{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T05:07:57Z","timestamp":1778735277923,"version":"3.51.4"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T00:00:00Z","timestamp":1772755200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T00:00:00Z","timestamp":1772755200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To assess the prevalence, clinical features and treatment of otitis media (OM) among Aboriginal children in the Kimberley region of Western Australia, and to determine if a correlation exists between OM and protracted bacterial bronchitis (PBB).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data was extracted from clinic records of Aboriginal children from four remote Kimberley communities participating in a whole\u2010population lung health screening program during 2018\u20132019. Records were retrospectively reviewed 3\u2009months before and after the screening date. OM prevalence and related complications were determined. Management was assessed against regional guidelines. The relationship between OM and the presence of PBB was assessed using chi\u2010square testing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>One\u2010hundred ninety\u2010one children (median age 3.5\u2009years, 48.7% female) were included. Otorrhoea and\/or otalgia was documented in 14.1% of children, and 53.9% had abnormal otoscopy findings. Earwax obscured visualisation of the tympanic membrane in 31.4% of examinations. Audiometry was performed in 27.2% of children, with hearing loss detected in 46.1% of those tested. OM, including acute OM with or without perforation, OM with effusion, or chronic suppurative OM, was diagnosed in 43.5% of children. Adherence to guideline\u2010recommended antibiotic route and duration was seen in 15.8% of children with acute OM. No association was found between OM and PBB.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Despite the absence of a relationship between OM and PBB, there is a high burden of OM among Aboriginal children in the Kimberley. Training clinicians in earwax removal and improving eardrum visualisation may enhance detection and timely treatment of OM, improving ear health disparities among Aboriginal populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpc.70346","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T08:23:39Z","timestamp":1772958219000},"page":"778-785","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Understanding Otitis Media Among Aboriginal Children in the Kimberley Region of Western Australia: An Opportunity to Improve Health Outcomes"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-3365-7670","authenticated-orcid":false,"given":"Aryan","family":"Kalra","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery Perth Children's Hospital  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4892-1285","authenticated-orcid":false,"given":"Gloria","family":"Lau","sequence":"additional","affiliation":[{"name":"Wal\u2010Yan Respiratory Research Centre The Kids Research Institute Australia  Perth Western Australia Australia"},{"name":"Department of Respiratory and Sleep Medicine Perth Children's Hospital  Perth Western Australia Australia"},{"name":"Medical School, the University of Western Australia  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9799-0471","authenticated-orcid":false,"given":"Pamela","family":"Laird","sequence":"additional","affiliation":[{"name":"Wal\u2010Yan Respiratory Research Centre The Kids Research Institute Australia  Perth Western Australia Australia"},{"name":"Physiotherapy Department Perth Children's Hospital  Perth Western Australia 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Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2000-8910","authenticated-orcid":false,"given":"Andre","family":"Schultz","sequence":"additional","affiliation":[{"name":"Wal\u2010Yan Respiratory Research Centre The Kids Research Institute Australia  Perth Western Australia Australia"},{"name":"Department of Respiratory and Sleep Medicine Perth Children's Hospital  Perth Western Australia Australia"},{"name":"Medical School, the University of Western Australia  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jafri","family":"Kuthubutheen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery Perth Children's Hospital  Perth Western Australia Australia"},{"name":"Medical School, the University of Western Australia  Perth Western Australia Australia"},{"name":"Western Australia Country Health Service  Perth Western Australia 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Kimberley Aboriginal Health Planning Forum; 2024 [Cited 2025 Mar 26] \u201dhttps:\/\/kahpf.org.au\/clinical\u2010protocols."},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-019-4750-5"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-020-05462-5"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-5-27"},{"key":"e_1_2_10_19_1","unstructured":"Otitis Media \u201cOtitis Media Guidelines: Centre of Research Excellence in Ear and Hearing Health of Aboriginal and Torres Strait Islander Children [Internet]. Menzies School of Health Research; 2021 [Cited 2025 Mar 26] \u201dhttps:\/\/otitismediaguidelines.com\/about\u2010otitis\u2010media\/."},{"key":"e_1_2_10_20_1","unstructured":"Australian Institute of Health and Welfare \u201cNorthern Territory Remote Aboriginal Investment: Ear and Hearing Health Program. July 2012 to June 2016 [Internet]. 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