2,780 results match your criteria Pediatrics Otitis Media

Otitis media with effusion in children aged 2-12 years attending the paediatric clinic at Mulago National Referral Hospital, a Ugandan tertiary hospital: a cross-sectional study.

BMC Pediatr 2022 Jun 22;22(1):357. Epub 2022 Jun 22.

Department of Pediatrics and Child Health, Makerere University, College of Health Sciences Kampala, Kampala, Uganda.

Background: Otitis media with effusion (OME) is common in children aged between 6 months to 4 years, and it is one of the causes of hearing loss (HL) in children worldwide. OME is a type of inflammation of the middle ear in which there is a collection of fluid. The latter causes HL which interferes with speech and language development, communication skills, school performance, psychosocial skills, and quality of life of children. Read More

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Pediatric ED Utilization in a Destination City: Demographic, Clinical, and Temporal Trends.

Pediatr Emerg Care 2022 Jun 22. Epub 2022 Jun 22.

Department of Pediatric Emergency Medicine, Medical University of South Carolina, Shawn Jenkins Children's Hospital, Charleston, SC.

Objectives: Seasonal variation in emergency department (ED) visits has been shown for a variety of pediatric conditions, but previous studies have not considered how geographic location may also influence when and why these patients present to the ED. Our study examined the demographic and clinical characteristics as well as the seasonal variation among 3 patient populations (locals, in-state nonlocals, and out-of-state visitors) presenting to our pediatric ED (PED), which is located in a coastal, destination city.

Methods: This was a retrospective chart review of PED visits from June 2014 to June 2019 at the Medical University of South Carolina Children's Hospital, a tertiary care facility located in Charleston, SC. Read More

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Watchful Waiting for Acute Otitis Media.

Pediatrics 2022 Jun 21. Epub 2022 Jun 21.

Department of Pharmaceutical Outcomes and Policy, College of Pharmacy.

Background And Objectives: Updated guidelines continue to support watchful waiting as an option for uncomplicated acute otitis media (AOM) and provide explicit diagnostic criteria. To determine treatment prevalence and associated determinants of watchful waiting for AOM in commercially insured pediatric patients.

Methods: This was a retrospective cohort study using IBM Marketscan Commercial Claims Databases (2005 to 2019) of patients 1 to 12 years old with AOM, without otitis-related complications within 6 months prior, with no tympanostomy tubes, and no other infections around index diagnosis of AOM. Read More

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How long do tympanostomy ventilation tubes last in pediatric patients with otitis media with effusion or adhesion? A study using Kaplan-Meier survival analysis.

Int J Pediatr Otorhinolaryngol 2022 Jun 15;159:111210. Epub 2022 Jun 15.

Department of Otorhinolaryngology, Osaka Women's and Children's Hospital, 840 Murodocho, Izumi, Osaka, 594-1101, Japan.

Objective: The purpose of this study was to evaluate the functional duration and survival rate of tympanostomy ventilation tubes and the complications associated with their use in pediatric patients who underwent tube insertion for otitis media with effusion (OME). Complications were analyzed including recurrence and tympanic membrane perforation after the tube removal or extrusion.

Methods: Altogether, 447 ears from 234 pediatric patients younger than 15 years of age were studied retrospectively. Read More

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Improving Adherence to AAP Acute Otitis Media Guidelines in an Academic Pediatrics Practice through a Quality Improvement Project.

Pediatr Qual Saf 2022 May-Jun;7(3):e553. Epub 2022 Jun 14.

Department of Pediatrics, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tenn.

Introduction: Acute otitis media (AOM) is the most common reason for antibiotic use in children. The American Academy of Pediatrics (AAP) published its latest AOM guidelines in 2013. A safety-net antibiotic prescription (SNAP) is recommended for some patients based on age, severity, and duration of symptoms. Read More

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Impact of COVID-19 on nationwide pediatric otolaryngology practice: Adenotonsillectomies (TA) and tonsil-related diagnoses trends.

Am J Otolaryngol 2022 Jun 11;43(5):103526. Epub 2022 Jun 11.

Department of Otorhinolaryngology-Head and Neck Surgery, McGovern Medical School, Houston, TX, United States of America. Electronic address:

Objectives/hypothesis: To determine the effects of the COVID-19 pandemic on Adenotonsillectomies (TA), Tonsil Related Cases (TC), and Peritonsillar Abscess (PTA) Trends.

