RELATIONSHIP OF AGE, GENDER, AND RECURRENT ACUTE OTITIS MEDIA WITH CHRONIC SUPPURATIVE OTITIS MEDIA
Abstract
Chronic suppurative otitis media (CSOM) can cause hearing loss and negatively affect children's growth and development. Many predisposing factors may influence the development of chronic suppurative otitis media. This condition can be prevented through appropriate preventive measures. This study aimed to determine the relationship between age, gender, and a history of recurrent acute otitis media (AOM) and the incidence of CSOM in children. This observational study used a case-control design. The study sample consisted of children aged 6 months to 18 years, selected through consecutive sampling, comprising 51 children with CSOM and 51 children without CSOM. Data were analyzed using the chi-square and Fisher’s exact test. The most common age group was 1-5 years, and the most common gender was female. Age and gender were not significantly associated with OMS (p = 0.227; OR = 1.630 and p = 0.843, OR = 1.082, respectively). In contrast, recurrent AOM was significantly associated with CSOM (p-value = 0.000 (<0.05); OR = 13.143). Thus, a history of recurrent AOM was identified as the most important factor associated with CSOM in this study, conferring a 13-fold higher risk.
Keywords: acute otitis media, age, chronic suppurative otitis media, gender
DOI 10.35990/mk.v9n2.p137-149
References
1. Alwy, MP, Zachreini I, Sawitri H. Hubungan Usia Dan Jenis Kelamin Dengan Kejadian Otitis Media Supuratif Kronik Di Rumah Sakit Umum Daerah Cut Meutia Tahun 2019-2020. Jurnal Ilmiah Manusia Dan Kesehatan [Internet]. 2023 [cited 2025 Nov 21];6(1):123–31. Available from: https://jurnal.umpar.ac.id/index.php/makes/article/view/1963
2. Pasyah MF, Wijana -. Otitis Media Supuratif Kronik pada Anak. Global Medical & Health Communication (GMHC) [Internet]. 2016 [cited 2025 Nov 21]; 4(1):1. Available from: https://scispace.com/pdf/otitis-media-supuratif-kronik-pada-anak-1b3wcvhspm.pdf
3. Umar NS, Pary MI, Soesanty. Karakteristik Pasien Otitis Media Supuratif Kronik di Poliklinik Telinga Hidung Tenggorok Rumah Sakit Umum Daerah Dr. H Chasan Boesoirie Periode Januari –Juli 2019. Kieraha Medical Journal [Internet]. 2019 [cited 2025 Nov 10];1(1):60–5. Available from:https://ejournal.unkhair.ac.id/index.php/kmj/article/view/1669/1284
4. Boediarsih, Jamaluddin M, Megawati R. Analisis Faktor-Faktor Yang Berhubungan Dengan Kejadian Otitis Media Supuratif Kronis Pada Pasien Anak. Jurnal Manajemen Asuhan Keperawatan [Internet]. 2024 [cited 2025 Nov 10];8(1):32–40. Available from: https://jurnal-d3per.uwhs.ac.id/ index.php/mak/article/view/181
5. Diana F, Haryuna TSH. Hubungan Rinitis Alergi dengan Kejadian Otitis Media Supuratif Kronik. Majalah Kedokteran Bandung [Internet]. 2017 Jun [cited 2025 Nov 11];49(2):79–85. Available from:http://journal.fk.unpad.ac.id/index.php/mkb/article/view/369
6. Khairkar M, Deshmukh P, Maity H, Deotale V. Chronic Suppurative Otitis Media: A Comprehensive Review of Epidemiology,Pathogenesis, Microbiology, and Complications. Cureus [Internet]. 2023 [cited 2025 Nov 11];15(8). Available from: https:// pubmed.ncbi.nlm.nih.gov/37727177/
