white children in daycare in Finland were followed prospectively
for 1-15 months. Monthly symptom sheets were collected and the
incidence of otitis media was recorded.1
on pacifier use, thumbsucking, breastfeeding, parental smoking
and parental education was also collected.
(45.3%) of the children had one or more episodes of otitis media
throughout the study.
the various factors considered, only pacifier use was associated
with an increase in the occurance of otitis media (P=0.007).
pacifier users, the relative risk of having greater than 3 episodes
of otitis media was 1.6 for those younger than two years old (P=0.09),
2.9 for those two to three years old (P=0.01) and 2.5 for those
three to four years old.
authors estimate that pacifier use resulted in approximately one
more episode of otitis per child, and overall accounted for 25%
of the episodes of otitis media in children under 3 years old.