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Abstract
This study examined the correlation of external risk factors to the incidence of AOM in toddlers and preschoolers. This research used an observational analytic design with a cross-sectional approach and data processing uses univariate, bivariate and multivariate analysis. Of the 61 research subjects, the majority of toddlers with AOM were 1-3 years old, 32 children (52.5%), 33 children (54.1%) were female, 37 children (60.7%) had perforation stage. 52 children (85.2%) received exclusive breastfeeding. The results showed that the four variables, including breastfeeding duration, use of pacifiers, PCV vaccinations, and history of ARI (Acute Respiratory Infection), correlated to incidences of acute otitis media. PCV vaccination and history of ARI are the most influencing variables with p-values of 0.024 and 0.006. There is a relationship between external risk factors and the incidence of AOM in toddlers, where the most influential variables are the administration of the PCV vaccine and a history of upper respiratory infection. The researcher of this study suggests at least three doses of PCV vaccination for children at the ages 2, 4, and 6 months, alongside the protection from triggers of ARI to prevent the occurrence of AOM.
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References
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- Danishyar A AJ. Acute Otitis Media. [Updated 2021 Mar 16]. NCBI [Internet]. 2021; Available from: https://www.ncbi.nlm.nih.gov.
- Yuniarti D, Triola S, Fitriyasti B. Prevalensi Otitis Media Akut di RS Islam Siti Rahmah Padang Tahun 2017. Heal Med J. 2019;1(1):59–63.
- Tanto C, Liwang F, Hanifati S, Pradipta EA. Kapita Selekta Kedokteran (essentials of medicine) edisi IV. Jakarta: Media Aesculapius; 2014.
- United, Nations Emergency Children’s Fund (UNICEF). Child Health: Pneumonia. 2016; Available from: https://data.unicef.org.
- Kemenkes RI. Infodatin-Asi [Internet]. Millennium Challenge Account - Indonesia. 2014.
- p. 1–2. Available from: https://pusdatin.kemkes.go.id.
- American Academy of Pediatrics. Breastfeeding and the Use of Human Milk. 2012; Available from: http://pediatrics.aappublications.org.
- Laksmitasari AP. Hubungan faktor mekanik pemberian ASI dengan kejadian otitis media pada anak [Internet]. Universitas Trisakti; 2018. Available from: http://repository.trisakti.ac.id.
- Limb CJM, Lustig LRM, Durand MLM. Acute otitis media in adults. Daniel G Deschler, MD F, Lisa Kunins M, editors. 2021 Jun 4.
- Samuel S, Kardinan B, Soeng S, Maranatha UK, Kedokteran F, Maranatha UK, et al. Karakteristik Pasien Rawat Inap Otitis Media Akut di Rumah Sakit Immanuel Bandung Periode Januari-Desember 2013 The Characteristic Of Hospitalized Acute Otitis Media Patients At Immanuel Hospital Bandung During January to December 2013. 2013.
- Praptika NLP, Sudipta IM. Karakteristik kasus otitis media akut di rsud wangaya denpasar periode november 2015 - november 2016. J Med Udayana. 2020;9(8):47–52.
- Sarvasti D. Pengaruh Gender dan Manifestasi Kardiovaskular Pada COVID-19. Indones J Cardiol. 2020;41(2).
- Astuti DI. Profil Penderita Otitis Media Akut Di Rumah Sakit Umum Pusat Haji Adam Malik Medan Tahun 2010-2012. Universitas Sumatera Utara; 2021.
- Hardiyanti TP. Hubungan antara kejadian otitis media akut dengan pemberian asi pada anak. Pap Knowl Towar a Media Hist Doc. 2019;7(2):107–15.
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- Bowatte G, Tham R, Allen K, Tan D, Lau M, Dai X, et al. Breastfeeding and childhood acute otitis media: A systematic review and meta-analysis. Acta Paediatr Int J Paediatr. 2015;104:85–95.
- Ardc C, Yavuz E. Effect of breastfeeding on common pediatric infections: A 5-year prospective cohort study. Arch Argent Pediatr. 2018;116(2):126–32.
