NHG-Standaard Otitis externa

Rooijackers-Lemmens, E.; Balen, F.A.M. van; Opstelten, Wim; Wiersma, Tj

doi:10.1007/978-90-313-6614-9_62

Cited by 4 publications

(3 citation statements)

References 33 publications

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“…When the ear canal is filled with ear discharge it is difficult to distinguish AOM from acute otitis externa, in particular in adults where acute otitis externa is more common. 8,18 Furthermore, we were not able to extract data on AOM complications requiring specialist referrals since a direct link between ICPC-code and referrals were missing in our database. In addition, exposure to tobacco smoke is a well-known risk factor for AOM in children 4,5 .…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Incidence and management of acute otitis media in adults: a primary care-based cohort study

et al. 2021

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Background Although primarily considered a childhood disease, acute otitis media (AOM) also occurs in adults. Data on the burden of this condition in adults are, however, scarce. Objective To explore the primary care incidence and current management of AOM in adults. Methods All patients aged 15 and older included in the routine health care database of the Julius General Practitioners’ Network were followed from 2015 to 2018 (contributing to a total of 1 261 575 person-years). We extracted data on AOM episodes, AOM-related consultations, comorbidities, and antibiotic and analgesic prescriptions. Results Five thousand three hundred and fifty-eight patients experienced one or more AOM episodes (total number of AOM episodes: 6667; mean 1.2 per patient). The overall AOM incidence was 5.3/1000 person-years and was fairly stable over the study period. Incidence was particularly high in atopic patients (7.3/1000 person-years) and declined with age (from 7.1 in patients 15–39 years of age to 2.7/1000 person-years in those aged 64 years and older). Oral antibiotics, predominantly amoxicillin, were prescribed in 46%, and topical antibiotics in 21% of all episodes. Conclusion Over the past years, the incidence of AOM in adults in primary care has been stable. Oral antibiotic prescription rates resemble those in children with AOM, whereas a remarkably high topical antibiotic prescription rate was observed. Future prognostic research should inform on the need and feasibility of prospective studies into the best management strategy in this condition.

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Section: Strengths and Limitationsmentioning

confidence: 99%

Incidence and management of acute otitis media in adults: a primary care-based cohort study

et al. 2021

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“…Practitioners [19]. Indication to apply the otoscope is any suspected pathology of the outer-and inner-ear canal and tympanic membrane, e.g.…”

Section: Additional Diagnostic Interventionsmentioning

confidence: 99%

Implementation of A Nurse Practitioner in Emergency Ambulance Care in The Netherlands: A Study Protocol for The IMPACT-Study

Ebben¹,

Vliet²,

Breedveld³

et al. 2020

Preprint

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Background Ambulance care professionals face an increasing demand for ambulance care, which is caused by a changing patient population with more complex healthcare problems and comorbidities, accessibility of emergency care, repeated requests for ambulance care and the request of ambulance care for primary care problems. These changes might require an ambulance care professional at master level, such as the nurse practitioner (NP). The objective is to (1) determine characteristics of patients and ambulance runs in situations where NP care was provided, and to evaluate the effect of implementing the NP in Dutch ambulance on (2) patient safety and (3) patient experience compared to non-NP care.Methods/design A prospective mixed-methods implementation design will be used. The intervention is the implementation of a NP as solo ambulance unit within this EMS, to (1) determine characteristics of the patients and ambulance runs, and the effects on (2) patient safety and (3) patient, compared to regular ambulance care. Within this pilot the NP can apply additional diagnostic and therapeutic interventions in addition to regular ambulance care. Data will be collected through databases, additional apps, and questionnaires.

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“…PVP-I has been used in acute and chronic treatment of a variety of human indications. There have been numerous clinical studies demonstrating the safety of PVP-I in a variety of topical applications in ophthalmology, otology, rhinology and dermatology (18,19,20,21,22,23,24). PVP-I in nasal usage was also well documented, including both single use (24,25) and multiple applications.…”

Section: Introductionmentioning

confidence: 99%

In-VivoToxicity Studies andIn-VitroInactivation of SARS-CoV-2 by Povidone-iodineIn-situGel Forming Formulations

Liang¹,

Yuan²,

Wei

et al. 2020

Preprint

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To curb the spread of SARS-CoV-2, the etiologic agent of the COVID-19 pandemic, we characterize the virucidal activity of long-acting Povidone Iodine (PVP-I) compositions developed using an in-situ gel forming technology. The PVP-I gel forming nasal spray (IVIEW-1503) and PVP-I gel forming ophthalmic eye drop (IVIEW-1201) rapidly inactivated SARS-CoV-2, inhibiting the viral infection of VERO76 cells. No toxicity was observed for the PVP-I formulations. Significant inactivation was noted with preincubation of the virus with these PVP-I formulations at the lowest concentrations tested. It has been demonstrated that both PVP-I formulations can inactivate SARS-CoV-2 virus efficiently in both a dose-dependent and a timedependent manner. These results suggest IVIEW-1503 and IVIEW-1201 could be potential agents to reduce or prevent the transmission of the virus through the nasal cavity and the eye, respectively. Further studies are needed to clinically evaluate these formulations in early-stage COVID-19 patients.

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NHG-Standaard Otitis externa

Cited by 4 publications

References 33 publications

Incidence and management of acute otitis media in adults: a primary care-based cohort study

Incidence and management of acute otitis media in adults: a primary care-based cohort study

Implementation of A Nurse Practitioner in Emergency Ambulance Care in The Netherlands: A Study Protocol for The IMPACT-Study

In-VivoToxicity Studies andIn-VitroInactivation of SARS-CoV-2 by Povidone-iodineIn-situGel Forming Formulations

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