Keywords
Epistaxis
Nose
Body-weight, Caffeine, Pregnant mice
Pediatrics
Pharyngitis
Tonsillitis
How to Cite
Abstract
Objective: This study aimed to determine the frequency of commonly prevalent pediatric ear, nose, and throat (ENT) disorders presenting in the outpatient department of a teaching hospital in Sargodha, Pakistan.
Methods: This cross-sectional study was conducted at the Department of Otorhinolaryngology, Niazi Welfare Foundation Teaching Hospital, from October 1, 2024, to April 30th, 2025. A total of 380 children aged 0–15 years were enrolled via consecutive sampling, after obtaining informed consent from their primary caregivers. SPSS 21 was used for statistical analysis, including the Chi-square test to identify the statistical significance of various study variables.
Results: Out of 380 participants, the majority (53.2%) were male and 82.6% lived in rural areas. The most frequently diagnosed disorders were tonsillitis (20.3%), acute suppurative otitis media (9.2%), epistaxis (7.9%), adenotonsillitis (7.9%), and pharyngitis (3.4%). A significant statistical association was found between ENT disorders and age (Contingency Coefficient = 0.927, p < 0.001). Parental education (p<0.001) and smoking exposure (p=0.003) influenced the disease chronicity. Parental inclination towards unverified health care providers was influenced by the education level of both parents (p<0.001), the mother’s occupation (p=0.046) and the father’s occupation (p<0.001).
Conclusion: ENT disorders, particularly tonsillitis, are commonly prevalent among children in Sargodha. Low parental education level and exposure to second-hand smoking significantly contribute to disease recurrence. Region-specific, multicenter data collection is essential to provide evidence-based figures for policymakers to plan the provision of healthcare strategies, especially in underserved areas.
Keywords: Adenoids, Chronic Otitis media, Epistaxis, Paediatrics, Pharyngitis, Tonsillitis
References
Boliev I, Mukhammadieva M, Shamatov I. Nasal and throat diseases in children, their prevalence, prevention and the importance of family rehabilitation. 2025;2(1):173-8. https://doi.org/10.5281/zenodo.14755281
Talha A, Tayyab M, Sardar T. Child Rights and Its Implementation Status in Pakistan. JADS. 2023;12(3):512-24. https://doi.org/10.62345/
Rafi MT, Mehboob S, Aftab K, Saify ZS, Rehman U.Prevalence and Possible Surgical Intervention of Ear, Nose and Throat Diseases in Local Population of Pakistan. J Pharma Pharma Sci. 2017; 2(3): 137.https://doi.org/10.29011/2574-7711.100037
Lukama L, Aldous C, Michelo C, Kalinda C. Ear, Nose and Throat (ENT) disease diagnostic error in low-resource health care: Observations from a hospital-based crosssectional study. PLoS ONE. 2023; 18(2): e0281686.https://doi.org/10.1371/journal.pone.0281686
Uinarni H, Sukmana BI, Goncharov VV. Unsafe type of chronic suppurative otitis media: Epidemiology, etiology, classification, radiological diagnosis, management, complications and prognosis. Int J Pharm Res. 2020;12(3):2298. https://doi.org/10.31838/ijpr/2020.12.03.320
Ali S, Ijaz M, Ghaffar A, Oneeb M, Masud A, Durrani AZ, et al. Species distribution and seasonal dynamics of equine tick infestation in two subtropical climate niches in Punjab, Pakistan. Pak. Vet. J. 2020;40(1):25-30. https://doi.org/10.29261/pakvetj/2019.095
Pakistan Bureau of Statistics. Labour Force Survey 2020-21: Annual Report [Internet]. Islamabad: Pakistan Bureau of Statistics; 2022.
Jamil Z, Kakar R, Habib S, Sultan RS. Nuclear and Joint Family System: Youth Perspective in Quetta, Balochistan. Qlantic J Soc Sci. 2023;4(4):197-205. https://doi.org/10.55737/qjss.699721149.
