{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T17:12:34Z","timestamp":1770484354468,"version":"3.49.0"},"reference-count":20,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2011,4,8]],"date-time":"2011-04-08T00:00:00Z","timestamp":1302220800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2011,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Aim:\u2002<\/jats:bold> Evaluation of clinical characteristics, bacteriology and hearing in paediatric patients with and without chronic suppurative otitis media (CSOM) in Luanda, Angola.<\/jats:p><jats:p><jats:bold>Methods:\u2002<\/jats:bold> Interview, clinical examination, ear\u2010discharge culture, open air pure\u2010tone audiometry and brainstem auditory\u2010evoked potentials of 23 outpatients with CSOM and 23 controls in a paediatric hospital.<\/jats:p><jats:p><jats:bold>Results:\u2002<\/jats:bold> Of the CSOM vs. control children, 35% vs. 26% had running water, 70% vs. 70% electricity, 64% vs. 0% HIV (p\u2003&lt;\u20030.0001) and 36% vs. 0% tuberculosis in history (p\u2003=\u20030.002). Ten (43%) children had bilateral CSOM. The major ear\u2010discharge pathogens were <jats:italic>Proteus<\/jats:italic> spp. (44%) and <jats:italic>Pseudomonas<\/jats:italic> (22%). Hearing impairment of &gt;25\u2003dB was present in 52% of CSOM\u2010affected ears and bilateral hearing loss in 7 (30%) CSOM children vs. zero control child (p\u2003=\u20030.009). Only one hearing\u2010impaired child\u2019s family had previously detected the handicap.<\/jats:p><jats:p><jats:bold>Conclusion:\u2002<\/jats:bold> CSOM occurred in children with high co\u2010morbidity. Persistent otorrhoea was usually caused by <jats:italic>Proteus<\/jats:italic> spp. or <jats:italic>Pseudomonas<\/jats:italic>, and often suggestive of either HIV or hearing impairment. In the developing countries, prompt diagnosis and treatment of CSOM would enhance the children\u2019s linguistic and academic development.<\/jats:p>","DOI":"10.1111\/j.1651-2227.2011.02192.x","type":"journal-article","created":{"date-parts":[[2011,4,8]],"date-time":"2011-04-08T05:27:55Z","timestamp":1302240475000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Chronic suppurative otitis media in children of Luanda, Angola"],"prefix":"10.1111","volume":"100","author":[{"given":"Anni","family":"Taipale","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tuula","family":"Pelkonen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marko","family":"Taipale","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis","family":"Bernardino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heikki","family":"Peltola","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Pitk\u00e4ranta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,4,8]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2003.tb05496.x"},{"key":"e_1_2_8_3_2","first-page":"812","article-title":"Chronic suppurative otitis media in the Solomon Islands: a prospective, microbiological, audiometric and therapeutic survey","volume":"99","author":"Eason RJ","year":"1986","journal-title":"N Z Med J"},{"issue":"2","key":"e_1_2_8_4_2","first-page":"1","article-title":"Otitis media in Greenland. 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