Literature DB >> 12819964

The burden of acute otitis media on the patient and the family.

David Greenberg1, Natasha Bilenko, Zvika Liss, Tomer Shagan, Orly Zamir, Ron Dagan.   

Abstract

UNLABELLED: The aim of our study was to determine the burden of acute otitis media (AOM) on patients and their families. Parents of children with AOM were interviewed with regard to the week preceding the AOM diagnosis and every 3 days henceforth for an additional 21 days. The interview included information on loss of workdays, use of health care services and impact on the patient's and family's quality of life. Parents of age- and neighbourhood-matched controls were interviewed in an identical manner. A total of 150 patients and 51 controls were included in the analysis. The following variables differed significantly ( P<0.001) between patients and controls (mean +/- SD): non-routine days 18.5+/-11.0 in patients versus 3.4+/-6.5 in controls; number of visits to primary health centres 2.6+/-1.6 versus 0.4+/-0.6; number of emergency room visits 0.2+/-0.5 versus 0.1+/-0.02 and number of visits to an otolaryngology clinic 0.3+/-0.6 versus 0. Days of antibiotic and over the counter drug use were 9.0+/-5.6 versus 0.3+/- 0.9 and 7.0+/-6.0 versus 4.9+/-6.0, respectively per episode. The mean loss of workdays per child was 1.6+/-1.8 in patients versus 0.25+/-0.6 in controls, for working mothers and 0.6+/-1.1 versus 0.1+/-0.4 for working fathers; duration of absenteeism from day care facilities was 3.5+/-2.5 versus 0.9+/-2.7.
CONCLUSION: Acute otitis media significantly reduces the quality of life of both child and parents, causes substantial use of medical services and significant loss of workdays.

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Mesh:

Year:  2003        PMID: 12819964     DOI: 10.1007/s00431-003-1260-5

Source DB:  PubMed          Journal:  Eur J Pediatr        ISSN: 0340-6199            Impact factor:   3.183


  15 in total

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4.  Overall cost in the treatment of otitis media.

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5.  Projected cost-effectiveness of pneumococcal conjugate vaccination of healthy infants and young children.

Authors:  T A Lieu; G T Ray; S B Black; J C Butler; J O Klein; R F Breiman; M A Miller; H R Shinefield
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Review 6.  Microbiologic efficacy of antibacterial drugs for acute otitis media.

Authors:  J O Klein
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8.  Efficacy of a pneumococcal conjugate vaccine against acute otitis media.

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10.  Cost-effectiveness considerations in otitis media treatment.

Authors:  G A Gates
Journal:  Otolaryngol Head Neck Surg       Date:  1996-04       Impact factor: 5.591

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Review 6.  Paracetamol (acetaminophen) or non-steroidal anti-inflammatory drugs, alone or combined, for pain relief in acute otitis media in children.

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Review 7.  Poor adherence to antibiotic prescribing guidelines in acute otitis media--obstacles, implications, and possible solutions.

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