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Published on: February 9, 2011
[Acute otitis media in a pediatric primary care unit]
M Riquelme Pérez1, P Rincón Víctor, L García Ruiz
1Centro de Salud Universitario, La Chopera I-II, Alcobendas, Madrid, Spain. mati_riquelme@yahoo.es
Insights
Acute otitis media (AOM) is common in young children, with the highest incidence in those aged 12-23 months. This study analyzed AOM incidence and patient characteristics in primary care settings.
Area of Science:
- Pediatric infectious diseases
- Epidemiology of otitis media
Context:
- Acute otitis media (AOM) represents a significant public health concern and is a frequent diagnosis in pediatric primary care.
- Understanding AOM's incidence and distribution is crucial for effective management and resource allocation.
Purpose:
- To assess the incidence and distribution of AOM by age, sex, and clinical presentation.
- To identify common symptoms and signs associated with AOM in primary care.
Summary:
- A 12-month prospective study in Madrid documented 1,098 AOM consultations in 521 patients.
- The overall incidence was 12,080 cases per 100,000 children under 14, peaking at 38,780 cases per 100,000 in 12-23 month olds.
- Antibiotics were prescribed to 96% of children, with 81.4% achieving complete symptom resolution.
Impact:
- Provides key epidemiological data on AOM in a primary care setting.
- Highlights the high antibiotic prescription rate and treatment outcomes.
- Informs public health strategies and clinical practice guidelines for pediatric AOM.
Background:
Acute otitis media (AOM) is a serious public health problem and is considered one of the most common diagnoses in pediatric outpatient units. The aim of this study was to asses the incidence and distribution of AOM by age, sex, number of visits per episode, and the most frequent symptoms and signs in four pediatric primary care units.
Patients And Methods:
A 12-month (1 September 2000 to 31 August 2001), prospective study was carried out in a primary care center on the outskirts of Madrid.
Results:
During the study period there were 1,098 consultations for AOM in 521 patients. The overall incidence per 100,000 children aged less than 14 years was 12,080 cases (95 % CI: 11,120-13,090). The highest incidence per 100,000 children was in children aged 12-23 months with 38,780 cases (95 % CI: 33,340-44,430). A total of 34.5 % of the children diagnosed with AOM were aged less than 2 years. Ninety-six percent of the children received antibiotics. Most (81.4 %) of the children were completely cured while symptoms persisted in 15.4 %. A minority of the children (3.5 %) were referred to the otolaryngology department.
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