Please use this identifier to cite or link to this item: http://docs.prosentient.com.au/prosentientjspui/handle/1/10398
Title: Impact of swimming on chronic suppurative otitis media in Aboriginal children: a randomised controlled trial.
Authors: Stephen, Anna T N
Leach, Amanda J
Morris, Peter S
Affiliation: Child Health Division, Menzies School of Health Research, Royal Darwin Hospital, Darwin, NT, Australia. anna.stephen@menzies.edu.au.
Issue Date: 8-Jul-2013
Citation: The Medical journal of Australia 2013-07-08; 199(1): 51-5
Abstract: To measure the impact of 4 weeks of daily swimming on rates of ear discharge among Aboriginal children with a tympanic membrane perforation (TMP) and on the microbiology of the nasopharynx and middle ear. A randomised controlled trial involving 89 Aboriginal children (aged 5-12 2013s) with a TMP, conducted in two remote Northern Territory Aboriginal communities from August to December 2009. 4 school weeks of daily swimming lessons (45 minutes) in a chlorinated pool. Proportions of children with ear discharge and respiratory and opportunistic bacteria in the nasopharynx and middle ear. Of 89 children randomly assigned to the swimming or non-swimming groups, 58 (26/41 swimmers and 32/48 non-swimmers) had ear discharge at baseline. After 4 weeks, 24 of 41 swimmers had ear discharge compared with 32 of 48 non-swimmers (risk difference, - 8% (95% CI, - 28% to 12%). There were no statistically significant changes in the microbiology of the nasopharynx or middle ear in swimmers or non-swimmers. Streptococcus pneumoniae and non-typeable Haemophilus influenzae were the dominant organisms cultured from the nasopharynx, and H. influenzae, Staphylococcus aureus and Pseudomonas aeruginosa were the dominant organisms in the middle ear. Swimming lessons for Aboriginal children in remote communities should be supported, but it is unlikely that they will substantially reduce rates of chronic suppurative otitis media and associated bacteria in the nasopharynx and middle ear. However, swimming was not associated with increased risk of ear discharge and we found no reason to discourage it. Australian New Zealand Clinical Trials Registry ACTRN12613000634774.
URI: http://docs.prosentient.com.au/prosentientjspui/handle/1/10398
Type: Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Subjects: Australia
Child
Child, Preschool
Female
Halogenation
Humans
Male
Nasopharynx
Otitis Media, Suppurative
Swimming Pools
Tympanic Membrane Perforation
Water Purification
Oceanic Ancestry Group
Swimming
Appears in Collections:NT Health digital library

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