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Recurrent acute otitis media. A prospective study of children during the first three years of life.

Abstract

To evaluate possible risk factors for developing recurrent acute otitis media (rAOM), 113 children were followed prospectively from birth to the age of 3 years. One of the aims was to determine whether such risk factors could be identified before the onset of the recurrences, so that optimal care and prophylactic measures could be made available at an early stage in such cases, on the basis of continuous follow-up by an ENT specialist. During the follow-up, 13 children developed rAOM, defined as six or more episodes of acute otitis media (AOM) during a 12-month period, 57 children had occasional episodes of AOM, and 43 children had no AOM at all. Of the children with onset of AOM before 6 months of age, 80% developed frequent episodes of AOM. The frequency of other respiratory tract infections and of family histories of otitis-proneness was higher among rAOM children than among the other children. The development of rAOM was unrelated to such factors as sex, familial history of allergy, duration of breast-feeding, or domestic environment. Nor could attendance at day-care centres be concluded as constituting a risk factor for the development of rAOM. An onset of AOM before 6 months of age was highly predictive of subsequent recurrent bouts of AOM, which emphasizes the importance of correct diagnosis in infants.

Authors+Show Affiliations

,

Department of Oto-Rhino-Laryngology, University Hospital, Lund, Sweden.

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Source

Acta oto-laryngologica 107:1-2 pg 111-9

MeSH

Acute Disease
Age Factors
Breast Feeding
Child Day Care Centers
Child, Preschool
Female
Humans
Infant
Infant, Newborn
Male
Otitis Media
Prospective Studies
Recurrence
Respiratory Tract Infections
Risk Factors
Smoking

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

2929308

Citation

Harsten, G, et al. "Recurrent Acute Otitis Media. a Prospective Study of Children During the First Three Years of Life." Acta Oto-laryngologica, vol. 107, no. 1-2, 1989, pp. 111-9.
Harsten G, Prellner K, Heldrup J, et al. Recurrent acute otitis media. A prospective study of children during the first three years of life. Acta Otolaryngol. 1989;107(1-2):111-9.
Harsten, G., Prellner, K., Heldrup, J., Kalm, O., & Kornfält, R. (1989). Recurrent acute otitis media. A prospective study of children during the first three years of life. Acta Oto-laryngologica, 107(1-2), pp. 111-9.
Harsten G, et al. Recurrent Acute Otitis Media. a Prospective Study of Children During the First Three Years of Life. Acta Otolaryngol. 1989;107(1-2):111-9. PubMed PMID: 2929308.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Recurrent acute otitis media. A prospective study of children during the first three years of life. AU - Harsten,G, AU - Prellner,K, AU - Heldrup,J, AU - Kalm,O, AU - Kornfält,R, PY - 1989/1/1/pubmed PY - 1989/1/1/medline PY - 1989/1/1/entrez SP - 111 EP - 9 JF - Acta oto-laryngologica JO - Acta Otolaryngol. VL - 107 IS - 1-2 N2 - To evaluate possible risk factors for developing recurrent acute otitis media (rAOM), 113 children were followed prospectively from birth to the age of 3 years. One of the aims was to determine whether such risk factors could be identified before the onset of the recurrences, so that optimal care and prophylactic measures could be made available at an early stage in such cases, on the basis of continuous follow-up by an ENT specialist. During the follow-up, 13 children developed rAOM, defined as six or more episodes of acute otitis media (AOM) during a 12-month period, 57 children had occasional episodes of AOM, and 43 children had no AOM at all. Of the children with onset of AOM before 6 months of age, 80% developed frequent episodes of AOM. The frequency of other respiratory tract infections and of family histories of otitis-proneness was higher among rAOM children than among the other children. The development of rAOM was unrelated to such factors as sex, familial history of allergy, duration of breast-feeding, or domestic environment. Nor could attendance at day-care centres be concluded as constituting a risk factor for the development of rAOM. An onset of AOM before 6 months of age was highly predictive of subsequent recurrent bouts of AOM, which emphasizes the importance of correct diagnosis in infants. SN - 0001-6489 UR - https://www.unboundmedicine.com/medline/citation/2929308/Recurrent_acute_otitis_media__A_prospective_study_of_children_during_the_first_three_years_of_life_ L2 - https://ClinicalTrials.gov/search/term=2929308 [PUBMED-IDS] DB - PRIME DP - Unbound Medicine ER -