The etiology of otitis media (OM) is multifactorial. Anatomic, environmental and constitutional factors play a roll in the development of OM. Children are particulary susceptible to the disease for a number of reasons. Some of the factors shown to increase the risk of OM in childen, are:

Environment exposure and feeding are two factors that may be altered by parenting. Nurses may be able to influence the course of the OM through effective parental education.

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