新冠肺炎大流行期间怀卡托地区中耳炎的变化模式。

IF 1.1 Q4 PRIMARY HEALTH CARE Journal of primary health care Pub Date : 2023-09-01 DOI:10.1071/HC23026
Andre Becker, Ha Nguyen, Michael Becker, Andrew Wood, Ross Lawrenson
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引用次数: 1

摘要

引言急性中耳炎(AOM)是儿童在全科医学中常见的疾病。一部分儿童发展为渗出性中耳炎(OME),可能需要鼓室造瘘和插入通气管。目的本研究的目的是比较毛利和新西兰(NZ)欧洲儿童在全科医学和转诊到鼓室造瘘和通气管插入二级护理的实践中AOM的发生率。方法本研究分为两个部分:(1)分析怀卡托乡村全科诊所(Ōtorohanga)2年来毛利人较多的AOM和OME的发病率;以及(2)对怀卡托区卫生委员会耳鼻喉科的所有转诊以及同期该服务的鼓室造口术和通气管插入的分析。结果毛利人AOM的发生率与NZ-欧洲儿童相似。2019年至2020年间,发病率显著下降,50%的AOM儿童接受了抗生素治疗。与新西兰-欧洲儿童相比,毛利人到ORL部门的转诊率更高,鼓室造口术和通气管插入率也更高。讨论尽管AOM很常见,但OME很少被诊断出来。关于常见疾病使用抗生素的临床指南尚未被采纳,需要对此进行进一步研究。新冠肺炎大流行对全科医学和医院部门的需求产生了重大影响。这可能是由于AOM发病率的降低,或者是由于大流行导致的系统变化。
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Changing patterns of otitis media in the Waikato region during the COVID-19 pandemic.

Introduction Acute otitis media (AOM) is a common condition of children encountered in general practice. A proportion of children develop otitis media with effusion (OME), which may require tympanostomy and ventilation tube insertion. Aim The aim of the study was to compare the incidence of AOM in Māori and New Zealand (NZ) European children in general practice and the referral practices to secondary care for tympanostomy and ventilation tube insertion. Methods The study was conducted in two parts: (1) an analysis of the incidence of AOM and OME in a rural Waikato general practice (Ōtorohanga) with a high Māori population over a 2-year period; and (2) an analysis of all referrals to the otorhinolaryngology (ORL) department at Waikato District Health Board and tympanostomy and ventilation tube insertion by this service over the same period. Results The incidence of AOM was similar in Māori compared with NZ European children. The incidence declined significantly between 2019 and 2020 and 50% of children with AOM were treated with antibiotics. Referral rates to the ORL department were greater for Māori compared with NZ European children as were tympanostomy and ventilation tube insertion rates. Discussion Although AOM is common, OME was rarely diagnosed. The clinical guidelines regarding antibiotic use for common conditions are not being readily adopted and further research is needed into this matter. The COVID-19 pandemic had a substantial effect on demand both in general practice and in the hospital sector. This may have been due to a reduction in the incidence of AOM or due to system changes caused by the pandemic.

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来源期刊
Journal of primary health care
Journal of primary health care PRIMARY HEALTH CARE-
CiteScore
2.70
自引率
16.70%
发文量
79
审稿时长
28 weeks
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