OCCURRENCE OF ACUTE OTITIS MEDIA DURING COLDS IN CHILDREN YOUNGER THAN FOUR YEARS

被引:10
|
作者
Armengol, Carlos Eladio [1 ,2 ]
Hendley, Owen [2 ]
Winther, Birgit
机构
[1] Pediat Associates Charlottesville Plc, Charlottesville, VA 22902 USA
[2] Univ Virginia, Sch Med, Dept Pediat, Charlottesville, VA 22908 USA
关键词
upper respiratory infection; otitis media; middle ear effusion; INFECTION;
D O I
10.1097/INF.0b013e3182044930
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
To determine how frequently acute otitis media (AOM) occurs, we enrolled children between 6 months and 3 years of age who returned several weeks before and 6 to 10 times during a cold for tympanometry and photography of the tympanic membrane. American Academy of Pediatrics (AAP) criteria were used to diagnose AOM. Children visited their physicians at their discretion. AOM occurred in 17 (55%) of 31 colds; in 12 (100%) colds with pre-existing middle ear effusion (MEE); and in 5 (26%) of 19 colds with no pre-existing MEE (P < 0.0001). Four patients received antibiotics from their physicians. Of 17 children with AOM, 12 did not seek care. AOM is common during colds, particularly with pre-existing MEE.
引用
收藏
页码:518 / 520
页数:3
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