PATTERNS OF ENT PROBLEMS UNDER GENERAL PRACTICE IN RURAL HOSPITAL OF HIGH ALTITUDE

Abstract

Background: Health issues pertaining to the ear, nose, and throat (ENT) are commonly observed in rural hospitals located in high-altitude regions. Failure to treat these ailments can result in complications and have a detrimental impact on an individual’s well-being. This study aimed to assess the frequency and nature of ENT problems within the purview of General Practice. Methods: This was retrospective observational study done in the OPD of Karnali Academy of Health Sciences, Jumla. The data was taken from 2020 January to 2021 January. Data was collected by reviewing the record file from data store of KAHS. Data entry was done in excel sheet followed by its descriptive analysis. Results: During the period of January 2020 to January 2021, a total of 1219 cases were attended to by General Practitioners (GPs). The majority of cases were observed in the 20-30 age. Chronic Otitis Media, Epistaxis, and Acute Tonsillitis were the most commonly observed ear, nose, and throat problems, accounting for 43.5%, 24.1%, and 36.7% of cases, respectively. Conclusions: Ear diseases are the most frequently occurring among ENT conditions, followed by throat and nose diseases. In rural parts of Nepal, GPs are capable of managing most common cases. However, for challenging cases, GPs can seek consultation with ENT consultants via telemedicine during their practice. While GPs can manage common ENT cases at hospitals, they require regular training in the diagnosis and treatment of ENT diseases.