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dc.contributor.authorLehmann, Deborah
dc.contributor.authorWeeks, S.
dc.contributor.authorJacoby, P.
dc.contributor.authorElsbury, D.
dc.contributor.authorFinucane, J.
dc.contributor.authorStokes, A.
dc.contributor.authorMonck, R.
dc.contributor.authorCoates, H.
dc.date.accessioned2017-01-30T11:45:13Z
dc.date.available2017-01-30T11:45:13Z
dc.date.created2014-10-08T03:10:43Z
dc.date.issued2008
dc.identifier.citationLehmann, D. and Weeks, S. and Jacoby, P. and Elsbury, D. and Finucane, J. and Stokes, A. and Monck, R. et al. 2008. Absent otoacoustic emissions predict otitis media in young Aboriginal children: A birth cohort study in Aboriginal and non-Aboriginal children in an arid zone of Western Australia. BMC Pediatrics. 8 (32): pp. 1-38.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/14650
dc.description.abstract

AbstractBackground: Otitis media (OM) is the most common paediatric illness for which antibiotics areprescribed. In Australian Aboriginal children OM is frequently asymptomatic and starts at a youngerage, is more common and more likely to result in hearing loss than in non-Aboriginal children.Absent transient evoked otoacoustic emissions (TEOAEs) may predict subsequent risk of OM.Methods: 100 Aboriginal and 180 non-Aboriginal children in a semi-arid zone of WesternAustralia were followed regularly from birth to age 2 years. Tympanometry was conducted atroutine field follow-up from age 3 months. Routine clinical examination by an ENT specialist wasto be done 3 times and hearing assessment by an audiologist twice. TEOAEs were measured at ages<1 and 1–2 months. Cox proportional hazards model was used to investigate the associationbetween absent TEOAEs and subsequent risk of OM.Results: At routine ENT specialist clinics, OM was detected in 55% of 184 examinations inAboriginal children and 26% of 392 examinations in non-Aboriginal children; peak prevalence was72% at age 5–9 months in Aboriginal children and 40% at 10–14 months in non-Aboriginal children.Moderate-severe hearing loss was present in 32% of 47 Aboriginal children and 7% of 120 non-Aboriginal children aged 12 months or more.TEOAE responses were present in 90% (46/51) of Aboriginal children and 99% (120/121) of non-Aboriginal children aged <1 month and in 62% (21/34) and 93% (108/116), respectively, inAboriginal and non-Aboriginal children at age 1–2 months. Aboriginal children who failed TEOAEat age 1–2 months were 2.6 times more likely to develop OM subsequently than those who passed.Overall prevalence of type B tympanograms at field follow-up was 50% (n = 78) in Aboriginalchildren and 20% (n = 95) in non-Aboriginal children.

dc.publisherBioMed Central
dc.relation.urihttp://www.biomedcentral.com/content/pdf/1471-2431-8-32.pdf
dc.titleAbsent otoacoustic emissions predict otitis media in young Aboriginal children: A birth cohort study in Aboriginal and non-Aboriginal children in an arid zone of Western Australia
dc.typeJournal Article
dcterms.source.volume8
dcterms.source.number32
dcterms.source.startPage1
dcterms.source.endPage38
dcterms.source.issn14712431
dcterms.source.titleBMC Pediatrics
curtin.accessStatusFulltext not available


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