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Incidence and management of acute otitis media in adults: a primary care-based cohort study.
Rijk, Merijn H; Hullegie, Saskia; Schilder, Anne G M; Kortekaas, Marlous F; Damoiseaux, Roger A M J; Verheij, Theo J M; Venekamp, Roderick P.
Afiliação
  • Rijk MH; Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
  • Hullegie S; Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
  • Schilder AGM; Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
  • Kortekaas MF; National Institute of Health Research, University College London Hospitals Biomedical Research Centre, London, UK.
  • Damoiseaux RAMJ; evidENT, Ear Institute, University College London, London, UK.
  • Verheij TJM; Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
  • Venekamp RP; Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Fam Pract ; 38(4): 448-453, 2021 07 28.
Article em En | MEDLINE | ID: mdl-33506857
ABSTRACT

BACKGROUND:

Although primarily considered a childhood disease, acute otitis media (AOM) also occurs in adults. Data on the burden of this condition in adults are, however, scarce.

OBJECTIVE:

To explore the primary care incidence and current management of AOM in adults.

METHODS:

All patients aged 15 and older included in the routine health care database of the Julius General Practitioners' Network were followed from 2015 to 2018 (contributing to a total of 1 261 575 person-years). We extracted data on AOM episodes, AOM-related consultations, comorbidities, and antibiotic and analgesic prescriptions.

RESULTS:

Five thousand three hundred and fifty-eight patients experienced one or more AOM episodes (total number of AOM episodes 6667; mean 1.2 per patient). The overall AOM incidence was 5.3/1000 person-years and was fairly stable over the study period. Incidence was particularly high in atopic patients (7.3/1000 person-years) and declined with age (from 7.1 in patients 15-39 years of age to 2.7/1000 person-years in those aged 64 years and older). Oral antibiotics, predominantly amoxicillin, were prescribed in 46%, and topical antibiotics in 21% of all episodes.

CONCLUSION:

Over the past years, the incidence of AOM in adults in primary care has been stable. Oral antibiotic prescription rates resemble those in children with AOM, whereas a remarkably high topical antibiotic prescription rate was observed. Future prognostic research should inform on the need and feasibility of prospective studies into the best management strategy in this condition.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Otite Média Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Child / Child, preschool / Humans Idioma: En Revista: Fam Pract Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Otite Média Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Child / Child, preschool / Humans Idioma: En Revista: Fam Pract Ano de publicação: 2021 Tipo de documento: Article