The relation between allergies and otitis media remains unclear. In children younger than 4 years, the immune system is still developing, and allergies are unlikely to play a role in recurrent acute otitis media in this age group. Recognized risk factors include day care attendance, secondary exposure to tobacco smoke, pacifier use, bottle propping, and breastfeeding for less than 3 months (breastfeeding for 3 months or longer decreases risk).
For more on the risk factors for acute otitis media, read here.
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Cite this: Russell W. Steele. Fast Five Quiz: Do You Know How Best to Approach Otitis Media? - Medscape - Mar 23, 2015.