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[Comparative analysis of the therapeutic costs to control the recurrent acute otitis media]

M P Prim Espada1, R Pérez Mora, J I de Diego Sastre

  • 1Servicio de ORL, Hospital Universitario La Paz, Universidad Autónoma De Madrid, España.

Anales Otorrinolaringologicos Ibero-Americanos
|November 10, 2006
PubMed

Insights

Antibiotic prophylaxis is a cost-effective initial treatment for children with recurrent acute otitis media (RAOM). Ear tube insertion is reserved for cases where antibiotic chemoprophylaxis fails, offering a better outcome.

Area of Science:

  • Pediatric Otolaryngology
  • Health Economics
  • Infectious Disease Management

Background:

  • Recurrent acute otitis media (RAOM) poses a significant management challenge in pediatric care.
  • Effective treatment strategies are crucial to minimize complications and healthcare costs.

Purpose of the Study:

  • To conduct a cost analysis of managing recurrent acute otitis media (RAOM) in children.
  • To compare the cost-effectiveness of antibiotic prophylaxis versus ear tube insertion for RAOM.

Main Methods:

  • A prospective study involving 80 pediatric patients diagnosed with RAOM between January 1998 and February 2000.
  • Evaluation of treatment outcomes and associated costs for antibiotic chemoprophylaxis (amoxicillin, azithromycin) and surgical intervention (ear tube insertion).

Main Results:

  • Antibiotic prophylaxis achieved good outcomes in 83.7% of cases (amoxicillin: €83.60; azithromycin: €116.60).
  • Ear tube insertion was successful in 82.5% of children but incurred a higher cost of €392.95 per case.
  • Antibiotic prophylaxis demonstrated a favorable cost-benefit ratio compared to surgical intervention.

Conclusions:

  • For pediatric patients without contraindications, antibiotic chemoprophylaxis is the recommended initial management for RAOM.
  • Ear tube insertion should be considered a secondary treatment option for RAOM, reserved for cases unresponsive to medical management.

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