Preventative and medical treatment of ear disease in remote or resource-constrained environments

S. Brophy-Williams, K. Jarosz, J. Sommer, A. J. Leach, P. S. Morris

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background: Important ear problems can affect the outer ear, the middle ear and the inner ear. Globally, the greatest burden of disease is due to ear conditions that are associated with otorrhoea and hearing loss.

Methods: This study reviewed the literature on the prevention and treatment of common ear conditions that are most relevant to settings with high rates of ear disease and limited resources. The grading of recommendations assessment, development and evaluation ('GRADE') approach was utilised to assess interventions.

Results: Accurate diagnosis of ear disease is challenging. Much of the preventable burden of ear disease is associated with otitis media. Nine otitis media interventions for which there is moderate to high certainty of effect were identified. While most interventions only provide modest benefit, the impact of treatment is more substantial in children with acute otitis media with perforation and chronic suppurative otitis media.

Conclusion: Disease prevention through good hygiene practices, breastfeeding, reducing smoke exposure, immunisation and limiting noise exposure is recommended. Children with acute otitis media with perforation, chronic suppurative otitis media, complications of otitis media, and significant hearing loss should be prioritised for medical treatment.

Original languageEnglish
Pages (from-to)59-72
Number of pages14
JournalJournal of Laryngology and Otology
Volume133
Issue numberSpecial Issue 1
DOIs
Publication statusPublished - Jan 2019

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Ear Diseases
Otitis Media
Suppurative Otitis Media
Ear
Hearing Loss
External Ear
Therapeutics
Middle Ear
Inner Ear
Breast Feeding
Hygiene
Smoke
Noise
Immunization

Cite this

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Preventative and medical treatment of ear disease in remote or resource-constrained environments. / Brophy-Williams, S.; Jarosz, K.; Sommer, J.; Leach, A. J.; Morris, P. S.

In: Journal of Laryngology and Otology, Vol. 133, No. Special Issue 1, 01.2019, p. 59-72.

Research output: Contribution to journalArticleResearchpeer-review

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