scholarly journals Trends in adult otitis media incidence - a 20-year national observational study

2021 ◽  
Author(s):  
Marie Gisselsson-Solen
Keyword(s):  
Otitis Media ◽  
Watchful Waiting ◽  
Hospital Admissions ◽  
Acute Otitis Media ◽  
Pneumococcal Vaccination ◽  
National Database ◽  
Common Disease ◽  
Outpatient Visits ◽  
Hospitalised Patients ◽  
Number Of Patients

Objective: Otitis media (OM) is a common disease in childhood, but much less prevalent in adults, where it, however, tends to have a less benign course. The incidence of OM in children has decreased in recent years, which might be partly explained by the introduction of watchful waiting strategies, and by the introduction of conjugate pneumococcal vaccination (PCV) in children. Adult OM has been sparsely studied, and it is not known whether a herd immunity effect has been achieved after the introduction of PCV. Watchful waiting is usually not considered in adult OM patients. The purpose of this study was to use a national database to investigate the incidence of adult OM in Sweden during the last 20 years. Design: The yearly number of patients aged 20 and over, admitted to hospital with OM was obtained through a national database from 2000 to 2019. The corresponding numbers for outpatients were obtained between 2005 and 2019. Main outcome measures: incidence of acute otitis media in adults in in- and outpatient care. Results: Incidence rates decreased steadily during the study period. Comparing data on hospitalised patients from 2016-2019 to 2005-2008 (PCV was introduced in 2009), the incidence rate ratio was 0.49 (95% CI 0.45-0.53); p<0.0001. The corresponding figures for outpatients were 0.62 (95% CI 0.61-0.63); p<0.0001. The decrease in hospital admissions was most pronounced among younger patients, whereas the opposite was true for outpatient visits. Conclusions: There has been a continuous decrease in incidence of adult patients admitted to hospital with OM in Sweden during the last twenty years. Outpatient visits for OM have declined since 2009.

scholarly journals POLA PENYAKIT PASIEN RAWAT JALAN DI POLIKLINIK TELINGA, HIDUNG, TENGGOROK - BEDAH KEPALA LEHER BLU RSU PROF. DR. R.D. KANDOU – MANADO PERIODE JANUARI 2010 - DESEMBER 2012

e-CliniC ◽  
2013 ◽  
Vol 1 (3) ◽  
Author(s):  
Elisa E. B. Pembobo ◽  
Steward K. Mengko ◽  
Olivia C. P. Pelealu
Keyword(s):  
Allergic Rhinitis ◽  
Health System ◽  
Otitis Media ◽  
Otitis Externa ◽  
Acute Otitis Media ◽  
Health Financing ◽  
Common Disease ◽  
Local Conditions ◽  
Disease Patterns ◽  
Number Of Patients