Durr-e-Nayab. The assumed shortage of housing in Pakistan. Pak Dev Rev. 2022;61(1):139-43.https://doi.org/10.30541/v61i1pp.139‑143
Moon SM. Sex/Gender Differences in Infectious Diseases. In: Kim N, editor. Sex/Gender-Specific Medicine in Clinical Areas. Singapore: Springer; 2024. p. 311–24. https://doi.org/10.1007/978-981-97-0130-8_16
Rahman MA, Jahan N, Begum MT. Current status of otolaryngological diseases among paediatric population attending ENT OPD in Sylhet Women Medical College. Sch J App Med Sci. 2020;8(12):2380–4. https://doi.org/10.36347/sjams.2020.v08i12.020
Siddiqi K, Welch C, Huque R, Iqbal R, Kanaan M, Mishu MP, et al. The Effect of Adult Smoking Behavior on Children's Exposure to Secondhand Smoke. An Analysis Based on Salivary Cotinine Levels Among Children in Dhaka and Karachi. Nicotine Tob Res. 2024;26(11):1512-20. https://doi.org/10.1093/ntr/ntae130
Xiang S, Chen Z, Dai Z, Wang F. Global burden of lower respiratory infections attributable to secondhand smoke among children under 5 years of age, 2010–2019: a systematic analysis of the global burden of disease study 2019. BMC Public Health. 2023;23:1920.https://doi.org/10.1186/s12889-023-17717-9
Carrilero N, Dalmau-Bueno A, García-Altés A. Socioeconomic inequalities in 29 childhood diseases: evidence from a 1,500,000 children population retrospective study. BMC Public Health. 2021;21:1150. https://doi.org/10.1186/s12889-021-11044-x.
Hullegie S, Venekamp RP, van Dongen TMA, Hay AD, Moore MV, Little P, et al. Prevalence and antimicrobial resistance of bacteria in children with acute otitis media and ear discharge: a systematic review. Pediatr Infect Dis J. 2021;40(8):756–62. https://doi.org/10.1097/INF.0000000000003134.
Pradiptha IP, Budisetia P, Mukti CA. Ear Nose Throat (ENT) disorders in State Elementary Schools of Central Bali. Hang Tuah Medical Journal. 2021;18(2):225-31. DOI: https://doi.org/10.30649/HTMJ.V18I2.467
Briggs DC, Ikenga VO, Oparaodu UA, Mbak E. The pattern of paediatric otorhinolaryngological disorders seen at the Rivers State University Teaching Hospital, South-south Nigeria: a 3-year review. Pan Afr Med J. 2022;42:94. https://doi.org/10.11604/pamj.2022.42.94.31889
Hooker BS, Miller NZ. Analysis of health outcomes in vaccinated and unvaccinated children: developmental delays, asthma, ear infections, and gastrointestinal disorders. SAGE Open Med. 2020;8. https://doi.org/10.1177/2050312120925344.
El-Baz HM, Mohammed KA, Said HS. Risk factors of epistaxis in primary school children in Dakahlia Governorate, Egypt. Egypt J Hosp Med. 2021;85(2):4035–41.https://doi.org/10.21608/ejhm.2021.207085.
Mori HR, Kucha A, Patelia MT, Shah SA. Incidence of Ear, Nose and Throat Disorders in Children: A Prospective Observational Study from Tertiary Care Teaching Hospital in Gujarat. Res. J. Med. Sci. 2023;17:186-93. https://doi.org/10.36478/10.59218/makrjms.2023.11.186.193
Akram S, Khan MA, Rehman A, Malik KZ, Afridi JA. Comparison of prevalence of various ENT diseases and hearing impairment among children of government schools versus private schools of Mardan. J Fatima Jinnah Med Univ. 2020;14(4):170-5. https://doi.org/10.37018/pjdw8445
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Copyright (c) 2025 Muhammad Zubair Khan, Shahzad Hanif Mehr, Munazza saeed, Junaid Hussain, Furqan Mirza, Sana Muhammad Sadiq