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Passive smoking and otitis media


Authors: I. Samara 1;  J. Plch 2;  D. Hrubá 1
Authors‘ workplace: Lékařská fakulta Masarykovy univerzity, Brno, Ústav preventivního lékařství, Přednostka: prof. MUDr. Zuzana Derflerová Brázdová, DrSc. 1;  Nemocnice Břeclav, ORL oddělení, Primář: MUDr. Michal Zavadil 2
Published in: Prakt. Lék. 2011; 91(2): 68-72
Category: Reviews

Overview

Children!s exposure to passive smoking significantly enhances their morbidity, including otitis media. The relationships were well documented not only by many epidemiologic studies, but also by the understanding of mechanisms of the environmental tobacco smoke action. Newborns, infants, and pre-school children are the most vulnerable population to the effects of dangerous chemicals in cigarette smoke.

Both acute and chronic forms of otitis media may initiate the hearing damages and may be complicated by meningitis. Attacks of otitis media are a load on a developmental process, accompanying pain and urgent hospitalisation are the psychical stress for the child.

Bans of smoking on public places are not effective for the protection of children, as they are mostly exposed at their homes. In some countries, the programmes „Smoke-Free Homes“ and „Smoke-free cars“ successfully motivate smokers to do not smoke when children are present, and/or to stop smoke. This strategy needs the effective support by physicians, namely of those who take care about children. The warning about hazards of children´s exposure to second-hand smoke should be the routine part of their consulting.

Key words:
otitis media, passive smoking, practical recommendations.


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