Otitis media aguda en un centro de salud

Pérez, M. Riquelme; Victor, Petrov; Ruiz, Luisito; Castellano, J. Tusset; Tabares, R. Bravo; Pérez, C. Fernández

doi:10.1016/s1695-4033(04)78415-5

Cited by 7 publications

(2 citation statements)

References 14 publications

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“…Streptococcus pneumoniae and Haemophilus influenzae , in particular the non-typable strains (NTHi), are responsible for up to 80% of bacterial AOM [2–4]. AOM is among the primary reasons for antibiotic prescriptions in paediatric outpatients [5–8]; however, many countries recommend a ‘wait and watch’ approach as it has been found that symptomatic treatment without antibiotics can be safely used in most AOM cases [9–11]. A recent study from The Netherlands found 50% of patients have recurrences of AOM [12].…”

Section: Introductionmentioning

confidence: 99%

Incidence and clinical presentation of acute otitis media in children aged <6 years in European medical practices

et al. 2013

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SUMMARYWe conducted an epidemiological, observational cohort study to determine the incidence and complications of acute otitis media (AOM) in children aged <6 years. Data on physician-diagnosed AOM were collected from retrospective review of medical charts for the year preceding enrolment and then prospectively in the year following enrolment. The study included 5776 children in Germany, Italy, Spain, Sweden, and the UK. AOM incidence was 256/1000 person-years [95% confidence interval (CI) 243–270] in the prospective study period. Incidence was lowest in Italy (195, 95% CI 171–222) and highest in Spain (328, 95% CI 296–363). Complications were documented in <1% of episodes. Spontaneous tympanic membrane perforation was documented in 7% of episodes. Both retrospective and prospective study results were similar and show the high incidence during childhood in these five European countries. Differences by country may reflect true differences and differences in social structure and diagnostic procedures.

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Section: Introductionmentioning

confidence: 99%

Incidence and clinical presentation of acute otitis media in children aged <6 years in European medical practices

et al. 2013

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“…By the age of two years, up to 5% of children have experienced recurrent AOM, defined as three or more AOM episodes in six months or four or more episodes in one year [ 3 ]. AOM is a leading cause of office visits and antibiotic prescriptions in children [ 4 – 7 ]. Healthcare resource utilization associated with the management of AOM and AOM-related surgical procedures is substantial [ 8 – 10 ].…”

Section: Introductionmentioning

confidence: 99%

Incidence of acute otitis media in children < 16 years old in Germany during 2014–2019

Podmore

Barnett

et al. 2022

BMC Pediatr

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Background Acute otitis media (AOM) remains a common infection in children despite the introduction of pneumococcal conjugate vaccines. This study estimated AOM incidence rates (IRs) over time in children < 16 years old in Germany following PCV13 introduction. Methods AOM episodes were identified in the InGef healthcare claims database from 2014–2019 in children aged < 16 years. Each AOM episode was classified as either simple or recurrent. Recurrent AOM was defined as 3 or more episodes identified within a 6-month period; or 4 or more episodes within a 12-month period with at least one episode in the prior 6 months. AOM-related surgical procedures within 12 months and complications within 21 days of an AOM episode were also identified. Annual IRs were calculated as number of episodes/child-years (CY) at risk. 95% Confidence intervals (95%CI) were calculated using the Wilson method. The Mann–Kendall test was used to assess trends over time. Results Between 2014 and 2019, the study population comprised 916,805 children with 327,726 AOM episodes, of which 15% (49,011) of all episodes were identified as recurrent AOM and 85% (278,715) as simple AOM. There were significant declines in AOM (p = 0.003) in the study population overall and in all age groups over the study period; from 101 (95%CI 101–102)/1000 CY to 79 (95%CI 78–80)/1000 CY in the total study population, from 209 (95%CI 206–212)/1000 CY to 147 (95%CI 145–150)/1000 CY in < 2-year-olds, from 239 (95%CI 237–242) to 179 (95%CI 177–182)/1000 CY in 2–4-year-olds, and from 50 (95%CI 49–50) to 38 (95%CI 37–39)/1000 CY in 5–15-year-olds. No significant trends were identified for AOM-related surgical procedures over the study period; however, AOM-related complications overall increased (p = 0.003). Conclusion Between 2014 and 2019, AOM incidence overall declined in children aged 0–15 years in Germany. Over the study period, the incidence of complicated AOM cases increased, however the incidence of AOM-related surgical procedures remained constant. Despite the impact of PCV13, the burden associated with AOM in Germany remains substantial.

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Global Epidemiology of Pneumococcal Disease—New Prospects for Vaccine Control

Antao¹,

Hausdorff²

2008

Advances in Experimental Medicine and Biology

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Otitis media aguda en un centro de salud

Cited by 7 publications

References 14 publications

Incidence and clinical presentation of acute otitis media in children aged <6 years in European medical practices

Incidence and clinical presentation of acute otitis media in children aged <6 years in European medical practices

Incidence of acute otitis media in children < 16 years old in Germany during 2014–2019

Global Epidemiology of Pneumococcal Disease—New Prospects for Vaccine Control

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