Burden of acute otitis media in primary care pediatrics in Italy: a secondary data analysis from the Pedianet database
Identifieur interne : 000855 ( Ncbi/Curation ); précédent : 000854; suivant : 000856Burden of acute otitis media in primary care pediatrics in Italy: a secondary data analysis from the Pedianet database
Auteurs : Paola Marchisio [Italie] ; Luigi Cantarutti [Italie] ; Miriam Sturkenboom [Pays-Bas, Italie] ; Silvia Girotto [Italie] ; Gino Picelli [Italie] ; Daniele Dona [Italie] ; Antonio Scamarcia [Italie] ; Marco Villa [Italie] ; Carlo Giaquinto [Italie]Source :
- BMC Pediatrics [ 1471-2431 ] ; 2012.
Abstract
The incidence of acute otitis media (AOM) vary from country to country. Geographical variations together with differences in study designs, reporting and settings play a role. We assessed the incidence of AOM in Italian children seen by primary care paediatricians (PCPs), and described the methods used to diagnose the disease.
This secondary data analysis from the Pedianet database considered children aged 0 – 6 years between 01/2003 and 12/2007. The AOM episodes were identified and validated by means of patient diaries. Incidence rates/100 person-years (PY) were calculated for total AOM and for single or recurrent AOM.
The 92,373 children (52.1% males) were followed up for a total of 227,361 PY: 23,039 (24.9%) presented 38,241 episodes of AOM (94.6% single episodes and 5.4% recurrent episodes). The total incidence rate of AOM in the 5-year period was 16.8 episodes per 100 PY (95% CI: 16.7-16.9), including single AOM (15.9 episodes per 100 PY; 95% CI: 15.7-16.1) and recurrent AOM (0.9 episodes per 100 PY; 95% CI: 0.9-0.9). There was a slight and continuously negative trend decrease over time (annual percent change −4.6%; 95%CI: -5.3, -3.9%). The AOM incidence rate varied with age, peaking in children aged 3 to 4 years (22.2 episodes per 100 PY; 95% CI 21.8-22.7). The vast majority of the AOM episodes (36,842/38,241, 96.3%) were diagnosed using a static otoscope; a pneumatic otoscope was used in only 3.7%.
Our data fill a gap in our knowledge of the incidence of AOM in Italy, and indicate that AOM represents a considerable burden for the Italian PCP system. Educational programmes concerning the diagnosis of AOM are needed, as are further studies to monitor the incidence in relation to the introduction of wider pneumococcal conjugate vaccines.
Url:
DOI: 10.1186/1471-2431-12-185
PubMed: 23190626
PubMed Central: 3519519
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level="a" type="main">Burden of acute otitis media in primary care pediatrics in Italy: a secondary data analysis from the Pedianet database</title><author><name sortKey="Marchisio, Paola" sort="Marchisio, Paola" uniqKey="Marchisio P" first="Paola" last="Marchisio">Paola Marchisio</name><affiliation wicri:level="3"><nlm:aff id="I1">Department of Pathophysiology and Transplantation, University of Milan, and Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Pathophysiology and Transplantation, University of Milan, and Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Cantarutti, Luigi" sort="Cantarutti, Luigi" uniqKey="Cantarutti L" first="Luigi" last="Cantarutti">Luigi Cantarutti</name><affiliation wicri:level="1"><nlm:aff id="I2">Family Pediatrician Pedianet Project, Padova, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Family Pediatrician Pedianet Project, Padova</wicri:regionArea><wicri:noRegion>Padova</wicri:noRegion></affiliation></author><author><name sortKey="Sturkenboom, Miriam" sort="Sturkenboom, Miriam" uniqKey="Sturkenboom M" first="Miriam" last="Sturkenboom">Miriam Sturkenboom</name><affiliation wicri:level="3"><nlm:aff id="I3">Department of Medical Informatics, Erasmus University Medical Center, Rotterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Medical Informatics, Erasmus University Medical Center, Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="I4">International Pharmacoepidemiology and Pharmacoeconomics Research Center, Desio, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>International Pharmacoepidemiology and Pharmacoeconomics Research Center, Desio</wicri:regionArea><wicri:noRegion>Desio</wicri:noRegion></affiliation></author><author><name sortKey="Girotto, Silvia" sort="Girotto, Silvia" uniqKey="Girotto S" first="Silvia" last="Girotto">Silvia Girotto</name><affiliation wicri:level="1"><nlm:aff id="I2">Family Pediatrician Pedianet Project, Padova, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Family Pediatrician Pedianet Project, Padova</wicri:regionArea><wicri:noRegion>Padova</wicri:noRegion></affiliation></author><author><name sortKey="Picelli, Gino" sort="Picelli, Gino" uniqKey="Picelli G" first="Gino" last="Picelli">Gino Picelli</name><affiliation wicri:level="1"><nlm:aff id="I4">International