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One Year in General Pediatric Practice

Virgil M. Howie, MD; Richard H. Schwartz, MD

Am J Dis Child. 1983;137(2):155-158.

Abstract
• Diagnosis and treatment of otitis media (OM) occupied approximately one third of a pediatrician's time between October 1978 and October 1979. Of 4,602 office visits for sickness, 18% involved a diagnosis of acute OM, and an additional 14% were for follow-up of OM. Incidence was highest in March and lowest in July-August. The 830 episodes involved 677 children aged 1 week to 17 years: 40% were 24 months old or younger, and 12% were 60 months old or older. Pain and querulousness were absent In 24% of those brought in for mild upper respiratory tract infection, and fever (38.2°C or higher) was absent in 75% of the study group. Of 650 children who returned ten days later for reevaluation, 50% had otoscopic or tympanometric signs of OM with effusion.

(Am J Dis Child 1983;137:155-158)

Author Affiliations
From the Department of Pediatrics, University of Texas Medical Branch, Galveston (Dr Howie); and the Research Foundation, Microbiology Research, Children's Hospital National Medical Center, Washington, DC (Dr Schwartz).

Footnotes
Reprint requests to Department of Pediatrics, University of Texas Medical Branch, Galveston, TX 77550 (Dr Howie).

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