الفهرس 
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Abstract
AOM is a major health problem and occurs with a high incidence and prevelance in both developing and developed countries.
Many risk factors have a role in the occurrence of AOM in children and they include: age, sex, residence, type of feeding, parental smoking, level of education, and socioeconomic standard.
2-Aim of the work:
To determine the possible risk factors for occurrence of acute suppurative otitis media in preschool children.
3-Subjects and Methods:
A-Design:
The study is a descriptive hospital based study, conducted to identify the risk factors of AOM among preschool children in E.N.T. out patient clinic at Minia University Hospital during the period from February 2018 to July 2018.
B-Tools:
Data were collected by a designed well structured questionnaire, every participant in the study was interviewed during his outpatient clinic visit, the aim of the study was explained and the questions were filled by the researcher.
The questionnaire included:
a. Socio demographic data.
b. Sanitary condition.
c. Past history of AOM, URTI or operations.
d. Family history of AOM.
e. The dependent variable (AOM) was diagnosed by the classical clinical picture of a child with upper respiratory tract infection for several days and suddenly develops otalgia, fever and hearing loss. In addition to fever other systemic signs and symptoms may include irritability, lethargy, anorexia, vomiting and diarrhea, while otoscopic examination reveals a hyperemic, bulging tympanic membrane. purulent otorrhea is usually also a reliable sign.
4-Results:
1-AOM is more common in younger age(1-3years) than older age (3-6 years).
2-AOM is more common in males(52%) than females (48%).
3-AOM is more common in rural (77.9%) than urban areas(22.1%).
4-AOM is more common with lower levels of parental education.
5-AOM is more common with large number of family members and with low socioeconomic classes.
6-AOM is more common with artificial feeding than with breast feeding.
7-AOM is more common with previous history of URTI.
8-Ear pain is almost always the presenting symptom, followed by nasal obstruction and nasal discharge, ear discharge, deafness, tinnitus and lastly vertigo.
5-Recommendations:
1-There is high incidence of AOM in preschool children so attention should be paid for screening and early diagnosis and management of AOM to avoid further complications.
2-Incidence of AOM is more in children of rural areas of low socioeconomic classes so more health care should be paid to improve hygienic conditions in such areas in order to decrease incidence of AOM.
3-Incidence of AOM is affected by socioeconomic conditions of the family including number of family members, number of rooms and parental education and occupation, so improving these conditions would be associated with decreasing incidence of AOM.
4-Attention should be paid to early diagnosis and management of URTI as it is one of the most important predisposing factors for AOM in children.