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- Title
FACTORS INFLUENCING THE INCREASED FREQUENCY OF ACUTE OTITIS MEDIA.
- Authors
Marosin, Flavia; Gherman, Valentina Georgiana; Pienar, Corina; Boceanu, Eulalia; Tămăşan, Ionela; Tănăsescu, Sonia; Postelnicu, Carmen; Pop, Liviu
- Abstract
Background: Acute otitis media (AOM) is the condition with the highest degree of medical addressability during early childhood. In recent years our department has faced a growing number of cases with AOM. Objective: Analysis of the factors that can influence the growing numbers of children presenting with AOM. Methods: We studied retrospectively records of patients aged 1 to 24 months, admitted with AOM to the 2nd Pediatrics Clinic, between January 1st 2013 and December 31st 2014. Our group consisted of 59 patients for whom we analyzed the following parameters: gender, birth rank, gestational age, type of birth (vaginal versus caesarean section), birth weight, current vaccination status, and recent antibiotic use. Results: Most children diagnosed with AOM were born through caesarean section (33.9% vs 66.1%, p = 0.018). For most children with AOM antibiotics were used in recent history (27.12% vs 72.88%, p = 0.001). 83.5% of patients were immunized according to the Ministry of Health schedule, while none of the children were vaccinated against Streptococcus Pneumoniae. Conclusions: In our study, increased frequency of caesarean section, recent antibiotic therapy and the lack of pneumococcal vaccination seem to be responsible for the increasing number of AOM. Large-scale studies are needed to confirm these hypotheses.
- Subjects
ACUTE otitis media; RETROSPECTIVE studies; MEDICAL records; BIRTH weight; PNEUMOCOCCAL vaccines
- Publication
Jurnalul Pediatrului, 2015, Vol 18, p20
- ISSN
2360-4557
- Publication type
Article