Topical intranasal corticosteroids for otitis media with effusion in primary care

BMJ ◽  
2010 ◽  
Vol 340 (jan06 3) ◽  
pp. b5380-b5380 ◽  
Author(s):  
R. A M J Damoiseaux ◽  
M. M Rovers
Keyword(s):  
Primary Care ◽  
Otitis Media ◽  
Otitis Media With Effusion ◽  
Intranasal Corticosteroids

The follow up of Acute Otitis Media general practice

1995 ◽  
Vol 81 (2) ◽  
pp. 127-134
Author(s):  
A P Newton
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Otitis Media ◽  
Otitis Media With Effusion ◽  
Acute Otitis Media ◽  
Care Team ◽  
Primary Care Team ◽  
Common Condition ◽  
Glue Ear

AbstractAcute Otitis Media is a common condition of childhood which potentially has a number of significant sequelae including the development of Otitis Media with Effusion (‘Glue Ear’). A general practice based study is described which assesses the implementation of a protocol for the follow up of Acute Otitis Media by the primary care team. The results of this study show that following the introduction of a follow up protocol a significantly improved rate of followup was achieved with resultant improvements in the identification of ‘Glue Ear’ and hence more appropriate referral for ENT care.

scholarly journals Effect of nasal balloon autoinflation in children with otitis media with effusion in primary care: an open randomized controlled trial

2015 ◽  
Vol 187 (13) ◽  
pp. 961-969 ◽  
Author(s):  
Ian Williamson ◽  
Jane Vennik ◽  
Anthony Harnden ◽  
Merryn Voysey ◽  
Rafael Perera ◽  
...  
Keyword(s):  
Primary Care ◽  
Randomized Controlled Trial ◽  
Otitis Media ◽  
Otitis Media With Effusion ◽  
Controlled Trial ◽  
Randomized Controlled

scholarly journals A Strong Decline in the Incidence of Childhood Otitis Media During the COVID-19 Pandemic in the Netherlands

2021 ◽  
Vol 11 ◽  
Author(s):  
Saskia Hullegie ◽  
Anne G. M. Schilder ◽  
Paola Marchisio ◽  
Joline L. H. de Sévaux ◽  
Alike W. van der Velden ◽  
...  
Keyword(s):  
Primary Care ◽  
The Netherlands ◽  
Incidence Rate ◽  
Otitis Media ◽  
Antibiotic Prescription ◽  
Otitis Media With Effusion ◽  
Acute Otitis Media ◽  
Control Measures ◽  
Antibiotic Prescribing ◽  
The Impact

IntroductionRecent reports have highlighted the impact of the COVID-19 pandemic on the incidence of infectious disease illnesses and antibiotic use. This study investigates the effect of the pandemic on childhood incidence of otitis media (OM) and associated antibiotic prescribing in a large primary care-based cohort in the Netherlands.Material and MethodsRetrospective observational cohort study using routine health care data from the Julius General Practitioners’ Network (JGPN). All children aged 0-12 registered in 62 practices before the COVID-19 pandemic (1 March 2019 - 29 February 2020) and/or during the pandemic (1 March 2020 - 28 February 2021) were included. Data on acute otitis media (AOM), otitis media with effusion (OME), ear discharge episodes and associated antibiotic prescriptions were extracted. Incidence rates per 1,000 child years (IR), incidence rate ratios (IRR) and incidence rate differences (IRD) were compared between the two study periods.ResultsOM episodes declined considerably during the COVID-19 pandemic: IR pre-COVID-19 vs COVID-19 for AOM 73.7 vs 27.1 [IRR 0.37]; for OME 9.6 vs 4.1 [IRR 0.43]; and for ear discharge 12.6 vs 5.8 [IRR 0.46]. The absolute number of AOM episodes in which oral antibiotics were prescribed declined accordingly (IRD pre-COVID-19 vs COVID-19: -22.4 per 1,000 child years), but the proportion of AOM episodes with antibiotic prescription was similar in both periods (47% vs 46%, respectively).DiscussionGP consultation for AOM, OME and ear discharge declined by 63%, 57% and 54% respectively in the Netherlands during the COVID-19 pandemic. Similar antibiotic prescription rates before and during the pandemic indicate that the case-mix presenting to primary care did not considerably change. Our data therefore suggest a true decline as a consequence of infection control measures introduced during the pandemic.

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