Pharmacoepidemiology and Pharmacoeconomics Research Center, Desio, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>International Pharmacoepidemiology and Pharmacoeconomics Research Center, Desio</wicri:regionArea><wicri:noRegion>Desio</wicri:noRegion></affiliation></author><author><name sortKey="Dona, Daniele" sort="Dona, Daniele" uniqKey="Dona D" first="Daniele" last="Dona">Daniele Dona</name><affiliation wicri:level="1"><nlm:aff id="I5">Department of Pediatrics, University of Padua and Pedianet Project, Padua, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Pediatrics, University of Padua and Pedianet Project, Padua</wicri:regionArea><wicri:noRegion>Padua</wicri:noRegion></affiliation></author><author><name sortKey="Scamarcia, Antonio" sort="Scamarcia, Antonio" uniqKey="Scamarcia A" first="Antonio" last="Scamarcia">Antonio Scamarcia</name><affiliation wicri:level="1"><nlm:aff id="I6">Società Servizi Telematici, Padua, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Società Servizi Telematici, Padua</wicri:regionArea><wicri:noRegion>Padua</wicri:noRegion></affiliation></author><author><name sortKey="Villa, Marco" sort="Villa, Marco" uniqKey="Villa M" first="Marco" last="Villa">Marco Villa</name><affiliation wicri:level="1"><nlm:aff id="I7">Local Health Authority ASL Cremona, Cremona, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Local Health Authority ASL Cremona, Cremona</wicri:regionArea><wicri:noRegion>Cremona</wicri:noRegion></affiliation></author><author><name sortKey="Giaquinto, Carlo" sort="Giaquinto, Carlo" uniqKey="Giaquinto C" first="Carlo" last="Giaquinto">Carlo Giaquinto</name><affiliation wicri:level="1"><nlm:aff id="I5">Department of Pediatrics, University of Padua and Pedianet Project, Padua, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Pediatrics, University of Padua and Pedianet Project, Padua</wicri:regionArea><wicri:noRegion>Padua</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Pediatrics</title><idno type="eISSN">1471-2431</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The incidence of acute otitis media (AOM) vary from country to country. Geographical variations together with differences in study designs, reporting and settings play a role. We assessed the incidence of AOM in Italian children seen by primary care paediatricians (PCPs), and described the methods used to diagnose the disease.</p></sec><sec><title>Methods</title><p>This secondary data analysis from the Pedianet database considered children aged 0 – 6 years between 01/2003 and 12/2007. The AOM episodes were identified and validated by means of patient diaries. Incidence rates/100 person-years (PY) were calculated for total AOM and for single or recurrent AOM.</p></sec><sec><title>Results</title><p>The 92,373 children (52.1% males) were followed up for a total of 227,361 PY: 23,039 (24.9%) presented 38,241 episodes of AOM (94.6% single episodes and 5.4% recurrent episodes). The total incidence rate of AOM in the 5-year period was 16.8 episodes per 100 PY (95% CI: 16.7-16.9), including single AOM (15.9 episodes per 100 PY; 95% CI: 15.7-16.1) and recurrent AOM (0.9 episodes per 100 PY; 95% CI: 0.9-0.9). There was a slight and continuously negative trend decrease over time (annual percent change −4.6%; 95%CI: -5.3, -3.9%). The AOM incidence rate varied with age, peaking in children aged 3 to 4 years (22.2 episodes per 100 PY; 95% CI 21.8-22.7). The vast majority of the AOM episodes (36,842/38,241, 96.3%) were diagnosed using a static otoscope; a pneumatic otoscope was used in only 3.7%.</p></sec><sec><title>Conclusions</title><p>Our data fill a gap in our knowledge of the incidence of AOM in Italy, and indicate that AOM represents a considerable burden for the Italian PCP system. Educational programmes concerning the diagnosis of AOM are needed, as are further studies to monitor the incidence in relation to the introduction of wider pneumococcal conjugate vaccines.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Rovers, Mm" uniqKey="Rovers M">MM Rovers</name></author><author><name sortKey="Schilder, Ag" uniqKey="Schilder A">AG Schilder</name></author><author><name sortKey="Zielhuis, Ga" uniqKey="Zielhuis G">GA Zielhuis</name></author><author><name sortKey="Rosenfeld, Rm" uniqKey="Rosenfeld R">RM Rosenfeld</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Dagan, R" uniqKey="Dagan R">R Dagan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Coco, A" uniqKey="Coco A">A Coco</name></author><author><name sortKey="Vernacchio, L" uniqKey="Vernacchio L">L Vernacchio</name></author><author><name sortKey="Horst, M" 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uniqKey="Massironi E">E Massironi</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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