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Occurrence of acute otitis media during colds in children younger than four years.

Authors
  • Armengol, Carlos Eladio
  • Hendley, J Owen
  • Winther, Birgit
Type
Published Article
Journal
The Pediatric Infectious Disease Journal
Publisher
Ovid Technologies (Wolters Kluwer) - Lippincott Williams & Wilkins
Publication Date
Jun 01, 2011
Volume
30
Issue
6
Pages
518–520
Identifiers
DOI: 10.1097/INF.0b013e3182044930
PMID: 21593706
Source
Medline
License
Unknown

Abstract

To determine how frequently acute otitis media (AOM) occurs, we enrolled children between 6 months and 3 years of age who returned several weeks before and 6 to 10 times during a cold for tympanometry and photography of the tympanic membrane. American Academy of Pediatrics (AAP) criteria were used to diagnose AOM. Children visited their physicians at their discretion. AOM occurred in 17 (55%) of 31 colds; in 12 (100%) colds with pre-existing middle ear effusion (MEE); and in 5 (26%) of 19 colds with no pre-existing MEE (P < 0.0001). Four patients received antibiotics from their physicians. Of 17 children with AOM, 12 did not seek care. AOM is common during colds, particularly with pre-existing MEE.

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