Evaluating Ear-Care Knowledge and Practices Among Doctors andNurses in Sub-Saharan Africa

Authors

  • Adekwu A. Author
  • Ibiam FA Author
  • Obasikene G Author
  • Agbonifo M Author
  • Unogwu S Author

Keywords:

Ear care, knowledge, doctors, nurses

Abstract

Background: The ear serves the functions of hearing and balance in an individual. Whereas the hearing function is
articulated by the three parts of the ear, balance is performed alongside other structures by the vestibular system of the
inner ear. Acoustic trauma and drug ototoxicity affect mainly the inner ear and are usually irreversible. Aim: To assess ear
care knowledge and practices among health care practitioners (doctors and nurses) in Benue State. Methodology: The
setting was the 2021 AGM and CME/CPD of NMA, Benue State which held between 2-6th August, 2021, and a 5- days
CPD by NANNM, Benue State which took place from 1st - 5th March, 2021. Ethical clearance for the study was obtained
from the ethical committee of the BSUTH, Makurdi. The sample size of 226.8 was calculated using a previous prevalence
of 81.6% but 252 subjects were used because of 10% attrition rate. Pretested, self-administered questionnaire was
distributed to consented participants who filled and returned them same day. Data collected were analyzed and presented
in simple distribution tables. Results: They were 252 respondents but 2 had incomplete data leaving 127(50.8%) Males
and 123(49.2%) Females whose data were finally analyzed. One hundred and thirty-nine (55.6%) doctors: [Consultants-
53(21.2%), Medical Officers/General Practitioners-86(34.4%) and 111(44.4%) Nurses. Majority (60.8%) were unaware
that childhood immunization prevent deafness and 60.3% said that deafness could not be inherited while 58.8%
responded that a child born deaf could still develop speech. About 60.3% of the respondents did not know that hearing
loss resulting from loud noise may not recover and use of H2O2 and syringing an infected ear were regular normal
practices to many. Majority 87.9% were unaware of any warning sign of drug ototoxicity. Conclusion: A significant
percentage of the studied population exhibited inadequate knowledge and still undertakes some harmful practices that are
detrimental to good ear care. There is therefore the need to increase the exposure-time in ear, nose and throat postings
during the trainings of or embark on regular health education at CME/CPD for these category of professionals

Author Biographies

  • Adekwu A.

    Department of Otorhinolaryngology (ENT Surgery), .

  • Ibiam FA

    Department of Ear, Nose and Throat Surgery, 

  • Obasikene G

    Department of Ear, Nose and Throat Surgery, 

  • Agbonifo M

    Department of Ear, Nose and Throat Surgery, 

  • Unogwu S

    Department of Ear, Nose and Throat Surgery, 

References

1. Dhingra PL, Dhingra S eds. Peripheral receptors and

physiology of auditory and vestibular systems. In:

Diseases of ear, nose and throat & head and neck

surgery. 6th ed. New Delhi: Elsevier; 2014:13-18.

2. Horikawa C, Kodama S, Tanaka S, Fujihara K,

Hirasawa R, Yachi Y, et al. Diabetes and Risk of

Hearing Impairment in Adults: A Meta-Analysis. J

Clin Endocrinol Metab. 2013;98(1):51-58.

3. de Moraes Marchiori LL, de Almeida R Filho E,

Matsuo T. Hypertension as a factor associated with

h e a r i n g l o s s . B r a z J O t o r h i n o l a r y n g o l .

2006;72(4):533-40.

4. Adegbiji WA, Alabi BS, Olajuyin OA, Nwawolo

CC. Ear wax impaction: Symptoms, Predisposing

Factors and Perception among Nigerians. Journal of

Family Medicine and Primary Care. 2014;3(4):371-

382. [PMC free article] .[PubMed] [Google Scholar]

5. Keane EM, Wilson H, McGrane D, Coakley D,

Walsh JB. Use of solvents to disperse ear wax. Brish

Journal of Clinical Practice.1995;49(2):71-

72.[PubMed] [Google Scholar]

6. Roland PS, Smith TL, Schwartz SR, Rosenfeld RM,

Ballachanda B, Earll JM. Clinical practice guideline: Cerumen impaction. Otolaryngol Head

Neck Surg. 2008;139(Suppl 2):s1-s21. .[PubMed]

[Google Scholar]

7. Lum CL, Jeyanthi S, Prepageran N, Vadevelu J,

Raman R. Antibacterial and antifungal properties of

human cerumen. J Laryngol Otol. 2009;123:375-

378. .[PubMed] [Google Scholar]

8. Araoye MO. Sample size determination. In:

Margaret OA. Editor. Research Methodology with

Statistics for Health and Social Sciences. Ilorin,

Nigeria: Nathadex Publishers; 2003. P. 115-9

9. Olajide, T.G., Olajuyin, O.A., Eletta, A.P., Agboola,

S.M., Busari, A.O., Adebara, I. (2019) Self Ear

Cleaning: Prevalence and Profile among School

Children in Ekiti, Nigeria. Journal of Biosciences

a n d M e d i c i n e s . 2 0 1 9 ; 7 : 2 5 - 3 2 .

https://doi.org/10.4236/jbm.2019.7400

10. Oladeji SM, Adenikan AK, Nwawolo CC, Uche-

Okonkwo KC, Johnson KJ. Self-ear cleaning

among Health workers in Nigeria. IOSR Journal of

Dental and Medical Sciences.2015;14(8):1-5.

[Google Scholar]

11. Gadanya M, Abubakar S, Ahmed A, Maje AZ.

Prevalence amd attitude of self-ear cleaning with

cotton bud among doctors at Aminu Kano teaching

hospital, NorthWestern, Nigeria. Niger J Surg

Res.2016; 17:43-7.doi:10.4103/1595-1103.194215

12. Adeyi AA, Tonga LN. What health professionals at

the Jos University Teaching Hospital insert in their

ears. Niger J Med 2013;22:109-12

13. Afolabi, A.O., Kodiya, A.M., Bakari, A. and

Ahmad, B.M. (2009) Attitude of Self Ear Cleaning

in Black Africans: Any Benefit? East African

Journal of Public Health, 6, 43-46

14. Adegbiji, W.A., Olajide, T.G. and Nwawolo, C.C.

(2018) Patterns of Self Ear Cleaning among

Otorhinolaryngology Patients in Developing

Country. Asian Journal of Science and Technology,

9, 7892-7896.

15. Oladeji SM, Babatunde OT, Babatunde LB, Sogebi

OA. Knowledge of cerumen and effect of self rea

cleaning among health workers in a tertiary

Hospital. J West Afr Coll Surg, 2015;5(2):117-133.

P M I D : 2 7 8 3 0 1 2 6 ;

PMCID:PMC5036291.[PubMed

Downloads

Published

2025-01-01

Issue

Section

Articles

How to Cite

Evaluating Ear-Care Knowledge and Practices Among Doctors andNurses in Sub-Saharan Africa. (2025). Journal of Biomedical Research and Clinical Practice, 8(4). https://jmbrcp.org/jbrcp/article/view/9