Особенности течения рецидивирующего острого гнойного среднего отита у детей раннего возраста

Kh.E. Karabayev; B.K. Eshniyozov

doi:10.57231/j.ejohns.2025.4.1.010

Features of recurrent acute purulent otitis media in young children

Authors

Kh.E. Karabayev Tashkent Pediatric Medical Institute
B.K. Eshniyozov Tashkent Pediatric Medical Institute

DOI:

https://doi.org/10.57231/j.ejohns.2025.4.1.010

Keywords:

acute otitis media, diagnosis, treatment, young children, complications

Abstract

Objective: To study the clinical features of recurrent acute purulent otitis media in young children. Materials and Methods: The medical records of 58 children hospitalized in the ENT department of the TashPMI clinic for recurrent acute purulent otitis media in young children in 2023–2024 were analyzed. Data were examined based on age, gender, and clinical presentation. Among the 58 children hospitalized with recurrent acute purulent otitis media, various aspects of the disease course were assessed. Results: The study revealed the following clinical manifestations in the affected children: mucopurulent and purulent ear discharge in all 58 children (100%), nasal mucus discharge in 15 children (26%), pharyngeal redness in 27 children (46.5%), cough in 14 children (24%), and fever in 32 children (55%). Signs of intoxication were observed in 38 children (65.5%), including lethargy, loss of appetite, sweating, and sleep disturbances. Conclusions: A detailed medical history provided by parents is highly informative. A key indicator of otitis media is the infant crying while breastfeeding but remaining calm when fed with a spoon. Indirect signs include crying during sleep, reaching for the ear, and rubbing the head against the pillow. Pressing on the tragus increases the child's discomfort.

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