From the Research
Yes, e-cigarette use can contribute to otitis media (middle ear infection). The most recent and highest quality study, published in 2023 1, found that exposure to e-cigarette emissions (EE) may confer a greater risk of pediatric otitis media than previously identified factors, with an odds ratio of 1.61 for having three or more ear infections. This suggests that e-cigarette use can increase the risk of developing otitis media, particularly in children.
Key Findings
- The study found a significant association between EE and the risk of having three or more ear infections, with an odds ratio of 1.61 (95% CI 1.01-2.58, P = .047) 1.
- Although the association fell below significance after adjustment for covariates, the study highlights the potential risk of e-cigarette use on otitis media, particularly in children.
- Other studies have also suggested that tobacco smoke exposure, including secondhand smoke, is associated with an increased risk of otitis media and other respiratory infections 2, 3, 4.
Clinical Implications
- Reducing or eliminating e-cigarette use may help decrease the frequency and severity of ear infections in individuals experiencing recurrent otitis media.
- Healthcare providers should consider the potential risks of e-cigarette use when evaluating patients with otitis media symptoms, such as ear pain, hearing loss, or drainage.
- Antibiotics, such as amoxicillin, may be prescribed if a bacterial infection is present, typically at a dose of 500mg three times daily for 5-7 days in adults.
Recommendations
- Avoid e-cigarette use to reduce the risk of otitis media and other respiratory infections.
- Consult a healthcare provider if experiencing otitis media symptoms, as they can provide guidance on treatment and management.
- Further research is needed to fully understand the effects of e-cigarette use on otitis media and other respiratory infections.