Study Design: Retrospective Cohort Study.

Methods: This is a retrospective cohort study using the Pediatric Health Information System® (PHIS) database, which consists of 51 children's hospitals. Read More

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A cost-effectiveness analysis of PHiD-CV compared to PCV13 in a national immunization program setting in Tunisia.

Hum Vaccin Immunother 2022 Jun 15:2079305. Epub 2022 Jun 15.

GSK, Buenos Aires, Argentina.

Background: In response to the substantial clinical and economic burden of diseases caused by and non-typeable (NTHi) in Tunisia, the 10-valent pneumococcal non-typeable protein D conjugate vaccine (PHiD-CV) was recently introduced into the national immunization program. However, there has yet to be a full-scale health economic analysis comparing currently available pneumococcal conjugate vaccines (PCVs) in Tunisia.

Methods: A Markov model that simulated the disease processes of invasive pneumococcal disease (IPD), pneumonia, and acute otitis media (AOM) over a newborn cohort lifetime was used to evaluate the cost-effectiveness/utility of PHiD-CV and the 13-valent pneumococcal conjugate vaccine (PCV13) from payer's perspective, using 3% discounting. Read More

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A Multisite Collaborative to Decrease Inappropriate Antibiotics in Urgent Care Centers.

Pediatrics 2022 Jun 15. Epub 2022 Jun 15.

Division of Urgent Care, Children's Mercy Kansas City, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri.

Background: Urgent care (UC; a convenient site to receive care for ambulatory-sensitive) centers conditions; however, UC clinicians showed the highest rate of inappropriate antibiotic prescriptions among outpatient settings according to national billing data. Antibiotic prescribing practices in pediatric-specific UC centers were not known but assumed to require improvement. The aim of this multisite quality improvement project was to reduce inappropriate antibiotic prescribing practices for 3 target diagnoses in pediatric UC centers by a relative 20% by December 1, 2019. Read More

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Economic burden of pneumococcal disease in children in Liguria, Italy.

Hum Vaccin Immunother 2022 Jun 13:2082205. Epub 2022 Jun 13.

Planning, Epidemiology and Prevention Unit, Regional Health Agency of Liguria (ALiSa), Genoa, Italy.

Vaccinations against are included in infant immunization programs globally. However, a substantial burden due to pneumococcal disease (PD) remains. This study aimed to estimate the cost of emergency department (ED) visits and hospitalizations associated with invasive pneumococcal disease, all-cause pneumonia, and acute otitis media in children <15 years of age in the Liguria region of Italy between 2012 and 2018. Read More

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Hearing Loss in Patients With Morquio Syndrome: Protocol for a Scoping Review.

JMIR Res Protoc 2022 Jun 7;11(6):e32986. Epub 2022 Jun 7.

Department of Basic Medical Sciences, Center for Research on Congenital Anomalies and Rare Diseases (CIACER), Universidad Icesi, Cali, Colombia.

Background: Mild to moderate hearing loss is common in patients with mucopolysaccharidosis (MPS) IVA. The hearing loss can be conductive, sensorineural, or mixed. However, in these patients, the mixed form is frequent, attributed to the combination of conductive and neurosensory elements, with slowly progressive evolution. Read More

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Serotype distribution and antimicrobial resistance of among children with acute otitis media in Marrakech, Morocco.

Iran J Microbiol 2022 Feb;14(1):47-55

Department of Medical Biology, Laboratory of Microbiology and Virology, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco.

Background And Objectives: is one of the most frequent pathogens leading to a variety of clinical manifestations. The effects of carriage on acute otitis media (AOM) are poorly studied. The study aimed to assess the serotype's distribution and antimicrobial susceptibility in children with AOM after the implementation of the pneumococcal conjugate vaccine (PCV) in Morocco. Read More

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February 2022

Clinical Profile and Outcome of Hospitalized Confirmed Cases of Omicron Variant of SARS-CoV-2 Among Children in Pune, India.

Cureus 2022 Apr 30;14(4):e24629. Epub 2022 Apr 30.

Microbiology, Byramjee Jeejeebhoy (BJ) Government Medical College & Sassoon General Hospitals, Pune, IND.

