis media from January 2023 to December 2023were included.

Results: In the present study a total of 2300 patients visited the ENT OPD were included out  of which 189 cases were diagnosed of having CSOM were studied. The prevalence of CSOM was reported to be 8.2%. Majority of the cases were in the 11 - 15 years age group, i.e., 51.9 %. It was also noted that Tubotympanic type was the most commonly reported and accounted for 125 (66.13) whereas Atticoantral type was 64(33.8 %). It was observed that most of the CSOM cases presented with upper respiratory tract infection were 44.44 %.

Conclusion:  Improvement in socioeconomic status and health-care facilities is  helpful in reducing the prevalence of CSOM. Creating awareness among the rural community against the ear disease through teachers, guardians, students and community health workers, and motivating the rural community to visit the nearest health-care facility for any ear-related problems in future.

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1. Healy GB. Otitis media and middle ear effusions. In: Ballenger JJ. The ear, Williams and Williams. Baltimore 1996:1003-9.
2. Thakur SK, Singh SK, Acharya R, Anwar A, Ghimire N. Sociodemographic profile and the associated factors of chronic otitis media in rural areas of eastern Nepal. Int J Otorhinolaryngol Head Neck Surg. 2017; 3:222–227
3. Hunt L, Mulwafu W, Knott V et al. Prevalence of paediatric chronic suppurative otitis media and hearing impairment in rural Malawi: a cross-sectional survey. PLoS One . 2017; 12(12): e0188950.
4. World Health Organization. Prevention of hearing impairment from chronic otitis media. In: Report of a WHO/ CIBA foundation workshop, held at The CIBA Foundation. World Health Organization, London, U.K.,1996; pp 19–21.
5. Acuin J. Chronic suppurative otitis media-Burden of illness and management options. World Health Organization, Geneva.2004.
6. Li WC, Chiu NC, Hsu CH, Lee KS, Hwang HK, Huang FY. Pathogens in the middle ear effusion of children with persistent otitis media: implications of drug resistance and complications. J Microbiol Immunol Infect. 2001; 34:190–194.
7. Dhooge IJ. Risk factors for the development of otitis media. Curr Allergy Asthma Rep. 2003; 3:321–325.
8. Bernstein JM. The role of IgE-mediated hypersensitivity in the development of otitis media with effusion. Otolaryngol Clin North Am. 1992; 25:197–211.
9. Aydogan B, Kiroglu M, Altintas D, Yilmaz M, Yorgancilar E, Tuncer U. The role of food allergy in otitis media with effusion. Otolaryngol Head Neck Surg. 2004; 130:747–750.
10. Adhikari P, Joshi S, Baral D, Kharel B. Chronic suppurative otitis media in urban private school children of Nepal. Braz J Otorhinolaryngol. 2009; 75:669–772.
11. Klein JO. The burden of otitis media. Vaccine. 2000; 19:S2–S8.
12. Vergison A, Dagan R, Arguedas A, et al. Otitis media and its consequences: beyond the earache. Lancet Infect Dis. 2010; 10:195–203.
13. Verma AK, Vohra A, Maitra A, et al. Epidemiology of chronic suppurative otitis media and deafness in a rural area and developing an intervention strategy. Indian J Pediatr 1995; 62(6):725-9.
14. Vikram BK, Khaja N, Udayashankar SG et al. Clinicoepidemiological study of complicated and uncomplicated chronic suppurative otitis media. J Laryngol Otol. 2008; 122:442–446
15. Basak B, Gayen GC, Das M, et al. Demographic profile of CSOM in a rural tertiary care hospital. IOSR J Pharm. 2014; 4(6):43–46
16. Filipe M, Karppinen M, Kuatoko P, Reimer Å, Riesbeck K, Pelkonen T. Suppurative otitis media in Angola: clinical and demographic features. Trop Med Int Health. 2020; 25(10):1283–1290.
17. Karppinen M, Bernardino L, Dos Anjos E, Pätäri-Sampo A, Pitkäranta A, Peltola H, Pelkonen . Etiology of Childhood Otorrhea in Luanda, Angola, and a Review of Otitis Media in African Children. Pediatr Infect Dis J. 2019; 38(6):577–581.
18. Mukara KB, Lilford RJ, Tucci DL, Waiswa P. Prevalence of Middle Ear Infections and Associated Risk Factors in Children under 5 Years in Gasabo District of Kigali City Rwanda. Int J Pediatr 2017; 4280583.
19. Nshimirimana JPD, Mukara KB. Causes of Delayed Care Seeking for Chronic Suppurative Otitis Media at a Rwandan Tertiary Hospital. Int J Otolaryngol. 2018; 2:5386217.
20. Ibekwe TS, Nwaorgu OG. Classifcation and management challenges of otitis media in a resource-poor country. Niger J Clin Pract. 2011; 14(3):262–269.
21. Orji FT, Dike BO, Oji O. Determinants of non-healing ear discharge in chronic suppurative otitis media in a developing country. Eur Arch Otorhinolaryngol. 2015; 272(10):2713–3278.
22. 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.
23. Elemraid MA, Brabin BJ, Fraser WD, Harper G, Faragher B, Atef Z, AlAghbari N, Mackenzie IJ. Characteristics of hearing impairment in Yemeni children with chronic suppurative otitis media: a case-control study. Int J PediatrOtorhinolaryngol. 2010; 74(3):283–286.
24. Ologe FE, Nwawolo CC (2003) Chronic suppurative otitis media in school pupils in Nigeria. East Afr Med J. 2003; 80(3):130–134.
25. Taoussi, A.A., Malloum, M.S.M. & Ali, Y.A. Prevalence and clinico-bacteriological aspects of chronic suppurative otitis media at the Renaissance University Hospital in N'Djamena, Chad. Egypt J Otolaryngol. 2023; 39, 72.
26. Kaur I, Goyal JP, Singh D. Prevalence of chronic suppurative otitis media in school going children of Patiala district of Punjab, India. J. Evolution Med. Dent. Sci. 2017; 6(75):5402-5407.
27. G, Shyam & G, Rachana & Yawar, Mohammed. (2021). Prevalence and Risk Factors of Chronic Suppurative Otitis Media in a Teaching Hospital, Telangana. Journal of Evidence Based Medicine and Healthcare. 2021; 8. 1495-1499.
28. Singhal A, Agrawal P, Agrawal VK. Prevalence and determinants of chronic suppurative otitis media in school going children in Bareilly (Uttar Pradesh). Int J Otorhinolaryngol Head Neck Surg 2018; 4(2):348-351.
29. Thakur SK, Singh SK, Acharya R, Anwar A, Ghimire N. Sociodemographic profile and the associated factors of chronic otitis media in rural areas of eastern Nepal. Int J Otorhinolaryngol Head Neck Surg. 2017; 3:222–227.

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