7. Kementrian Kesehatan RI. Pedoman Nasional Pelayanan Kedokteran Tata Laksana Tuli Sensorineural Kongenital. Kementerian Kesehatan Republik Indonesia [Internet]. 2022 [cited 2025 Dec 3];158. Available from: https://yankes.kemkes.go.id/unduhan/fileunduhan_1673400596_143732.pdf
8. Nurafni, Pratama AA, Ellistrika WO, Darma S, Vivaldi R. Prevalensi Krakteristik Pasien OMSK Dewasa dan Anak di RSUD Sayang Rakyat Periode Januari-Desember 2021. Fakumi Medical Journal: Jurnal Mahasiswa Kedokteran [Internet]. 2024 [cited 2025 May 21];3(10):788–96. Available from: https://fmj.fk.umi.ac.id/index.php/fmj/article/view/315
9. Novian G, Suherlan E, Azhali BA. Hubungan Usia dan Jenis Kelamin dengan Prevalensi Otitis Media Supuratif Kronik di Rumah Sakit Umum Daerah Al Ihsan Tahun 2018. Prosiding Kedokteran [Internet]. 2018 [cited 2025 May 18];335–9. Available from:https://www.academia.edu/108365026/Hubungan_Usia_dan_Jenis_Kelamin_dengan_Prevalensi_Otitis_Media_Supuratif_Kronik_di_Rumah_Sakit_Umum_Daerah_Al_Ihsan_Tahun 2018
10. Adellia NR, Pratama AA, Jusli, Mesi S, Jafar MA. Karakteristik Tatalaksana Pasien Otitis Media Supuratif Kronik Tipe Benign di RS Sayang Rakyat Makassar. Fakumi Medical Journal: Jurnal Mahasiswa Kedokteran [Internet]. 2024 [cited 2025 May 18];4(2):141–9. Available from: https://fmj.fk.umi.ac.id /index.php/fmj/article/view/380
11. Asroel HA, Siregar DR, Aboet A. Profil Penderita Otitis Media Supuratif Kronis. Kesmas: National Public Health Journal [Internet]. 2013 [cited 2025 May 21]; 7(12):567. Available from:https://scholarhub.ui.ac.id/kesmas/vol7/iss12/7/
12. Arifin NM, Abidin MRZ, Pallamai SSIC, Sulaiman AB, Aris R. Gambaran Karakteristik Pasien Otitis Media Supuratif Kronik Di Rumah Sakit Bhayangkara Makassar Periode Januari - Desember 2023. Jurnal sosial dan sains [Internet]. 2025 Apr 25;5(4):751–62. Available from: https://sosains. greenvest.co.id/index.php/sosains/article/view/32146
13. Boesoirie SF, Aroeman NA, Purwanto B, Tria A. Knowledge Level of The Bhayangkari Members in West Java Regional Police About The Middle Ear Infection In Children. Journal of Medicine and Health [Internet]. 2022 [cited 2025 May 11];4(1):8. Available from:http://114.7.153.31/index.php/jmh/article/view/3528
14. Kishore HR, R. RP. Clinico-epidemiological profile of chronic otitis media at a tertiary care hospital. International Journal of Otorhinolaryngology and Head and Neck Surgery [Internet]. 2020 [cited 2025 May 11];6(12):2222. Available from:https://www.ijorl.com/index.php/ijorl/article/view/2581
15. Mahayana IBY, Putra ABD, Susantini GAD. Profil Pasien Otitis Media Supuratif Kronis (Omsk) Di Poliklinik Tht-Kl Rsud Kabupaten Buleleng Tahun 2020-2022. Ganesha Medicine [Internet]. 2023 [cited 2025 May 10];3(1):14–22. Available from: https://ejournal.undiksha.ac.id/index.php/GM/article/view/58323
16. Mubaraq S El, Adji IS, Wijaya YN Widoningrum FN, Fitrian VF. Reccurent Case of Eustachian Tube Dysfunction. Continuing Medical Education [Internet]. 2024 [cited 2025 May 10];627–36. Available from: https://proceedings.ums.ac.id/kedokteran/article/view/4467
17. Katiyar R, Ahmed N, Singh JV, Singh VK. Gender difference in health seeking behaviour among mothers of under five children in Lucknow. Int J Community Med Public Health [Internet]. 2018 [cited 2025 May 21];5(1):272. Available from: https://www.ijcmph.com/index.php/ijcmph/article/view/2268
