SPECTRUM OF OTORHINOLARYNGOLOGICAL PROBLEMS AMONG PAEDIATRIC AGE GROUP AT A TERTIARY HOSPITAL OF NEPAL

Jeegyasha Thapa, Sangita Regmi Chalise, S. Khadka, Abishesh Shakya, Rashmi Ranjan, Prabha Chettri
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Abstract

Background: Otorhinolaryngological problems are very common among children. The pattern of ENT disorders varies from community to hospital depending upon the demographic, socioeconomic and health facilities available in that particular region.  The objective of the study was to evaluate and determine the hospital based prevalence of disorders of Ear, Nose and Throat among children. Methods: A prospective cross-sectional study was conducted in department of KIST Medical College and Teaching Hospital during the period of 1 year from 15th June 2021 to 15th June 2022. 320 patients attending the ENT outpatients during the study period were enrolled in the study. Informed consent was taken from patient and attendant. Diagnosis was made on the basis of history and clinical examination. Results were expressed in numbers and percentage. Results: Among the 320 (3.66%) respondents (58.7%) were Males and (42.2%) were Females. Most of the children belonged to age group 0-5 years (56.25%), were living in Nuclear family (73.4%), belong to Middle upper middle class of family (43.1%). The most common ENT disorders were ear wax (32.5%) among otological disorders, pharyngitis (6.9%) among throat disorders and rhinitis (6.6%) among nasal disorders. Conclusions: The study revealed ear wax, pharyngitis and rhinitis were the most common ENT related disorders in our area. We can improve the rate of prevalence of ENT disorders by firstly raising awareness among people and then taking further steps to improve education and health system.
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尼泊尔某三级医院儿科年龄组耳鼻咽喉疾病谱
背景:儿童耳鼻咽喉疾病非常常见。耳鼻喉科疾病的模式因社区和医院的不同而不同,这取决于该地区现有的人口、社会经济和卫生设施。本研究的目的是评估和确定儿童耳、鼻、喉疾病的医院患病率。方法:前瞻性横断面研究于2021年6月15日至2022年6月15日在KIST医学院及教学医院进行。在研究期间,320名在耳鼻喉科门诊就诊的患者被纳入研究。获得患者和护理人员的知情同意。根据病史和临床检查作出诊断。结果以数字和百分比表示。结果:320名被调查者中男性占58.7%,女性占42.2%,占3.66%。儿童以0 ~ 5岁儿童居多(56.25%),以核心家庭居多(73.4%),以中上中产家庭居多(43.1%)。耳鼻喉疾病中最常见的是耳垢(32.5%),喉咙疾病中最常见的是咽炎(6.9%),鼻疾病中最常见的是鼻炎(6.6%)。结论:耳垢、咽炎、鼻炎是本地区最常见的耳鼻喉科相关疾病。我们可以通过首先提高人们的意识,然后采取进一步措施改善教育和卫生系统来提高耳鼻喉科疾病的患病率。
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