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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
A prevalence study of ear problems in school children in Kiambu district, Kenya, May 1992
International Journal of Pediatric Otorhinolaryngology, Volume 33, No. 3, Year 1995
Notification
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Description
Information on the prevalence of hearing impairment and related ear pathologies in children in sub-Saharan Africa is scarce. A pilot study for a clinical trial of simple treatments for chronic suppurative otitis media (CSOM) in school children in Kiambu district, Kenya, provided information on the prevalence of hearing impairment and ear pathologies. Five-thousand-three-hundred-and-sixty-eight children from 57 randomly chosen primary schools in Kiambu district were examined. Simple otoscopy was performed by clinical officers with speciality training in ENT, and hearing testing was performed by trained nurses, using a hand held field audiometer. Microbiological specimens were obtained from those children with CSOM. Five-point-six percent of the children had a hearing impairment of > 30 dB HL in one or both ears, with 2.2% having bilateral hearing impairment. Two-point-four percent had at least one perforated tympanic membrane, and 1.1% had CSOM. Eight-point-six percent of the children had wax obstructing the tympanic membrane. There is evidence of a relationship between hearing impairment and both CSOM and wax obstructing the tympanic membrane. The most common organisms found were Pseudomonas spp. (34%), Proteus spp. (34%) and Eschericia coli (19%). These results are comparable with other studies in Africa and indicate a considerable burden of ear disease in Kiambu district, Kenya. © 1995.
Authors & Co-Authors
Hatcher, J.
United Kingdom, Liverpool
Liverpool School of Tropical Medicine
Smith, Andrew W.
United Kingdom, Liverpool
Liverpool School of Tropical Medicine
Mackenzie, I.
United Kingdom, Liverpool
Liverpool School of Tropical Medicine
Thompson, S.
United Kingdom, Liverpool
Liverpool School of Tropical Medicine
Bal, I.
Kenya, Nairobi
University of Nairobi
MacHaria, Isaac M.
Kenya, Nairobi
University of Nairobi
Mugwe, Peter
Kenya, Nairobi
University of Nairobi
Okoth-Olende, C.
Kenya, Nairobi
University of Nairobi
Oburra, H.
Kenya, Nairobi
University of Nairobi
Wanjohi, Z.
Kenya, Nairobi
Amref Health Africa
Achola, Ndinya
Kenya, Nairobi
University of Nairobi
Mirza, Nazir Begum
Kenya, Nairobi
University of Nairobi
Hart, A.
United Kingdom, Liverpool
University of Liverpool
Statistics
Citations: 107
Authors: 13
Affiliations: 4
Identifiers
Doi:
10.1016/0165-5876(95)01209-5
ISSN:
01655876
Research Areas
Maternal And Child Health
Study Design
Cross Sectional Study
Study Locations
Kenya