{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T10:57:09Z","timestamp":1781261829164,"version":"3.54.1"},"reference-count":15,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2024,8,20]],"date-time":"2024-08-20T00:00:00Z","timestamp":1724112000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background:\u00a0Chronic suppurative otitis media (CSOM) is a common paediatric ear disease in developing countries, typically resulting from an acute otitis media (AOM) that is not promptly diagnosed or treated. Home remedies using herbal medicine in rural villages may contribute to treatment delays and complications.\n\nMethods:\u00a0A cross-sectional study of children from three rural schools was conducted. Children between 6 and 14 years of age were randomly selected and screened by the lead author for CSOM between January and February 2015 by history and physical examination, including otoscopy. Parents of children diagnosed with CSOM were asked additional questions regarding their understanding of this clinical entity.\n\nResults:\u00a0A total of 461 children with a mean age of 9.8 years were screened and 17 were diagnosed with CSOM (3.6%). The majority (n\u00a0= 10\/17, 59%) of parents reported no understanding of the aetiology of their children\u2019s ear symptoms and the remainder (n\u00a0= 7, 41%) reported other incorrect aetiologies. Traditional home remedies such as instilling fruit juice are still common in this community. Most parents confirmed to have previously used traditional remedies at least once to treat their children for CSOM.\n\nConclusion:\u00a0Approximately one in 25 school-aged children in rural Rwanda had CSOM at the time of this study. Parental knowledge about the causes, treatments and complications of CSOM is limited.\n\nContribution:\u00a0This study provided insights into the prevalence of CSOM in school-aged children in the Rwandan district of Bugesera and explored current beliefs and practices among parents of children with CSOM.\neng<\/jats:p>","DOI":"10.4102\/jcmsa.v2i1.77","type":"journal-article","created":{"date-parts":[[2024,8,20]],"date-time":"2024-08-20T15:30:22Z","timestamp":1724167822000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Paediatric chronic suppurative otitis media in rural Rwanda: Prevalence and parental practices"],"prefix":"10.4102","volume":"2","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8358-1872","authenticated-orcid":false,"given":"Gratien","family":"Tuyishimire","sequence":"first","affiliation":[{"name":"University Teaching Hospital of Kigali"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2024,8,20]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Bluestone CD. Epidemiology and pathogenesis of chronic suppurative otitis media: Implications for prevention and treatment. Int J Pediatr Otorhinolaryngol. 1998;42(3):207\u2013223. https:\/\/doi.org\/10.1016\/S0165-5876(97)00147-X","DOI":"10.1016\/S0165-5876(97)00147-X"},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Dubey SP, Larawin V. Complications of chronic suppurative otitis media and their management. Laryngoscope. 2007;117(2):264\u2013267. https:\/\/doi.org\/10.1097\/01.mlg.0000249728.48588.22","DOI":"10.1097\/01.mlg.0000249728.48588.22"},{"key":"ref2","unstructured":"World Health Organization. Chronic suppurative otitis media: Burden of illness and management options [homepage on the Internet]. apps.who.int; 2004 [cited 2015 Oct 02]. Available from: https:\/\/apps.who.int\/iris\/handle\/10665\/42941"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Lasisi AO, Olaniyan FA, Muibi SA, et al. Clinical and demographic risk factors associated with chronic suppurative otitis media. Int J Pediatr Otorhinolaryngol. 2007;71(10):1549\u20131554. https:\/\/doi.org\/10.1016\/j.ijporl.2007.06.005","DOI":"10.1016\/j.ijporl.2007.06.005"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Smith AW, Hatcher J, Mackenzie IJ, et al. Randomised controlled trial of treatment of chronic suppurative otitis media in Kenyan schoolchildren. Lancet. 1996;348(9035):1128\u20131133. https:\/\/doi.org\/10.1016\/S0140-6736(96)09388-9","DOI":"10.1016\/S0140-6736(96)09388-9"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"Minja BM, Machemba A. Prevalence of otitis media, hearing impairment and cerumen impaction among school children in rural and urban Dar es Salaam, Tanzania. Int J Pediatr Otorhinolaryngol. 1996;37(1):29\u201334. https:\/\/doi.org\/10.1016\/0165-5876(96)01363-8","DOI":"10.1016\/0165-5876(96)01363-8"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"Rupa V, Jacob A, Joseph A. Chronic suppurative otitis media: Prevalence and practices among rural South Indian children. Int J Pediatr Otorhinolaryngol. 1999;48(3):217\u2013221. https:\/\/doi.org\/10.1016\/S0165-5876(99)00034-8","DOI":"10.1016\/S0165-5876(99)00034-8"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Hunt L, Mulwafu W, Knott V, et al. Prevalence of paediatric chronic suppurative otitis media and hearing impairment in rural Malawi: A cross-sectional survey. PLoS One. 2017;12(12):e0188950. https:\/\/doi.org\/10.1371\/journal.pone.0188950","DOI":"10.1371\/journal.pone.0188950"},{"key":"ref8","unstructured":"Mustafa MR. Prevalence of hearing impairment and ear disorders among school children in Kigali, Rwanda [homepage on the Internet]. Master\u2019s dissertation. 2009 [cited 2015 Oct 02]. Available from. http:\/\/erepository.uonbi.ac.ke\/handle\/11295\/30632"},{"key":"ref9","unstructured":"Olatoke F, Ologe FE, Nwawolo CC, Saka MJ. The prevalence of hearing loss among schoolchildren with chronic suppurative otitis media in Nigeria, and its effect on academic performance. Ear Nose Throat J. 2008;87(12):E19."},{"key":"ref10","unstructured":"Kamuti BW. Perceptions and health care seeking practices of guardians of young children towards chronic supperative otitis media in Machakos county, Kenya [homepage on the Internet]. Master\u2019s dissertation. 2002 [cited 2015 Oct 02]. Available from: https:\/\/ir-library.ku.ac.ke\/server\/api\/core\/bitstreams\/dfa2ecb2-4b61-41c9-bcbc-95f6db4f88b0\/content"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"Akinpelu OV, Amusa YB, Komolafe EO, Adeolu AA, Oladele AO, Ameye SA. Challenges in management of chronic suppurative otitis media in a developing country. J Laryngol Otol. 2008;122(1):16\u201320. https:\/\/doi.org\/10.1017\/S0022215107008377","DOI":"10.1017\/S0022215107008377"},{"key":"ref12","doi-asserted-by":"crossref","unstructured":"Fagan JJ, Jacobs M. Survey of ENT services in Africa: Need for a comprehensive intervention. Glob Health Action. 2009;2(1):1932. https:\/\/doi.org\/10.3402\/gha.v2i0.1932","DOI":"10.3402\/gha.v2i0.1932"},{"key":"ref13","doi-asserted-by":"crossref","unstructured":"Bartels LJ. The early signs and symptoms of neurotologic complications of chronic suppurative otitis media. Laryngoscope. 1989;99(4):373\u2013375. https:\/\/doi.org\/10.1288\/00005537-198904000-00002","DOI":"10.1288\/00005537-198904000-00002"},{"key":"ref14","doi-asserted-by":"crossref","unstructured":"Sharma N, Jaiswal AA, Banerjee PK, Garg AK. Complications of chronic suppurative otitis media and their management: A single institution 12 years experience. 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