- Peixoto JS, França CC, Barge S, Branco M. What role for the pacifier in acute otitis media risk? Nascer e Crescer. 2020;29(1):17–22.
- Heparrians SA. Hubungan Antara Posisi Kepala Dengan Penggunaan Dot Dan Otitis Media Akut Pada Balita Di Rumah Sakit Muhammadiyah Palembang. Universitas Muhammadiyah Palembang; 2021.
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- BPOM. Botol Susu Bayi [Internet]. Jakarta: Direktorat Pengawasan Produk dan Bahan Berbahaya; 2012. p. 1–2. Available from: https://sib3pop.menlhk.go.id.
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- Dagan R. Relationship between immune response to pneumococcal conjugate vaccines in infants and indirect protection after vaccine implementation. Expert Rev Vaccines [Internet]. 2019;18(6):641–61.
- Informati VE, State ON. Pneumococcal conjugate vaccine. What you need to know. [Current Edition]. S D Med. 2022;59(12):528–9.
- Dagan R, Patterson S, Juergens C, Greenberg D, Givon-Lavi N, Porat N, et al. Comparative immunogenicity and efficacy of 13-valent and 7-valent pneumococcal conjugate vaccines in reducing nasopharyngeal colonization: A randomized double- blind trial. Clin Infect Dis. 2013;57(7):952–62.
- Husni T. Hubungan Infeksi Saluran Pernapasan Akut Dengan Otitis Media Akut Pada Anak Bawah Lima Tahun Di Puskesmas Kuta Alam Kota Banda Aceh. J Kedokt Syiah Kuala. 2013;11(3):157–67.
- Ameli F, Tosca MA, Ciprandi G. Allergy is not a risk factor for recurrent acute otitis media: A real-life clinical experience. Asia Pac Allergy. 2021;11(2):1–8.
- De Wals P, Zhou Z, LeMeur JB, Proulx JF. Burden of respiratory infections and otitis media in the Inuit population of Nunavik, Quebec, Canada. Int J Circumpolar Health [Internet]. 2020;79(1).
References
Purba LA, Imanto M, Angraini DI. Hubungan Otitis Media Akut Dengan Riwayat Infeksi Saluran Pernapasan Atas Pada Anak. Medula. 2021;10(4):670–6.
Danishyar A AJ. Acute Otitis Media. [Updated 2021 Mar 16]. NCBI [Internet]. 2021; Available from: https://www.ncbi.nlm.nih.gov.
Yuniarti D, Triola S, Fitriyasti B. Prevalensi Otitis Media Akut di RS Islam Siti Rahmah Padang Tahun 2017. Heal Med J. 2019;1(1):59–63.
Tanto C, Liwang F, Hanifati S, Pradipta EA. Kapita Selekta Kedokteran (essentials of medicine) edisi IV. Jakarta: Media Aesculapius; 2014.
United, Nations Emergency Children’s Fund (UNICEF). Child Health: Pneumonia. 2016; Available from: https://data.unicef.org.
Kemenkes RI. Infodatin-Asi [Internet]. Millennium Challenge Account - Indonesia. 2014.
p. 1–2. Available from: https://pusdatin.kemkes.go.id.
American Academy of Pediatrics. Breastfeeding and the Use of Human Milk. 2012; Available from: http://pediatrics.aappublications.org.
Laksmitasari AP. Hubungan faktor mekanik pemberian ASI dengan kejadian otitis media pada anak [Internet]. Universitas Trisakti; 2018. Available from: http://repository.trisakti.ac.id.
Limb CJM, Lustig LRM, Durand MLM. Acute otitis media in adults. Daniel G Deschler, MD F, Lisa Kunins M, editors. 2021 Jun 4.
Samuel S, Kardinan B, Soeng S, Maranatha UK, Kedokteran F, Maranatha UK, et al. Karakteristik Pasien Rawat Inap Otitis Media Akut di Rumah Sakit Immanuel Bandung Periode Januari-Desember 2013 The Characteristic Of Hospitalized Acute Otitis Media Patients At Immanuel Hospital Bandung During January to December 2013. 2013.
