Who is most likely to get an ear infection (otitis media)?

Who is most likely to get an ear infection (otitis media)?

Middle ear infection is the most common childhood illness (other than a cold). Ear infections occur most often in children who are between age 3 months and 3 years, and are common until age 8. Some 25% of all children will have repeated ear infections.

Adults can get ear infections too, but they don’t happen nearly as often as they do in children.

Risk factors for ear infections include:

  • Age: Infants and young children (between 6 months of age and 2 years) are at greater risk for ear infections.
  • Family history: The tendency to get ear infections can run in the family.
  • Colds: Having colds often increases the chances of getting an ear infection.
  • Allergies: Allergies cause inflammation (swelling) of the nasal passages and upper respiratory tract, which can enlarge the adenoids. Enlarged adenoids can block the eustachian tube, preventing ear fluids from draining. This leads to fluid buildup in the middle ear, causing pressure, pain and possible infection.
  • Chronic illnesses: People with chronic (long-term) illnesses are more likely to develop ear infections, especially patients with immune deficiency and chronic respiratory disease, such as cystic fibrosis and asthma.
  • Ethnicity: Native Americans and Hispanic children have more ear infections than other ethnic groups.

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