Background The Omicron variant of SARS-CoV-2 infection was seen to be more infectious but less severe in children than adults with reduced hospitalization rates. There is a paucity of data on hospitalized children with confirmed Omicron variant. Objective We describe demographic, epidemiologic, clinical, radiological, laboratory features and outcomes of children with confirmed Omicron variant of SARS-CoV-2 infection admitted to a tertiary care teaching hospital in Pune, India. Read More

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Association of Inappropriate Outpatient Pediatric Antibiotic Prescriptions With Adverse Drug Events and Health Care Expenditures.

JAMA Netw Open 2022 05 2;5(5):e2214153. Epub 2022 May 2.

Department of Pediatrics, Washington University School of Medicine, St Louis, Missouri.

Importance: Nonguideline antibiotic prescribing for the treatment of pediatric infections is common, but the consequences of inappropriate antibiotics are not well described.

Objective: To evaluate the comparative safety and health care expenditures of inappropriate vs appropriate oral antibiotic prescriptions for common outpatient pediatric infections.

Design, Setting, And Participants: This cohort study included children aged 6 months to 17 years diagnosed with a bacterial infection (suppurative otitis media [OM], pharyngitis, sinusitis) or viral infection (influenza, viral upper respiratory infection [URI], bronchiolitis, bronchitis, nonsuppurative OM) as an outpatient from April 1, 2016, to September 30, 2018, in the IBM MarketScan Commercial Database. Read More

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[Otologic disorders and management strategies in Turner syndrome].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022 May;57(5):595-601

Department of Pediatrics, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, China.

To analyze the incidence and risk factors of otologic disorders in patients with Turner syndrome (TS), so as to provide management strategies for ear health. This study is a prospective study based on questionnaires and a cross-sectional study. The TS patients who visited our hospital from 2010 January to 2021 March were included (A total of 71 patients with TS were included in this study. Read More

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Electronic Discharge Communication Tools Used in Pediatric Emergency Departments: Systematic Review.

JMIR Pediatr Parent 2022 Jun 24;5(2):e36878. Epub 2022 Jun 24.

IWK Health, Strengthening Transitions in Care Lab, Halifax, NS, Canada.

Background: Electronic discharge communication tools (EDCTs) are increasingly common in pediatric emergency departments (EDs). These tools have been shown to improve patient-centered communication, support postdischarge care at home, and reduce unnecessary return visits to the ED.

Objective: This study aimed to map and assess the evidence base for EDCTs used in pediatric EDs according to their functionalities, intended purpose, implementation context features, and outcomes. Read More

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Parents' experiences caring for children with acute otitis media: a qualitative analysis.

BMC Prim Care 2022 May 23;23(1):123. Epub 2022 May 23.

Division of General Academic Pediatrics, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.

Background: Little is known regarding parents' experiences caring for children with acute otitis media (AOM). This study aimed to explore parents' experiences caring for their child with AOM, identifying symptoms they observed, their thoughts and feelings about those symptoms, how they managed the episode, and what factors caused them to seek medical evaluation.

Methods: From October 2019 to February 2020, we conducted 24 semi-structured cross-sectional interviews with parents of children 3 to 36 months of age with AOM diagnosed at primary care offices associated with the Children's Hospital of Pittsburgh regarding (1) symptoms and behaviors that led parents to believe their child might have AOM; (2) symptoms that were most bothersome to parent and child; (3) what parents did in response to these symptoms; (4) motivations for seeking clinical care; and (5) parents' expectations regarding AOM resolution. Read More

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Therapeutic approach to acute otitis media in primary care in an urban area. Delayed antibiotic prescription evaluation.

An Pediatr (Engl Ed) 2022 May 12;96(5):422-430. Epub 2022 May 12.

Centro de Salud Virgen de África, Sevilla, Spain.

Background And Objectives: Acute otitis media (AOM) is one of the most frequent causes of consultation and antibiotic prescription in pediatrics. The objective of this work is to evaluate the practice of delayed antibiotic prescription in AOM in pediatrics in primary care.

Material And Methods: Observational, retrospective study, through reviewing of medical records in a Primary Care Center of Aragon Community of children with OMA in which doctors perform delayed prescription. Read More

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Surgery for adenotonsillar hypertrophy and otitis media in children is less demanded in quarantine times.

Int J Pediatr Otorhinolaryngol 2022 Jul 7;158:111169. Epub 2022 May 7.