18. Aprilia L. Faktor-Faktor Risiko Otitis Media Supuratif Kronik di Kota Surakarta. 2016 [cited 2025 May 16];31:41–9. Available from: https://digilib.uns.ac.id/dokumen/detail/56281/
19. Zhang Y, Xu M, Zhang J, Zeng L, Wang Y, Zheng QY. Risk factors for chronic and recurrent otitis media-A meta-analysis. PLoS One [Internet]. 2014 [cited 2025 May 21];9(1). Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0086397
20. Awanis LA, Aryani IGAT. Tatalaksana Otitis Media Supuratif Kronis Pada Aktivitas Masyarakat di Daerah Kepulauan. Jurnal inovasi pendidikan dan sains [Internet]. 2022 Dec 10 [cited 2025 May 25];3(3):104–7. Available from:https://ejournal.unwmataram.ac.id/JIPS/article/view/1187
21. Puspa SS, Nasaruddin H, Arifuddin ATS, Pratama AA, Rijal Sy. Karakteristik Pasien Otitis Media Supuratif Kronik di Rumah Sakit Ibnu Sina Makassar Periode Juni 2018 – Desember 2021. Fakumi Medical Journal: Jurnal Mahasiswa Kedokteran [Internet]. 2023 Apr 1 [cited 2025 May 25];3(3):199–208. Available from: https://fmj.fk.umi.ac.id/index.php/fmj/article/view/221
22. Indrayani C, Triola S, Pitra DAH, Ashan H. Otitis Media Supuratif Kronik (OMSK) Sebagai Penyebab Gangguan Pendengaran. Scientific Journal [Internet]. 2023 [cited 2025 May 25];2(2):83–95. Available from: https://journal.scientic.id/index.php/sciena/article/view/94
23. Putri NE, Harahap REG, Fasha I, Purvis L. Hubungan Faktor Risiko Eksternal terhadap Kejadian Otitis Media Akut pada Balita di RS Aminah Ciledug. Sanus Medical Journal [Internet]. 2024 [cited 2025 May 26];5(2):24–36. Available from: https://journal.uhamka.ac.id/index.php/smj/article/view/14493
24. Harianingrum A, Naftali Z, Marliyawati D. Pengaruh Derajat Merokok Terhadap Fungsi Tuba Eustachius Pada Perokok Aktif. Zulfikar Naftali, Dwi Marliyawati JKD [Internet]. 2018 [cited 2025 May 26];7(2):1166–81. Available from: https://ejournal3.undip.ac.id/index.php/medico/article/view/21191
25. Riani F, Sari IM. Laporan Kasus Karsinoma Sel Skuamosa yang Berkembang dari Papiloma Tipe Inverted Sinonasal pada Pekerja Pabrik Cermin. Sanus Medical Journal [Internet]. 2022 [cited 2025 Jun 15];3(1):9–13. Available from: https://journal.uhamka.ac.id/index.php/smj/article/view/8103
2. Pasyah MF, Wijana -. Otitis Media Supuratif Kronik pada Anak. Global Medical & Health Communication (GMHC) [Internet]. 2016 [cited 2025 Nov 21]; 4(1):1. Available from: https://scispace.com/pdf/otitis-media-supuratif-kronik-pada-anak-1b3wcvhspm.pdf
3. Umar NS, Pary MI, Soesanty. Karakteristik Pasien Otitis Media Supuratif Kronik di Poliklinik Telinga Hidung Tenggorok Rumah Sakit Umum Daerah Dr. H Chasan Boesoirie Periode Januari –Juli 2019. Kieraha Medical Journal [Internet]. 2019 [cited 2025 Nov 10];1(1):60–5. Available from:https://ejournal.unkhair.ac.id/index.php/kmj/article/view/1669/1284
4. Boediarsih, Jamaluddin M, Megawati R. Analisis Faktor-Faktor Yang Berhubungan Dengan Kejadian Otitis Media Supuratif Kronis Pada Pasien Anak. Jurnal Manajemen Asuhan Keperawatan [Internet]. 2024 [cited 2025 Nov 10];8(1):32–40. Available from: https://jurnal-d3per.uwhs.ac.id/ index.php/mak/article/view/181
