Abstract
Otitis media frequently arises as a secondary condition following acute respiratory viral infections (ARVI). These infections often lead to mucosal swelling and inflammation of the paranasal sinuses. According to epidemiological findings from the EPOS 2020 guidelines, the global prevalence of viral-origin rhinosinusitis (ORSO) is estimated at 35–45%, depending on the region. In children under 3 years of age, approximately 20 cases per 100 are documented annually, increasing to 25 cases per 100 among adolescents aged 12 to 17.
Acute otitis media (AOM) remains one of the most widespread illnesses affecting both pediatric and adult populations and is among the most frequent causes of antibiotic prescriptions—many of which may be inappropriate. This review highlights current data on the prevalence of AOM in Russian children and outlines the predominant viral and bacterial agents responsible. The term "ototropic" refers to viruses with a greater propensity to induce AOM.
