Prevalence Trend of Chronic Otitis Media in Provincial Hospitals under Ministry of Public Health and Complications in Tertiary Hospitals Each Year from 2014-2018
Keywords:Chronic otitis media (COM), Cholesteatoma, Chronic suppurative otitis media (CSOM), Intracranial complication, Extracranial complication
Background: Studies of chronic otitis media (COM) prevalence in Thailand were limited and not updated.Objective: To assess trends of COM and its complications during 2014-2018.Methods: The data was extracted by ICD-10 coding from the Data Center of the Ministry of Public Health that collected from government hospitals under the Permanent secretary office. The ratio of COM’s complication per hundred COM patients were additionally collected by aggregated data from one medical school and two tertiary hospitals between 1st October 2013 and 30th September 2018 which 1st October 2013 to 30th September 2014 represent the data of 2014 , 1st October 2014 to 30th September 2015 represent the data of 2015, 1st October 2015 to 30th September 2016 represent the data of 2016 , 1st October 2016 to 30th September 2017 represent the data of 2017 and 1st October 2017 to 30th September 2018 represent the data of 2018.Results: Prevalence of COM was increasing while cholesteatoma showed no different. Children 0-4 years was the highest affected age group. Prevalence of cholesteatoma was highest among 10-14 years while the trend of prevalence in age 15-29 and 60-69 were increasing with statistically significant. The highest prevalence of cholesteatoma was in the health region 9th. The increasing trend of cholesteatoma found in the health region number 2 ,10, 11 and 12. The ratio of complication per hundred COM cases were not different by year between 2014-2018.Conclusion: Situation of COM was not improved during 2014-2018. Children under 4 years old was the most affected. The ratio of complication per 100 COM patients was lower than previous reported. The unchange percentages of complication raised questions regarding the health service and measure implemented to control the disease. Physician should be concerned to complete the treatment of acute otitis media. Ministry of public health should implement policy to active search and early treatment to prevent the complication of COM. Accurate prevalence and trend should be studied.
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