5. Diana F, Haryuna TSH. Hubungan Rinitis Alergi dengan Kejadian Otitis Media Supuratif Kronik. Majalah Kedokteran Bandung [Internet]. 2017 Jun [cited 2025 Nov 11];49(2):79–85. Available from:http://journal.fk.unpad.ac.id/index.php/mkb/article/view/369
6. Khairkar M, Deshmukh P, Maity H, Deotale V. Chronic Suppurative Otitis Media: A Comprehensive Review of Epidemiology,Pathogenesis, Microbiology, and Complications. Cureus [Internet]. 2023 [cited 2025 Nov 11];15(8). Available from: https:// pubmed.ncbi.nlm.nih.gov/37727177/
7. Kementrian Kesehatan RI. Pedoman Nasional Pelayanan Kedokteran Tata Laksana Tuli Sensorineural Kongenital. Kementerian Kesehatan Republik Indonesia [Internet]. 2022 [cited 2025 Dec 3];158. Available from: https://yankes.kemkes.go.id/unduhan/fileunduhan_1673400596_143732.pdf
8. Nurafni, Pratama AA, Ellistrika WO, Darma S, Vivaldi R. Prevalensi Krakteristik Pasien OMSK Dewasa dan Anak di RSUD Sayang Rakyat Periode Januari-Desember 2021. Fakumi Medical Journal: Jurnal Mahasiswa Kedokteran [Internet]. 2024 [cited 2025 May 21];3(10):788–96. Available from: https://fmj.fk.umi.ac.id/index.php/fmj/article/view/315
9. Novian G, Suherlan E, Azhali BA. Hubungan Usia dan Jenis Kelamin dengan Prevalensi Otitis Media Supuratif Kronik di Rumah Sakit Umum Daerah Al Ihsan Tahun 2018. Prosiding Kedokteran [Internet]. 2018 [cited 2025 May 18];335–9. Available from:https://www.academia.edu/108365026/Hubungan_Usia_dan_Jenis_Kelamin_dengan_Prevalensi_Otitis_Media_Supuratif_Kronik_di_Rumah_Sakit_Umum_Daerah_Al_Ihsan_Tahun 2018
10. Adellia NR, Pratama AA, Jusli, Mesi S, Jafar MA. Karakteristik Tatalaksana Pasien Otitis Media Supuratif Kronik Tipe Benign di RS Sayang Rakyat Makassar. Fakumi Medical Journal: Jurnal Mahasiswa Kedokteran [Internet]. 2024 [cited 2025 May 18];4(2):141–9. Available from: https://fmj.fk.umi.ac.id /index.php/fmj/article/view/380
11. Asroel HA, Siregar DR, Aboet A. Profil Penderita Otitis Media Supuratif Kronis. Kesmas: National Public Health Journal [Internet]. 2013 [cited 2025 May 21]; 7(12):567. Available from:https://scholarhub.ui.ac.id/kesmas/vol7/iss12/7/
12. Arifin NM, Abidin MRZ, Pallamai SSIC, Sulaiman AB, Aris R. Gambaran Karakteristik Pasien Otitis Media Supuratif Kronik Di Rumah Sakit Bhayangkara Makassar Periode Januari - Desember 2023. Jurnal sosial dan sains [Internet]. 2025 Apr 25;5(4):751–62. Available from: https://sosains. greenvest.co.id/index.php/sosains/article/view/32146
13. Boesoirie SF, Aroeman NA, Purwanto B, Tria A. Knowledge Level of The Bhayangkari Members in West Java Regional Police About The Middle Ear Infection In Children. Journal of Medicine and Health [Internet]. 2022 [cited 2025 May 11];4(1):8. Available from:http://114.7.153.31/index.php/jmh/article/view/3528
14. Kishore HR, R. RP. Clinico-epidemiological profile of chronic otitis media at a tertiary care hospital. International Journal of Otorhinolaryngology and Head and Neck Surgery [Internet]. 2020 [cited 2025 May 11];6(12):2222. Available from:https://www.ijorl.com/index.php/ijorl/article/view/2581
15. Mahayana IBY, Putra ABD, Susantini GAD. Profil Pasien Otitis Media Supuratif Kronis (Omsk) Di Poliklinik Tht-Kl Rsud Kabupaten Buleleng Tahun 2020-2022. Ganesha Medicine [Internet]. 2023 [cited 2025 May 10];3(1):14–22. Available from: https://ejournal.undiksha.ac.id/index.php/GM/article/view/58323
