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Is pacifier use a risk factor for acute otitis media? A dynamic cohort study.

Abstract

BACKGROUND

Recently, the use of a pacifier has been identified as a risk factor for acute otitis media (AOM). The studies performed so far, however, suffer from methodological limitations.

OBJECTIVE

To study whether pacifier use increases the risk of AOM.

METHODS

Four hundred and ninety-five children between the ages of 0 and 4 years followed from 2000 to 2005 in a dynamic population study in the Leidsche Rijn residential area in Utrecht, The Netherlands. At baseline, the parents of these children filled out a questionnaire regarding pacifier use and potential confounders. AOM was diagnosed by GPs according to the International Classification of Primary Care coding system. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated.

RESULTS

Of the 216 children that used a pacifier at baseline, 76 (35%) developed at least one episode of AOM, and of the 260 children that did not use a pacifier, 82 (32%) developed at least one AOM episode; for recurrent AOM, these figures were 33 (16%) versus 27 (11%), respectively. The adjusted ORs for pacifier use and AOM and recurrent AOM were 1.3 (95% CI 0.9-1.9) and 1.9 (95% CI 1.1-3.2), respectively.

CONCLUSION

Pacifier use appears to be a risk factor for recurrent AOM. Parents should be informed about the possible negative effects of using a pacifier once their child has been diagnosed with AOM to avoid recurrent episodes.

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  • Authors+Show Affiliations

    ,

    Julius Center for Health Science and Primary Care, University Medical Center Utrecht, Stratenum 6.131, PO Box 85060, 3508 AB Utrecht, The Netherlands. m.rovers@umcutrecht.nl

    , , , ,

    Source

    Family practice 25:4 2008 Aug pg 233-6

    MeSH

    Acute Disease
    Child, Preschool
    Cohort Studies
    Confounding Factors (Epidemiology)
    Female
    Humans
    Infant
    Infant, Newborn
    Male
    Netherlands
    Otitis Media
    Pacifiers
    Prospective Studies
    Risk Factors

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    18562333

    Citation

    Rovers, Maroeska M., et al. "Is Pacifier Use a Risk Factor for Acute Otitis Media? a Dynamic Cohort Study." Family Practice, vol. 25, no. 4, 2008, pp. 233-6.
    Rovers MM, Numans ME, Langenbach E, et al. Is pacifier use a risk factor for acute otitis media? A dynamic cohort study. Fam Pract. 2008;25(4):233-6.
    Rovers, M. M., Numans, M. E., Langenbach, E., Grobbee, D. E., Verheij, T. J., & Schilder, A. G. (2008). Is pacifier use a risk factor for acute otitis media? A dynamic cohort study. Family Practice, 25(4), pp. 233-6. doi:10.1093/fampra/cmn030.
    Rovers MM, et al. Is Pacifier Use a Risk Factor for Acute Otitis Media? a Dynamic Cohort Study. Fam Pract. 2008;25(4):233-6. PubMed PMID: 18562333.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Is pacifier use a risk factor for acute otitis media? A dynamic cohort study. AU - Rovers,Maroeska M, AU - Numans,Mattijs E, AU - Langenbach,Esther, AU - Grobbee,Diederick E, AU - Verheij,Theo Jm, AU - Schilder,Anne Gm, Y1 - 2008/06/17/ PY - 2008/6/20/pubmed PY - 2008/10/29/medline PY - 2008/6/20/entrez SP - 233 EP - 6 JF - Family practice JO - Fam Pract VL - 25 IS - 4 N2 - BACKGROUND: Recently, the use of a pacifier has been identified as a risk factor for acute otitis media (AOM). The studies performed so far, however, suffer from methodological limitations. OBJECTIVE: To study whether pacifier use increases the risk of AOM. METHODS: Four hundred and ninety-five children between the ages of 0 and 4 years followed from 2000 to 2005 in a dynamic population study in the Leidsche Rijn residential area in Utrecht, The Netherlands. At baseline, the parents of these children filled out a questionnaire regarding pacifier use and potential confounders. AOM was diagnosed by GPs according to the International Classification of Primary Care coding system. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated. RESULTS: Of the 216 children that used a pacifier at baseline, 76 (35%) developed at least one episode of AOM, and of the 260 children that did not use a pacifier, 82 (32%) developed at least one AOM episode; for recurrent AOM, these figures were 33 (16%) versus 27 (11%), respectively. The adjusted ORs for pacifier use and AOM and recurrent AOM were 1.3 (95% CI 0.9-1.9) and 1.9 (95% CI 1.1-3.2), respectively. CONCLUSION: Pacifier use appears to be a risk factor for recurrent AOM. Parents should be informed about the possible negative effects of using a pacifier once their child has been diagnosed with AOM to avoid recurrent episodes. SN - 1460-2229 UR - https://www.unboundmedicine.com/medline/citation/18562333/Is_pacifier_use_a_risk_factor_for_acute_otitis_media_A_dynamic_cohort_study_ L2 - https://academic.oup.com/fampra/article-lookup/doi/10.1093/fampra/cmn030 DB - PRIME DP - Unbound Medicine ER -