{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T13:38:11Z","timestamp":1759412291411},"reference-count":30,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2020,8,10]],"date-time":"2020-08-10T00:00:00Z","timestamp":1597017600000},"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":["Tropical Med Int Health"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe the demographics and clinical findings in patients with otorrhoea in Angola.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 411 patients with otorrhoea presenting in the ear, nose and throat clinic in Luanda and healthcare centres in other Angolan provinces underwent interview and clinical examination. We describe the demographics and clinical characteristics of the patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The majority (64%) of patients were children &lt;15\u00a0years (age ranged from 1\u00a0month to 77\u00a0years; median age 10.9\u00a0years) while 31% were children &lt;5\u00a0years. In 83% of the patients, otorrhoea had lasted &gt;14\u00a0days at the time of the examination indicating chronic suppurative otitis media (CSOM), which was confirmed with otoscopy in 72% of patients. Acute otitis media occurred in 16% of patients and was more common in children than in adults (22% vs. 10%; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.007). Median duration of otorrhoea was &gt;12\u00a0months. Earache (67%), fever (20%), dizziness (17%), nausea and\/or vomiting (6%) were the main symptoms. Adult patients reported noticing hearing impairment (HI) more often than the parents of child patients (72% vs. 50%; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.0001). Reported HI correlated with otorrhoea duration (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.0001), presence of earache, dizziness, and measles or meningitis in history. The level of education in the family did not correlate with symptom duration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Otorrhoea is mainly due to CSOM and affects patients long\u2010term in Angola. Otorrhoea duration is the strongest predictor of HI. Education on OM and its treatment is needed to prevent HI.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.13466","type":"journal-article","created":{"date-parts":[[2020,7,17]],"date-time":"2020-07-17T09:17:53Z","timestamp":1594977473000},"page":"1283-1290","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Suppurative otitis media in Angola: clinical and demographic features"],"prefix":"10.1111","volume":"25","author":[{"given":"Matuba","family":"Filipe","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology Hospital Josina Machel Luanda Angola"},{"name":"Faculty of Medicine Agostinho Neto University Luanda Angola"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariia","family":"Karppinen","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Helsinki University Hospital Helsinki Finland"},{"name":"Faculty of Medicine University of Helsinki Helsinki Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Palmira","family":"Kuatoko","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Hospital Josina Machel Luanda Angola"},{"name":"Faculty of Medicine Agostinho Neto University Luanda Angola"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c5ke","family":"Reimer","sequence":"additional","affiliation":[{"name":"ENT\u2010outpatient Department Slottsstadens L\u00e4karhus Malm\u00f6 Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristian","family":"Riesbeck","sequence":"additional","affiliation":[{"name":"Clinical Microbiology Department of Translational Medicine Faculty of Medicine Lund University Malm\u00f6 Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tuula","family":"Pelkonen","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Helsinki University Hospital Helsinki Finland"},{"name":"Faculty of Medicine University of Helsinki Helsinki Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,8,10]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-3488"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciy233"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/160.1.83"},{"key":"e_1_2_6_5_1","volume-title":"Chronic suppurative otitis media: Burden of illness and management options","author":"World Health Organization","year":"2004"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2005.08.021"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1099\/jmm.0.000155"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0036226"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-014-3255-4"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0000000000002254"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/4280583"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/tmi.12640"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0188950"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpids\/piv038"},{"key":"e_1_2_6_15_1","unstructured":"United Nations Data.Angola Social indicators 2019. 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