16. Mubaraq S El, Adji IS, Wijaya YN Widoningrum FN, Fitrian VF. Reccurent Case of Eustachian Tube Dysfunction. Continuing Medical Education [Internet]. 2024 [cited 2025 May 10];627–36. Available from: https://proceedings.ums.ac.id/kedokteran/article/view/4467
17. Katiyar R, Ahmed N, Singh JV, Singh VK. Gender difference in health seeking behaviour among mothers of under five children in Lucknow. Int J Community Med Public Health [Internet]. 2018 [cited 2025 May 21];5(1):272. Available from: https://www.ijcmph.com/index.php/ijcmph/article/view/2268
18. Aprilia L. Faktor-Faktor Risiko Otitis Media Supuratif Kronik di Kota Surakarta. 2016 [cited 2025 May 16];31:41–9. Available from: https://digilib.uns.ac.id/dokumen/detail/56281/
19. Zhang Y, Xu M, Zhang J, Zeng L, Wang Y, Zheng QY. Risk factors for chronic and recurrent otitis media-A meta-analysis. PLoS One [Internet]. 2014 [cited 2025 May 21];9(1). Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0086397
20. Awanis LA, Aryani IGAT. Tatalaksana Otitis Media Supuratif Kronis Pada Aktivitas Masyarakat di Daerah Kepulauan. Jurnal inovasi pendidikan dan sains [Internet]. 2022 Dec 10 [cited 2025 May 25];3(3):104–7. Available from:https://ejournal.unwmataram.ac.id/JIPS/article/view/1187
21. Puspa SS, Nasaruddin H, Arifuddin ATS, Pratama AA, Rijal Sy. Karakteristik Pasien Otitis Media Supuratif Kronik di Rumah Sakit Ibnu Sina Makassar Periode Juni 2018 – Desember 2021. Fakumi Medical Journal: Jurnal Mahasiswa Kedokteran [Internet]. 2023 Apr 1 [cited 2025 May 25];3(3):199–208. Available from: https://fmj.fk.umi.ac.id/index.php/fmj/article/view/221
22. Indrayani C, Triola S, Pitra DAH, Ashan H. Otitis Media Supuratif Kronik (OMSK) Sebagai Penyebab Gangguan Pendengaran. Scientific Journal [Internet]. 2023 [cited 2025 May 25];2(2):83–95. Available from: https://journal.scientic.id/index.php/sciena/article/view/94
23. Putri NE, Harahap REG, Fasha I, Purvis L. Hubungan Faktor Risiko Eksternal terhadap Kejadian Otitis Media Akut pada Balita di RS Aminah Ciledug. Sanus Medical Journal [Internet]. 2024 [cited 2025 May 26];5(2):24–36. Available from: https://journal.uhamka.ac.id/index.php/smj/article/view/14493
24. Harianingrum A, Naftali Z, Marliyawati D. Pengaruh Derajat Merokok Terhadap Fungsi Tuba Eustachius Pada Perokok Aktif. Zulfikar Naftali, Dwi Marliyawati JKD [Internet]. 2018 [cited 2025 May 26];7(2):1166–81. Available from: https://ejournal3.undip.ac.id/index.php/medico/article/view/21191
25. Riani F, Sari IM. Laporan Kasus Karsinoma Sel Skuamosa yang Berkembang dari Papiloma Tipe Inverted Sinonasal pada Pekerja Pabrik Cermin. Sanus Medical Journal [Internet]. 2022 [cited 2025 Jun 15];3(1):9–13. Available from: https://journal.uhamka.ac.id/index.php/smj/article/view/8103
Published
2026-06-30
How to Cite
SAFITRI, Hani; FASYAH, Ismaily; PUTRANTI, Rizka Aries.
RELATIONSHIP OF AGE, GENDER, AND RECURRENT ACUTE OTITIS MEDIA WITH CHRONIC SUPPURATIVE OTITIS MEDIA.
Medika Kartika : Jurnal Kedokteran dan Kesehatan, [S.l.], v. 9, n. 2, p. 137-149, june 2026.
ISSN 2655-6537.
Available at: <http://medikakartika.unjani.ac.id/medikakartika/index.php/mk/article/view/1338>. Date accessed: 04 aug. 2026.
Section
Articles
