Evaluating Children with Otitis Media for Bacteremia or Urinary Tract Infection
Background. It is unclear if clinicians evaluate for concurrent bacteremia or UTI in young patients diagnosed with acute otitis media (AOM). Objectives. To describe how often, and under which circumstances, emergency providers investigate for bacteremia or UTI in 2–36 month olds with AOM. Methods. C...
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | International Journal of Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2010/790167 |
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| _version_ | 1832548317091856384 |
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| author | Daniel Yawman Patrick Mahar Aaron Blumkin Gregory Conners |
| author_facet | Daniel Yawman Patrick Mahar Aaron Blumkin Gregory Conners |
| author_sort | Daniel Yawman |
| collection | DOAJ |
| description | Background. It is unclear if clinicians evaluate for concurrent bacteremia or UTI in young patients diagnosed with acute otitis media (AOM). Objectives. To describe how often, and under which circumstances, emergency providers investigate for bacteremia or UTI in 2–36 month olds with AOM. Methods. Cases of AOM were analyzed from the 2001–2004 National Hospital Ambulatory Medical Care Survey (NHAMCS)-Emergency Department dataset. Results. AOM was diagnosed in 17% of the 10,847 recorded visits of 2–36 month olds. Of these visits, laboratory testing included: CBC: 7%, Blood culture: 4%, urinalysis or urine culture: 5%, and any of these tests: 9%. Rates of testing for 2–6 month olds with temperature ≥ 38.0 (CBC: 13%, blood culture: 9%, urinalysis or urine culture: 7%, any of the tests: 14%) were not significantly different from testing of patients aged 6–12 months, or 12–36 months (all P>.1). Patients with temperature of ≥39.0 were more likely to have all tests, with the exception of urine investigation, than patients with temperature between 38.0 and 38.9. Conclusions. 17% of 2–36 month old patients seen in the emergency department are diagnosed with AOM. Investigating for bacteremia or UTI in these patients is not routine, even in febrile infants. |
| format | Article |
| id | doaj-art-2dcf931bb482465eb6cffaf66c282964 |
| institution | Kabale University |
| issn | 1687-9740 1687-9759 |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Pediatrics |
| spelling | doaj-art-2dcf931bb482465eb6cffaf66c2829642025-02-03T06:14:19ZengWileyInternational Journal of Pediatrics1687-97401687-97592010-01-01201010.1155/2010/790167790167Evaluating Children with Otitis Media for Bacteremia or Urinary Tract InfectionDaniel Yawman0Patrick Mahar1Aaron Blumkin2Gregory Conners3Departments of Pediatrics and Emergency Medicine, University of Rochester Medical Center and Rochester General Hospital, Box 238 1425 Portland Avenue, Rochester, NY 14621, USAEmergency Medicine, Denver Children’s Hospital, Denver, CO 80045, USADepartment of Pediatrics, University of Rochester Medical Center and Rochester General Hospital, Rochester, NY 14642, USADepartment of Pediatrics, Children’s Mercy Hospital & Clinics, Kansas City, MO 64108, USABackground. It is unclear if clinicians evaluate for concurrent bacteremia or UTI in young patients diagnosed with acute otitis media (AOM). Objectives. To describe how often, and under which circumstances, emergency providers investigate for bacteremia or UTI in 2–36 month olds with AOM. Methods. Cases of AOM were analyzed from the 2001–2004 National Hospital Ambulatory Medical Care Survey (NHAMCS)-Emergency Department dataset. Results. AOM was diagnosed in 17% of the 10,847 recorded visits of 2–36 month olds. Of these visits, laboratory testing included: CBC: 7%, Blood culture: 4%, urinalysis or urine culture: 5%, and any of these tests: 9%. Rates of testing for 2–6 month olds with temperature ≥ 38.0 (CBC: 13%, blood culture: 9%, urinalysis or urine culture: 7%, any of the tests: 14%) were not significantly different from testing of patients aged 6–12 months, or 12–36 months (all P>.1). Patients with temperature of ≥39.0 were more likely to have all tests, with the exception of urine investigation, than patients with temperature between 38.0 and 38.9. Conclusions. 17% of 2–36 month old patients seen in the emergency department are diagnosed with AOM. Investigating for bacteremia or UTI in these patients is not routine, even in febrile infants.http://dx.doi.org/10.1155/2010/790167 |
| spellingShingle | Daniel Yawman Patrick Mahar Aaron Blumkin Gregory Conners Evaluating Children with Otitis Media for Bacteremia or Urinary Tract Infection International Journal of Pediatrics |
| title | Evaluating Children with Otitis Media for Bacteremia or Urinary Tract Infection |
| title_full | Evaluating Children with Otitis Media for Bacteremia or Urinary Tract Infection |
| title_fullStr | Evaluating Children with Otitis Media for Bacteremia or Urinary Tract Infection |
| title_full_unstemmed | Evaluating Children with Otitis Media for Bacteremia or Urinary Tract Infection |
| title_short | Evaluating Children with Otitis Media for Bacteremia or Urinary Tract Infection |
| title_sort | evaluating children with otitis media for bacteremia or urinary tract infection |
| url | http://dx.doi.org/10.1155/2010/790167 |
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