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<p>Chronic suppurative otitis media (CSOM) remains a significant health problem in the developing countries. This study aimed to determine the prevalence of CSOM complications and associated factors among adult patients at a tertiary hospital in Tanzania. A hospital-based cross-sectional study was conducted among adult patients diagnosed with CSOM. Data were collected using a structured tool capturing demographic information, clinical characteristics, and complications identified through physical examination and imaging investigations. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 23. Categorical variables were summarized as percentages, while continuous variables were presented as medians with interquartile ranges. Logistic regression was used to assess factors associated with complicated CSOM. Statistical significance was set at <i>p</i> &lt; 0.05. A total of 52 patients were enrolled, with a male-to-female ratio of 1:1 and a median age of 39 (IQR 22) years. The prevalence of complicated CSOM was 51.9%. All patients with complicated CSOM had extracranial complications, while 19% had both extracranial and intracranial complications. Complicated CSOM was more common among males (61.5%), patients with atticoantral CSOM (100%), and those who used local remedies (72.7%). Logistic regression showed that use of local remedies was an independent predictor of complicated CSOM. Over half of patients had complicated CSOM, predominantly extracranial. Use of local remedies independently increased the risk of complications, highlighting the need to promote appropriate healthcare-seeking behavior and community education.</p>

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Prevalence and factors associated with chronic suppurative otitis media complications among adult patients at a tertiary hospital in Tanzania

  • 期刊论文

  • 发表日期：

    2026年6月2日

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  • Julius Casmiry Kessy,
  • Aveline Aloyce Kahinga,
  • Enica Richard Massawe,
  • Daudi Cheche Ntunaguzi,
  • Kassim Babu Mapondela,
  • Inocent Francis Mwita,
  • Amedeus Dismas Mrema,
  • Jimmy Joshua Ernest

摘要

Chronic suppurative otitis media (CSOM) remains a significant health problem in the developing countries. This study aimed to determine the prevalence of CSOM complications and associated factors among adult patients at a tertiary hospital in Tanzania. A hospital-based cross-sectional study was conducted among adult patients diagnosed with CSOM. Data were collected using a structured tool capturing demographic information, clinical characteristics, and complications identified through physical examination and imaging investigations. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 23. Categorical variables were summarized as percentages, while continuous variables were presented as medians with interquartile ranges. Logistic regression was used to assess factors associated with complicated CSOM. Statistical significance was set at p < 0.05. A total of 52 patients were enrolled, with a male-to-female ratio of 1:1 and a median age of 39 (IQR 22) years. The prevalence of complicated CSOM was 51.9%. All patients with complicated CSOM had extracranial complications, while 19% had both extracranial and intracranial complications. Complicated CSOM was more common among males (61.5%), patients with atticoantral CSOM (100%), and those who used local remedies (72.7%). Logistic regression showed that use of local remedies was an independent predictor of complicated CSOM. Over half of patients had complicated CSOM, predominantly extracranial. Use of local remedies independently increased the risk of complications, highlighting the need to promote appropriate healthcare-seeking behavior and community education.