Acute Otitis Media-Associated Diarrhea in Children Less than 2 Years Old

Rihab F. Alabedi; Ali H. Aljebouri; Zainab W. Al-Maaroof

doi:10.3889/oamjms.2022.9666

Authors

Rihab F. Alabedi Department of Pediatrics, Faculty of Medicine, University of Babylon, Babylon, Iraq
Ali H. Aljebouri Department of ENT Surgery, Hilla Teaching Hospital, Babylon, Iraq
Zainab W. Al-Maaroof Department of Pathology, Faculty of Medicine, University of Babylon, Babylon, Iraq

DOI:

https://doi.org/10.3889/oamjms.2022.9666

Keywords:

Diarrhea, Acute otitis media, Children, Characteristics, Prevalence

Abstract

Background: the reported incidence of diarrhea in non-enteric infections can be questioned because many cases of diarrhea are adverse events associated with antibiotics. Although it is well known that one of the none-enteric infections that has diarrhea as one of its manifestations is acute otitis media, its sometimes missed as a possible cause. Objectives: to estimate the prevalence of acute otitis media in children presented with diarrhea and to describe the characteristics of acute otitis media-associated diarrhea after exclusion of antibiotics use. Method: sixty patients (age < 2 years) complaining from diarrhea as their chief complaint were included in this cross sectional study. Their ears had been examined using pneumatic otoscopy, looking for evidence of acute otitis media. Mother-directed specific questions related to the characters of diarrhea, constitutional symptoms, and associated symptoms had been used, in addition to laboratory stool exam. Results: patients involved in this study were 60, 22 (36.7%) females and 38 (63.3%) males. Their ages range from 1-19 months (8.31± 4.30). Acute otitis media was present in 27 cases (45%). There was significant association between acute otitis media-associated diarrhea and age under 1 year (p 0.017), underweight (p 0.012), and ear pain (p <0.001). Conclusions: acute otitis media is a very possible diagnosis for any young baby presented with diarrhea, especially in underweight infant with ear pain, so pneumatic otoscopic ear examination is recommended to be a routine for them.

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