Abstract: Health has a great role in improving people's lives. The health system itself is all the activities that have the primary purpose of improving, repairing, or health care. Many things affect the health system in Indonesian as a developing country, among others is people's behavior. This can make the health system spending more responsive to local conditions and the diversity of disease patterns. Moreover, it can also result in the increase of regional disparities of health financing and reduced health information of national importance. This study aimed to determine the pattern of disease in the polyclinic ENT-HN Prof. Dr. R.D. Kandou General Hospital during January 2010 - December 2012. This was a retrospective descriptive study. The highest number of patients was in 2011 which was 2305 patients. The most common disease found in 2010 was obturans wax. In 2011 and 2012, the most common disease was otitis externa. During the period 2010-2012, the highest frequencies were among civilized employees, females, and aged 45-64 years. Conclusion: There were 10 diseases with the highest frequency during 2010-2012. In 2010, obturans wax was the most frequent cases, followed by otitis externa, sinusitis, chronic pharyngitis, acute pharyngitis, rhinitis, corpus alienum MAE, presbyakusis, acute rhinitis, and acute otitis media. In 2011, otitis externa was the most common disease, followed by obturans wax, chronic pharyngitis, sinusitis maxilaris, chronic purulent otitis media, allergic rhinitis, presbyacusis, corpal, and laryngitis. In 2012, otitis externa was still the most frequent, followwed  by obturans wax, chronic pharyngitis, sinusitis maxilaris, presbyacusis, chronic purulent otitis media, allergic rhinitis, laryngitis, and chronic rhinitis Keywords: disease patterns, outpatient, ENT-HN    Abstrak: Kesehatan berperan besar dalam meningkatkan derajat hidup masyarakat. Sistem kesehatan sendiri merupakan semua aktivitas yang memiliki tujuan utama meningkatkan, memperbaiki, atau merawat kesehatan. Banyak hal yang memengaruhi sistem kesehatan di Indonesia sebagai suatu negara berkembang; salah satunya ialah perilaku masyarakat. Hal ini dapat menyebabkan pengeluaran kesehatan menjadi lebih responsif terhadap kondisi lokal dan keragaman pola penyakit; selain itu, dapat juga berdampak pada meningkatnya ketimpangan pembiayaan kesehatan secara regional dan berkurangnya informasi kesehatan yang penting secara nasional. Penelitian ini bertujuan untuk mendapatkan pola penyakit di poliklinik THT-KL BLU RSU Prof. Dr. R.D. Kandou periode Januari 2010 - Desember 2012. Penelitian ini menggunakan metode retrospektif deskriptif. Hasil penelitian memperlihatkan bahwa kunjungan terbanyak pada tahun 2011 yaitu 2305 orang. Pada tahun 2010, penyakit tersering ditemukan serumen obturans. Tahun 2011 dan 2012, penyakit tersering ditemukan ialah otitis eksterna. Pada periode 2010-2012 pekerjaan pasien yang tertinggi ialah PNS, jenis kelamin perempuan, dan usia 45 – 64 tahun. Simpulan: Terdapat 10 jenis penyakit dengan frekuensi terbanyak. Pada periode 2010 secara berurut (mulai dari kunjungan tersering), yaitu: serumen obturans, otitis eksterna, sinusitis, faringitis kronik, faringitis akut, rinitis alergi, korpus alienum, presbiakusis, rinitis akut, dan otitis media akut. Pada periode 2011, yaitu: otitis eksterna, serumen, serumen obturans, faringitis kronik, sinusitis maksilaris, OMPK, rinitis alergi, presbiakusis, korpal, laringitis. Pada periode 2012, yaitu: otitis eksterna, serumen, serumen obturans, faringitis kronik, sinusitis maksilaris, presbiakusis, OMPK, rinitis alergi, laringitis, dan rinitis kronik. Kata kunci: pola penyakit, rawat jalan, THT-KL

scholarly journals Decline in Pneumonia and Acute Otitis Media after the Introduction of Childhood Pneumococcal Vaccination in Liguria, Italy

2008 ◽  
Vol 36 (6) ◽  
pp. 1255-1260 ◽  
Author(s):  
F Ansaldi ◽  
L Sticchi ◽  
P Durando ◽  
R Carloni ◽  
P Oreste ◽  
...  
Keyword(s):  
Otitis Media ◽  
Conjugate Vaccine ◽  
Pneumococcal Pneumonia ◽  
Hospital Admissions ◽  
Acute Otitis Media ◽  
Pneumococcal Vaccination ◽  
Birth Cohorts ◽  
Admission Rates ◽  
Immunization Programme ◽  
Before And After

The effect of the pneumococcal conjugate vaccine immunization programme on pneumococcal-associated or potentially pneumococcal-associated hospital admissions in the Italian region of Liguria was assessed. Hospital admission rates were compared in subjects belonging to birth cohorts before and after the introduction of widespread immunization for 0 − 2-year old children with a seven-valent conjugate vaccine (PCV7). Significant reductions in hospitalization rates for all-cause and pneumococcal pneumonia and for acute otitis media were observed in subjects born after widespread uptake of the vaccine. The preventive fraction (a measure of vaccine effectiveness) ranged from 15.2% for all-cause pneumonia to 70.5% for pneumococcal pneumonia. This study contributes to the growing body of information that supports the beneficial effect of PCV7 vaccination.

scholarly journals Antibiotics versus placebo or watchful waiting for acute otitis media: a meta-analysis of randomized controlled trials

