Incidence of acute otitis media and sinusitis complicating upper respiratory tract infection: The effect of age
Incidence of acute otitis media and sinusitis complicating upper respiratory tract infection: The effect of age
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DOI：
10.1542/peds.2006-2881
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发表时间：
2007-06-01
期刊：
影响因子：
8
通讯作者：
Chonmaitree, Tasnee
中科院分区：
文献类型：
--
作者：
Revai, Krystal;Dobbs, Laura A.;Chonmaitree, Tasnee
婴幼儿容易发生上呼吸道感染，这往往会导致细菌并发症，如急性中耳炎和鼻窦炎。我们评估了112名儿童(6-35个月大)的623例上呼吸道感染事件，以确定导致急性中耳炎或鼻窦炎的上呼吸道感染事件的比例。所有上呼吸道感染中，30%并发急性中耳炎，8%并发鼻窦炎。上呼吸道感染后急性中耳炎的发生率随年龄增长而下降，而上呼吸道感染后鼻窦炎的发生率在出生后第2年达到高峰。通过避免在出生第一年频繁接触呼吸道病毒(例如，避免日间护理)，可以显著降低急性中耳炎的风险。
Infants and young children are prone to developing upper respiratory tract infections, which often result in bacterial complications such as acute otitis media and sinusitis. We evaluated 623 upper respiratory tract infection episodes in 112 children (6-35 months of age) to determine the proportion of upper respiratory tract infection episodes that result in acute otitis media or sinusitis. Of all upper respiratory tract infections, 30% were complicated by acute otitis media and 8% were complicated by sinusitis. The rate of acute otitis media after upper respiratory tract infection declined with increasing age, whereas the rate of sinusitis after upper respiratory tract infection peaked in the second year of life. Risk for acute otitis media may be reduced substantially by avoiding frequent exposure to respiratory viruses (eg, avoidance of day care attendance) in the first year of life.