Praptika NLP, Sudipta IM. Karakteristik kasus otitis media akut di rsud wangaya denpasar periode november 2015 - november 2016. J Med Udayana. 2020;9(8):47–52.
Sarvasti D. Pengaruh Gender dan Manifestasi Kardiovaskular Pada COVID-19. Indones J Cardiol. 2020;41(2).
Astuti DI. Profil Penderita Otitis Media Akut Di Rumah Sakit Umum Pusat Haji Adam Malik Medan Tahun 2010-2012. Universitas Sumatera Utara; 2021.
Hardiyanti TP. Hubungan antara kejadian otitis media akut dengan pemberian asi pada anak. Pap Knowl Towar a Media Hist Doc. 2019;7(2):107–15.
Kaur R, Morris M, Pichichero ME. Epidemiology of acute otitis media in the postpneumococcal conjugate vaccine era. Pediatrics. 2017;140(3).
Bowatte G, Tham R, Allen K, Tan D, Lau M, Dai X, et al. Breastfeeding and childhood acute otitis media: A systematic review and meta-analysis. Acta Paediatr Int J Paediatr. 2015;104:85–95.
Ardc C, Yavuz E. Effect of breastfeeding on common pediatric infections: A 5-year prospective cohort study. Arch Argent Pediatr. 2018;116(2):126–32.
Peixoto JS, França CC, Barge S, Branco M. What role for the pacifier in acute otitis media risk? Nascer e Crescer. 2020;29(1):17–22.
Heparrians SA. Hubungan Antara Posisi Kepala Dengan Penggunaan Dot Dan Otitis Media Akut Pada Balita Di Rumah Sakit Muhammadiyah Palembang. Universitas Muhammadiyah Palembang; 2021.
Adair SM. Pacifier use in children: A review of recent literature. Pediatr Dent. 2015;25(5):449–58.
BPOM. Botol Susu Bayi [Internet]. Jakarta: Direktorat Pengawasan Produk dan Bahan Berbahaya; 2012. p. 1–2. Available from: https://sib3pop.menlhk.go.id.
Hariyanto H, Rohmah E, Wahyuni DR. Korelasi Kebersihan Botol Susu Dengan Kejadian Infeksi Saluran Pernafasan Akut (Ispa) Pada Bayi Usia 1-12 Bulan. J Delima Harapan. 2018;5(2):1–7.
Chen CH, Chen CL, Arguedas A, Southern J, Hsiao CC, Chiu CH. Divergent serotype distribution between children with otitis media and those without in the pneumococcal conjugate vaccine era. J Microbiol Immunol Infect [Internet]. 2020;53(6):1035–8.
Dagan R. Relationship between immune response to pneumococcal conjugate vaccines in infants and indirect protection after vaccine implementation. Expert Rev Vaccines [Internet]. 2019;18(6):641–61.
Informati VE, State ON. Pneumococcal conjugate vaccine. What you need to know. [Current Edition]. S D Med. 2022;59(12):528–9.
Dagan R, Patterson S, Juergens C, Greenberg D, Givon-Lavi N, Porat N, et al. Comparative immunogenicity and efficacy of 13-valent and 7-valent pneumococcal conjugate vaccines in reducing nasopharyngeal colonization: A randomized double- blind trial. Clin Infect Dis. 2013;57(7):952–62.
Husni T. Hubungan Infeksi Saluran Pernapasan Akut Dengan Otitis Media Akut Pada Anak Bawah Lima Tahun Di Puskesmas Kuta Alam Kota Banda Aceh. J Kedokt Syiah Kuala. 2013;11(3):157–67.
Ameli F, Tosca MA, Ciprandi G. Allergy is not a risk factor for recurrent acute otitis media: A real-life clinical experience. Asia Pac Allergy. 2021;11(2):1–8.
De Wals P, Zhou Z, LeMeur JB, Proulx JF. Burden of respiratory infections and otitis media in the Inuit population of Nunavik, Quebec, Canada. Int J Circumpolar Health [Internet]. 2020;79(1).