UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

Incidence and management of acute otitis media in adults: a primary care-based cohort study

Rijk, MH; Hullegie, S; Schilder, AGM; Kortekaas, MF; Damoiseaux, RAMJ; Verheij, TJM; Venekamp, RP; (2021) Incidence and management of acute otitis media in adults: a primary care-based cohort study. Family Practice 10.1093/fampra/cmaa150. (In press).

[thumbnail of Schilder_FAMPR-324-20.R2_Final_Accepted_Manuscript_combined.pdf] Text
Schilder_FAMPR-324-20.R2_Final_Accepted_Manuscript_combined.pdf - Accepted version
Access restricted to UCL open access staff until 29 January 2022.

Download (374kB)

Abstract

BACKGROUND: Although primarily considered a childhood disease, acute otitis media (AOM) also occurs in adults. Data on the burden of this condition in adults are, however, scarce. OBJECTIVE: To explore the primary care incidence and current management of AOM in adults. METHODS: All patients aged 15 and older included in the routine health care database of the Julius General Practitioners' Network were followed from 2015 to 2018 (contributing to a total of 1 261 575 person-years). We extracted data on AOM episodes, AOM-related consultations, comorbidities, and antibiotic and analgesic prescriptions. RESULTS: Five thousand three hundred and fifty-eight patients experienced one or more AOM episodes (total number of AOM episodes: 6667; mean 1.2 per patient). The overall AOM incidence was 5.3/1000 person-years and was fairly stable over the study period. Incidence was particularly high in atopic patients (7.3/1000 person-years) and declined with age (from 7.1 in patients 15-39 years of age to 2.7/1000 person-years in those aged 64 years and older). Oral antibiotics, predominantly amoxicillin, were prescribed in 46%, and topical antibiotics in 21% of all episodes. CONCLUSION: Over the past years, the incidence of AOM in adults in primary care has been stable. Oral antibiotic prescription rates resemble those in children with AOM, whereas a remarkably high topical antibiotic prescription rate was observed. Future prognostic research should inform on the need and feasibility of prospective studies into the best management strategy in this condition.

Type: Article
Title: Incidence and management of acute otitis media in adults: a primary care-based cohort study
Location: England
DOI: 10.1093/fampra/cmaa150
Publisher version: http://dx.doi.org/10.1093/fampra/cmaa150
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Adult, epidemiology, incidence, otitis media, primary health care, treatment
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > The Ear Institute
URI: https://discovery.ucl.ac.uk/id/eprint/10121385
Downloads since deposit
3Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item