Department of Medical Oncology, "Olympian" General Hospital, 26443, Patras, Greece.

Objectives: In the COVID-19 era, extreme measures of social distancing have contained the spread of common viral respiratory infections, which are involved in the pathogenesis of Adenotonsillar Hypertrophy (ATH), and Chronic Otitis Media with Effusion (COME), the two commonest chronic ENT diseases of childhood. This study examines the lockdown effect on the number of procedures performed for these two conditions.

Methods: The consecutive charts of 650 and 195 children being operated respectively for ATH and COME during the quarantine (05/2020-02/2021) and unrestrained (05/2019-02/2020) periods were retrospectively reviewed. Read More

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The common triggers of urticaria in children admitted to the pediatric emergency room.

Pediatr Dermatol 2022 May 6. Epub 2022 May 6.

Division of Pediatric Allergy, Hacettepe University School of Medicine, Ankara, Turkey.

Background: Urticaria frequently causes pediatric emergency department (PED) admissions. Children with urticaria may unnecessarily avoid suspected allergens. We aimed to investigate the possible and exact triggers of urticaria in children admitted to the PED. Read More

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Microbiota Associated With Cholesteatoma Tissue in Chronic Suppurative Otitis Media.

Front Cell Infect Microbiol 2022 19;12:746428. Epub 2022 Apr 19.

Department of Otolaryngology-Head and Neck Surgery, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.

Otitis media (OM), defined as infection or inflammation of the middle ear (ME), remains a major public health problem worldwide. Cholesteatoma is a non-cancerous, cyst-like lesion in the ME that may be acquired due to chronic OM and cause disabling complications. Surgery is required for treatment, with high rates of recurrence. Read More

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Role of Faropenem in Treatment of Pediatric Infections: The Current State of Knowledge.

Cureus 2022 Apr 25;14(4):e24453. Epub 2022 Apr 25.

Department of Clinical Research, Act Lifesciences Pvt Ltd, Navi Mumbai, IND.

Carbapenems play an important role in the management of bacterial infections. Meropenem, imipenem, ertapenem, and faropenem are carbapenems with the broadest antibacterial spectrum and strong antibacterial activity. Faropenem is a novel oral carbapenem with an advantage over other parenteral carbapenems in the series. Read More

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Transmastoid Ultrasound Detection of Middle Ear Effusion and Its Association with Clinical Audiometric Tests.

Life (Basel) 2022 Apr 18;12(4). Epub 2022 Apr 18.

Department of Medical Imaging and Radiological Sciences, College of Medicine, Chang Gung University, Taoyuan 333323, Taiwan.

Medical history taking, otoscopy, tympanometry, and audiometry are clinical methods to diagnose middle ear effusion (MEE); however, these procedures are experience-dependent and result in misdiagnosis under unfavorable conditions of the external auditory canal in non-cooperative young children. This study aimed to explore the use of transmastoid ultrasound combined with the Nakagami parameter analysis to detect MEE in children aged 3-5 years and to compare the proposed method with clinical evaluation methods. A total of forty subjects were enrolled; for each subject, a single-element ultrasound transducer of 2. Read More

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Azithromycin: An Underappreciated Quinolone-Sparing Oral Treatment for Infections.

Antibiotics (Basel) 2022 Apr 13;11(4). Epub 2022 Apr 13.

Sharp Rees-Stealy Medical Group, San Diego, CA 92123, USA.

Outpatient treatment of infections is challenged by increasing rates of resistance to fluoroquinolones, the only class of antibiotics which offers an established oral route of administration against this organism. Azithromycin does not demonstrate activity against when evaluated under standard methods of susceptibility testing with bacteriologic media. However, growing evidence shows that azithromycin is very active against when using physiologic media that recapitulate the in vivo milieu and is supported by animal models of infection and various clinical settings, including cystic fibrosis. Read More

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Increase in Haemophilus Influenzae Detection in 13-Valent Pneumococcal Conjugate Vaccine Immunized Children With Acute Otitis Media.

Pediatr Infect Dis J 2022 Apr 18. Epub 2022 Apr 18.

Department of Otolaryngology-Head and Neck Surgery, Samson Assuta Ashdod University Hospital and Faculty of Health Sciences, Ben Gurion University of the Negev, Ashdod, Israel.

