Clinical epidemiology of otitis media

Ka, Daly; Gs, Giebink

doi:10.1097/00006454-200005001-00006

Cited by 86 publications

(73 citation statements)

References 28 publications

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“…[249][250][251][252][253] Two cohort studies, 1 retrospective study 250 and 1 prospective study, 253 suggest a dose response, with some protection from partial breastfeeding and the greatest protection from exclusive breastfeeding through 6 months of age. In multivariate analysis controlling for exposure to child care settings, the risk of nonrecurrent otitis is 0.…”

Section: Breastfeedingmentioning

confidence: 99%

“…268 During infancy and early childhood, reducing the incidence of upper respiratory tract infections by altering child care-center attendance patterns can reduce the incidence of recurrent AOM significantly. 249,269 Xylitol Xylitol, or birch sugar, is chemically a pentitol or 5-carbon polyol sugar alcohol. It is available as chewing gum, syrup, or lozenges.…”

Section: Breastfeedingmentioning

confidence: 99%

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The Diagnosis and Management of Acute Otitis Media

Tunkel

Rosenfeld²,

Sevilla³

et al. 2013

Pediatrics

1,060

832

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This evidence-based clinical practice guideline is a revision of the 2004 acute otitis media (AOM) guideline from the American Academy of Pediatrics (AAP) and American Academy of Family Physicians. It provides recommendations to primary care clinicians for the management of children from 6 months through 12 years of age with uncomplicated AOM.In 2009, the AAP convened a committee composed of primary care physicians and experts in the fields of pediatrics, family practice, otolaryngology, epidemiology, infectious disease, emergency medicine, and guideline methodology. The subcommittee partnered with the Agency for Healthcare Research and Quality and the Southern California Evidence-Based Practice Center to develop a comprehensive review of the new literature related to AOM since the initial evidence report of 2000. The resulting evidence report and other sources of data were used to formulate the practice guideline recommendations.The focus of this practice guideline is the appropriate diagnosis and initial treatment of a child presenting with AOM. The guideline provides a specific, stringent definition of AOM. It addresses pain management, initial observation versus antibiotic treatment, appropriate choices of antibiotic agents, and preventive measures. It also addresses recurrent AOM, which was not included in the 2004 guideline. Decisions were made on the basis of a systematic grading of the quality of evidence and benefit-harm relationships.The practice guideline underwent comprehensive peer review before formal approval by the AAP.This clinical practice guideline is not intended as a sole source of guidance in the management of children with AOM. Rather, it is intended to assist primary care clinicians by providing a framework for clinical decision-making. It is not intended to replace clinical judgment or establish a protocol for all children with this condition. These recommendations may not provide the only appropriate approach to the management of this problem. Pediatrics 2013;131:e964-e999

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Section: Breastfeedingmentioning

confidence: 99%

Section: Breastfeedingmentioning

confidence: 99%

The Diagnosis and Management of Acute Otitis Media

Tunkel

Rosenfeld²,

Sevilla³

et al. 2013

Pediatrics

1,060

832

View full text Add to dashboard Cite

show abstract

“…Otitis media (OM) is one of the most common disorders in childhood [1][2][3] and may have a considerable impact on health-related quality of life (HRQoL) [4][5][6] and functional health status (FHS) of children and their caregivers [7][8][9][10][11][12][13][14][15][16][17][18][19][20]. Whereas functional health status reflects the physical, psychological or emotional and social functioning of a child, health-related quality of life adds a valuation or affective response to this functioning.…”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life in children with otitis media

Brouwer

Maillé

Rovers

et al. 2005

International Journal of Pediatric Otorhinolaryngology

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SummaryBackground: Growing interest in health-related quality of life (HRQoL) in children with otitis media has brought the need to study the currently available HRQoL instruments with respect to their results and their applicability in clinical practice and research of otitis media. Objective: To review existing literature on health-related quality of life research in children with otitis media with respect to: (1) the measured impact of otitis media on HRQoL; and (2) the applicability of HRQoL instruments used in research and clinical practice based on their characteristics and contents.

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“…2 It has been estimated that by age 3, about 75% of children will have had at least 1 episode of acute OM, and more than one third will have had 3 or more episodes. 3 More recent studies indicate that the cumulative incidence of OM may be even higher, with at least 90% of children having 1 or more bouts of symptomatic or asymptomatic middle ear effusion by the age of 2 years.…”

mentioning

confidence: 99%

Black-White Differences in Health Care Utilization Among US Children With Frequent Ear Infections

et al. 2002

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ABSTRACT. Objective. To examine differences in patterns of and barriers to health care utilization between black and white children who have frequent ear infections (FEI).Methods. Analysis was conducted using the 1997 and 1998 National Health Interview Survey-Sample Child Files. Data on 25 497 children under 18 years of age and 1985 who were reported by the parent/guardian to have had "3 or more ear infections during the past 12 months" were analyzed. The data were weighted and analyzed to represent all black and white children nationwide, accounting for the complex survey design.Results. Of white and black children under 18 years of age in the United States, 8.0 and 6.6%, respectively, had FEI in the past year. Among those with FEI, whites and blacks exhibited significantly different patterns in the type of health insurance they had and in the usual source of care. After accounting for sociodemographic factors, health insurance, and usual source of care, there were still significant differences in health care use between whites and blacks. The affected black children had an increased risk of getting delayed care because of transportation problems (odds ratio [OR]: 2.32) and a reduced likelihood of seeing a medical specialist (OR: 0.49) and having surgery (OR: 0.39) in comparison to white children.Conclusion. Although black children with FEI were as likely as white children to be covered by health insurance and have a usual place of health care, they were significantly more likely to face barriers in obtaining the care, especially the more specialized care. Pediatrics 2002; 109(5). URL: http://www.pediatrics.org/cgi/content/full/ 109/5/e84; racial disparity; health care utilization; frequent ear infection.

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Clinical epidemiology of otitis media

Cited by 86 publications

References 28 publications

The Diagnosis and Management of Acute Otitis Media

The Diagnosis and Management of Acute Otitis Media

Health-related quality of life in children with otitis media

Black-White Differences in Health Care Utilization Among US Children With Frequent Ear Infections

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