2009 ◽  
Vol 64 (1) ◽  
pp. 16-24 ◽  
Author(s):  
Evridiki K. Vouloumanou ◽  
Drosos E. Karageorgopoulos ◽  
Maria S. Kazantzi ◽  
Anastasios M. Kapaskelis ◽  
Matthew E. Falagas
Keyword(s):  
Randomized Controlled Trials ◽  
Otitis Media ◽  
Watchful Waiting ◽  
Meta Analysis ◽  
Acute Otitis Media ◽  
Controlled Trials ◽  
Randomized Controlled

Efficacy of Pneumococcal Vaccination against Recurrent Otitis Media

1980 ◽  
Vol 89 (3_suppl) ◽  
pp. 357-362 ◽  
Author(s):  
P. Karma ◽  
J. Luotonen ◽  
J. Pukander ◽  
M. Leinonen ◽  
M. Timonen ◽  
...  
Keyword(s):  
Otitis Media ◽  
Pneumococcal Vaccine ◽  
Capsular Polysaccharide ◽  
Protective Efficacy ◽  
Acute Otitis Media ◽  
Pneumococcal Vaccination ◽  
Haemophilus Influenzae Type ◽  
Vaccine Type ◽  
Parenteral Immunization

For this study, 781 children, aged 3 to 83 months, after presenting with acute otitis media, were immunized with either 14-valent pneumococcal or Haemophilus influenzae type b capsular polysaccharide vaccine. The vaccines were tolerated well. Antibody responses to the 14 pneumococcal polysaccharide types, measured by radioimmunoassay, were fair to good and increased with age, with the exception of types 1, 6 and 12 to which the responses were generally poor. During the follow-up of 1–17 months, average 13 months, 45 vaccine type (except type 6) pneumococcal recurrences were met among 456 pneumococcal-vaccinated and 45 among 288 H. influenzae-vaccinated children, at least six months old ( P < .05). The corresponding protective efficacy by the pneumococcal vaccine was 37%, for the first six months, 51% ( P < .01). No protection by the pneumococcal vaccine was seen against group 6 pneumococci, nor among 19 infants under six months of age. Nonvaccine type pneumococcal and H. influenzae recurrences did not significantly concentrate in either of the vaccination groups. Thus, it seems that parenteral immunization of children can reduce the recurrence rate of otitis media caused by pneumococci of types (except type 6) present in the vaccine.

scholarly journals A study of complications of chronic suppurative otitis media at tertiary care hospital

2020 ◽  
Vol 6 (2) ◽  
pp. 330
Author(s):  
Bhagirathsinh D. Parmar ◽  
Sushil Jha ◽  
Vikas Sinha ◽  
Nirav Chaudhury ◽  
Gavendra Dave
Keyword(s):  
Otitis Media ◽  
Tertiary Care ◽  
Acute Otitis Media ◽  
Neck Surgery ◽  
Study Data ◽  
Chronic Suppurative Otitis Media ◽  
Common Disease ◽  
Care Hospital ◽  
Suppurative Otitis Media ◽  
Intracranial Complications

<p class="abstract"><strong>Background:</strong> Chronic suppurative otitis media (CSOM) is a still common disease in developing country and is found sometimes difficult to treat. Different complications can develop inspite of availability of higher antibiotics. In pre-antibiotic era, complications of acute otitis media and CSOM were very common and lead to high mortality. Inspite of initial decline in the complication of CSOM due to higher antibiotics, the incidences are still on rise. CSOM remains a serious disease, particularly in developing countries and CSOM-related complications are still found life-threatening. The aim and objective was to study various clinical presentations and management of CSOM related complications.</p><p class="abstract"><strong>Methods:</strong> All patients of chronic supurrative otitis media with intra or extracranial complication who were admitted in Department of Otorhinolaryngology Head and Neck surgery, Sir. T. General Hospital, Government Medical College, Bhavnagar from July 2015 to December 2018 was included in this study. Data of clinical presentation, associated complication, management, and follow-up were analysed.  </p><p class="abstract"><strong>Results:</strong> Out of 250 patients of CSOM admitted during these 3 years in ENT Department, 36 patients presented with CSOM related complications. 15 patients presented with intracranial complications and 21 patients presented with extracranial complications.</p><p class="abstract"><strong>Conclusions:</strong> Inspite of availability of higher antibiotics, CSOM related complications are still common. In all the patients require higher intravenous antibiotics (which crosses blood brain barrier) followed by mastoid surgeries.</p>

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