NTHi was the predominant pathogen in ear cultures from severe acute otitis media (AOM) episodes in PCV-13 vaccinated children, more commonly in girls. NTHi-AOM episodes were associated with more myringotomies due to a higher treatment failure incidence. The low rate of β-lactamase NTHi isolates in middle ear fluid cultures from PCV-13 vaccinated children presenting with AOM strengthens to still use amoxicillin as the first-line antibiotics. Read More

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Otologic Examination Findings In Afebrile Young Infants Clinically Diagnosed With Acute Otitis Media.

Pediatr Infect Dis J 2022 07 7;41(7):e290-e292. Epub 2022 Jun 7.

Department of Pediatrics, Medical University of South Carolina, Charleston, South Carolina.

There are limited data on examination criteria for diagnosing acute otitis media in young infants. In this 33-site retrospective study of afebrile infants ≤90 days, clinicians typically documented tympanic membrane erythema with ≥1 other otologic abnormalities (64.1%) to diagnose acute otitis media. Read More

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"Parenteral" Diarrhea Associated With Pediatric Urinary Tract Infections: A Retrospective Chart Review.

Pediatr Emerg Care 2022 Apr 13. Epub 2022 Apr 13.

From the Departments of Emergency Medicine.

Objectives: The association of noninfectious diarrhea with extraintestinal infections such as otitis media, pneumonia, or febrile urinary tract infections (UTIs) is commonly known as parenteral diarrhea. Although this association has been described for over a century and parenteral diarrhea is mentioned in current reference literature, available evidence for this association seems to be limited. The primary research question was to determine if there is an association between UTIs and reports of diarrhea. Read More

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How essential are in-person clinic visits during maintenance treatment of children with acute lymphoblastic leukemia?

Pediatr Blood Cancer 2022 07 11;69(7):e29713. Epub 2022 Apr 11.

Division of Hematology/Oncology, The Hospital for Sick Children, Toronto, Ontario, Canada.

Background: Acute lymphoblastic leukemia (ALL) is the most common cancer in children. Treatment consists of an initial intensive phase of chemotherapy, followed by a prolonged period of maintenance chemotherapy intended to reduce the risk of relapse. During the COVID-19 pandemic, the need arose to identify and reduce non-essential hospital visits. Read More

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Tobacco Exposure During Pregnancy and Infections in Infants up to 1 Year of Age: The Japan Environment and Children's Study.

J Epidemiol 2022 Apr 9. Epub 2022 Apr 9.

Fukushima Regional Center for the Japan Environmental and Children's Study.

Background: Tobacco exposure during pregnancy is associated with several adverse outcomes in infants. We investigated the association between tobacco exposure during pregnancy (both active and second-hand) and various infections in infants up to 1 year.

Methods: This prospective cohort study used a fixed dataset (jecs-an-20180131) from the Japan Environment and Children's Study of registered births in Japan during 2011-2014 that included 104,065 fetal records from enrolled pregnant women. Read More

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Trending Tubes: A Social Media Analysis of Tympanostomy Tubes in Children.

OTO Open 2022 Jan-Mar;6(1):2473974X221086964. Epub 2022 Mar 31.

Department of Otolaryngology, University of Texas Medical Branch, Galveston, Texas, USA.

Objective: To investigate the popular social media platforms Instagram and Facebook for public posts related to tympanostomy tubes in children, to discern attitudes and perceptions surrounding tympanostomy tubes, and to evaluate the content of social media posts related to tympanostomy tubes.

Study Design: Qualitative study.

Setting: Instagram and Facebook social media platforms. Read More

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QI Project Promoting NP Compliance with an AOM Bundle in Pediatric Hospital-owned Retail Clinic.

Pediatr Qual Saf 2022 Mar-Apr;7(2):e537. Epub 2022 Mar 30.

Urgent Care/Kids Express, Dayton Children's Hospital, Dayton, Ohio.

The most common diagnosis for pediatric antibiotic prescriptions is acute otitis media (AOM). Therefore, it is logical to focus on AOM when striving to improve antibiotic prescribing in pediatrics. This quality improvement project aimed to improve documentation of diagnostic criteria and physical examination findings in the medical record and improve adherence to recommended antibiotic prescribing recommendations for AOM by nurse practitioners at a children's hospital-owned pediatric retail clinic. Read More

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