Title

OTITIS MEDIA AND MIDDLE EAR EFFUSION: RATE, RISK FACTORS, COSTS, STREPTOCOCCUS PNEUMONIAE AND ANTIBIOTIC RESISTANCE IN MONTANA CHILDREN ATTENDING DAY CARE AND PRESCHOOL

Presenter Information

Mandi Hill
Jozelle S. Fordyce

Presentation Type

Poster

Abstract

Otitis Media (OM) and Otitis Media with Effusion (OME) are the most common diagnoses for children aged 2 to 5 seeking medical care. Medical visits for the treatment of OM and OME in the US accounted for 17.4% of children <2 years of age and 18.1% of children ages 2 to 5. The estimated costs of OME for children age 5 or younger in 1993 was over $5 billion. Attendance in daycares and preschools has been identified as a risk factor for OME, increasing the incidence of OM threefold among children <2 years old. The incidence of OM and the prevalence of OME have been documented in previous studies of US children from birth to 3 and between 2 and 4 years old. The incidence, prevalence, costs and bacterial pathologies have not been studied in Montana. This proposed study presents a cost-effective, inaugural study in Montana that addresses questions related to OM in daycare and preschool centers. 200 children ages birth to 5 in Missoula, Montana will be sampled. Over a period of four months (December 2011 to March 2012) each child will be assessed for OM using tympanometry and video otoscopy every two weeks. In addition, each child will provide a nose swab for later determination of bacterial pathogens and penicillin resistance. Every two weeks parents or guardians will be contacted to determine the costs of OM treatment, including doctor’s visits, medications, work days missed, etc. This research provides the background, research protocol and sample data for this study.

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Apr 15th, 3:00 PM Apr 15th, 4:00 PM

OTITIS MEDIA AND MIDDLE EAR EFFUSION: RATE, RISK FACTORS, COSTS, STREPTOCOCCUS PNEUMONIAE AND ANTIBIOTIC RESISTANCE IN MONTANA CHILDREN ATTENDING DAY CARE AND PRESCHOOL

UC South Ballroom

Otitis Media (OM) and Otitis Media with Effusion (OME) are the most common diagnoses for children aged 2 to 5 seeking medical care. Medical visits for the treatment of OM and OME in the US accounted for 17.4% of children <2 years of age and>18.1% of children ages 2 to 5. The estimated costs of OME for children age 5 or younger in 1993 was over $5 billion. Attendance in daycares and preschools has been identified as a risk factor for OME, increasing the incidence of OM threefold among children <2 years old. The incidence of OM and the prevalence of OME have been documented in previous studies of US children from birth to 3 and between 2 and 4 years old. The>incidence, prevalence, costs and bacterial pathologies have not been studied in Montana. This proposed study presents a cost-effective, inaugural study in Montana that addresses questions related to OM in daycare and preschool centers. 200 children ages birth to 5 in Missoula, Montana will be sampled. Over a period of four months (December 2011 to March 2012) each child will be assessed for OM using tympanometry and video otoscopy every two weeks. In addition, each child will provide a nose swab for later determination of bacterial pathogens and penicillin resistance. Every two weeks parents or guardians will be contacted to determine the costs of OM treatment, including doctor’s visits, medications, work days missed, etc. This research provides the background, research protocol and sample data for this study.