Improving Emergency Department Use of Safety-Net Antibiotic Prescriptions for Acute Otitis Media

Objective: The associations between climate variables and diseases such as respiratory infections, influenza, pediatric seizure, and gastroenteritis have been long appreciated. Infection is the main reason for acute otitis media (AOM) incidence. However, few previous studies explored the correlation between climatic parameters and AOM infections. The most important meteorological factors, temperature, relative humidity, and fine particulate matter (PM2.5), were included in this study. We studied the relationship between these meteorological factors and the AOM visits. Materials and Methods: It was a retrospective cross-sectional study. A linear correlation and a linear regression model were used to explore the AOM visits and meteorological factors. Results: A total of 7075 emergency department visits for AOM were identified. Relative humidity was found an independent risk factor for the AOM visits in preschool children (regression coefficient = −10.841<0, P = .039 < .05), but not in infants and school-age children. Average temperature and PM2.5 were not correlated with AOM visits. Conclusion: Humidity may have a significant inverse impact on the incidence of AOM in preschool-age children.

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282. Adherence to Acute Otitis Media guidelines in Pediatricians’ Offices, Urgent Care Centers, and a Pediatric Emergency Department

Open Forum Infectious Diseases ◽

10.1093/ofid/ofy210.293 ◽

2018 ◽

Vol 5 (suppl_1) ◽

pp. S116-S116

Author(s):

Shamim Islam ◽

Amanda Hassinger

Keyword(s):

Emergency Department ◽

Otitis Media ◽

Acute Otitis Media ◽

Pediatric Emergency ◽

Urgent Care ◽

Pediatric Emergency Department ◽

Urgent Care Centers

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Emergency Department Use by Primary Care Patients at a Safety-Net Hospital

Archives of Internal Medicine ◽

10.1001/archinternmed.2011.709 ◽

2012 ◽

Vol 172 (3) ◽

pp. 278 ◽

Cited By ~ 12

Author(s):

Karen E. Lasser

Keyword(s):

Primary Care ◽

Emergency Department ◽

Safety Net ◽

Emergency Department Use ◽

Safety Net Hospital ◽

Primary Care Patients

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Improving Antimicrobial Stewardship in the Emergency Department for Patients Diagnosed with Acute Otitis Media

10.1542/peds.147.3_meetingabstract.127-a ◽

2021 ◽

Author(s):

Brandon Ku ◽

Jonathan M. Beus ◽

Jane Lavelle ◽

Talene Metjian ◽

Molly Hayes ◽

...

Keyword(s):

Emergency Department ◽

Otitis Media ◽

Antimicrobial Stewardship ◽

Acute Otitis Media

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Evaluating Children with Otitis Media for Bacteremia or Urinary Tract Infection

International Journal of Pediatrics ◽

10.1155/2010/790167 ◽

2010 ◽

Vol 2010 ◽

pp. 1-5

Author(s):

Daniel Yawman ◽

Patrick Mahar ◽

Aaron Blumkin ◽

Gregory Conners

Keyword(s):

Emergency Department ◽

Blood Culture ◽

Otitis Media ◽

Urine Culture ◽

Acute Otitis Media ◽

Young Patients ◽

National Hospital ◽

Old Patients ◽

Care Survey ◽

Ambulatory Medical Care

Background.It is unclear if clinicians evaluate for concurrent bacteremia or UTI in young patients diagnosed with acute otitis media (AOM).Objectives.To describe how often, and under which circumstances, emergency providers investigate for bacteremia or UTI in 2–36 month olds with AOM.Methods.Cases of AOM were analyzed from the 2001–2004 National Hospital Ambulatory Medical Care Survey (NHAMCS)-Emergency Department dataset.Results.AOM was diagnosed in 17% of the 10,847 recorded visits of 2–36 month olds. Of these visits, laboratory testing included: CBC: 7%, Blood culture: 4%, urinalysis or urine culture: 5%, and any of these tests: 9%. Rates of testing for 2–6 month olds with temperature≥ 38.0(CBC: 13%, blood culture: 9%, urinalysis or urine culture: 7%, any of the tests: 14%) were not significantly different from testing of patients aged 6–12 months, or 12–36 months (allP>.1). Patients with temperature of≥39.0were more likely to have all tests, with the exception of urine investigation, than patients with temperature between 38.0 and 38.9.Conclusions.17% of 2–36 month old patients seen in the emergency department are diagnosed with AOM. Investigating for bacteremia or UTI in these patients is not routine, even in febrile infants.

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