2.50
Hdl Handle:
http://hdl.handle.net/2336/12457
Title:
Stikilbólga hjá börnum á Íslandi
Other Titles:
Mastoiditis in children in Iceland
Authors:
Anna Freyja Finnbogadóttir; Hannes Petersen; Þröstur Laxdal; Friðrik Guðbrandsson; Þórólfur Guðnason; Ásgeir Haraldsson
Citation:
Læknablaðið 2007, 93(4):275-80
Issue Date:
1-Apr-2007
Abstract:
INTRODUCTION: Mastoiditis is an infection in the mastoid process and is a complication of otitis media. Studies have revealed that the incidence might be increasing with altered antibiotic usage. The aim of the current study was to describe the epidemiology, clinical symptoms and treatment of mastoiditis in Iceland during the last two decades with special emphasis on children and to study possible correlations between antibiotic use and incidence of mastoiditis. PATIENTS AND METHODS: Information on patients diagnosed with mastoiditis during the period 1984-2002 at The Children's Hospital Iceland, The Department of Paediatrics, Landakoti and Landspitali--University Hospital Iceland was gathered and clinical data were recorded from patients records of children diagnosed with mastoiditis during 1999-2002. Information on antibiotic use during the years 1989-2002 was obtained from the Ministry of Health in Iceland. RESULTS: Eighty-four patients were diagnosed with mastoiditis during the period 1984-2002. Of those, 52 (62%) were children less than 18 years of age. The mean age of those children was 2 years and 8 months. Boys were 58%. Twenty six (50%) of the children were less than three years old. During the years 1999-2002, a total of 28 children were diagnosed; the mean age was 2 years and 2 months. Fifteen children (54%) sought medical attention within a week prior to admission to hospital and had been diagnosed with otitis media. Eleven children (73%) were appropriately treated with antibiotics prior to the diagnosis of mastoiditis but four (27%) received no antibiotics. During the period 1989-2002, a statistically significant correlation was detected between decreased antibiotic use among children and increasing incidence of mastoiditis (r=-0.68; p=0.007). DISCUSSION: Following changes in guidelines for antibiotic prescriptions for otitis media in Iceland during the nineties, antibiotic use in children decreased at the same time as the incidence for mastoiditis increased. It is uncertain, however, if a causal relationship exists. It is important to diagnose and appropriately treat otitis media, while staying alert for serious complications, especially in young children.; Inngangur: Stikilbólga er sýking í stikilholrýmum gagnaugabeins og fylgikvilli miðeyrnabólgu. Erlendar rannsóknir benda til að síðustu ár hafi nýgengi aukist með breyttri notkun sýklalyfja við miðeyrnabólgu. Tilgangur rannsóknarinnar var að skoða faraldsfræði, einkenni og meðferð stikilbólgu á Íslandi síðustu 20 ár með sérstaka áherslu á börn með stikilbólgu, ásamt fylgni sýklalyfjanotkunar við nýgengi stikilbólgu. Sjúklingar og aðferðir: Upplýsingar um þá sem greindust með stikilbólgu á árunum 1984-2002 á Barnaspítala Hringsins, Landakoti og Landspítala (áður Borgarspítali og Sjúkrahús Reykjavíkur) voru skráðar og sjúkraskrár þeirra sem greindust á árunum 1999-2002 voru skoðaðar. Hjá heilbrigðisráðuneytinu fengust upplýsingar um sýklalyfjanotkun á Íslandi á tímabilinu 1989-2002. Niðurstöður: Alls greindust 84 með stikilbólgu á árunum 1984-2002, þar af 52 börn (62%). Miðaldur þeirra var 2 ár og 8 mánuðir. Drengir voru 58%. Tuttugu og sex (50%) börn voru yngri en 3 ára. Á árunum 1999-2002 greindust 28 börn, miðaldur var 2 ár og 2 mánuðir. Fimmtán börn (54%) leituðu til læknis innan viku fyrir innlögn og greindust með miðeyrnabólgu. Ellefu börn (73%) fengu viðeigandi sýklalyf en fjögur (27%) fengu ekki meðferð fyrir innlögn. Á tímabilinu 1989-2002 var marktæk fylgni á milli minnkandi notkunar sýklalyfja hjá börnum og vaxandi nýgengis stikilbólgu (r =-0,68; p = 0,007). Ályktanir: Í kjölfar breyttra ráðlegginga um sýklalyfjanotkun við miðeyrnabólgu á Íslandi sem birtar voru upp úr 1990 dró úr notkun sýklalyfja hjá börnum og nýgengi stikilbólgu jókst en óvíst er hvort um beint orsakasamhengi er að ræða. Mikilvægt er að greina miðeyrnabólgu og meðhöndla á réttan hátt, og vera vakandi fyrir alvarlegum fylgikvillum, einkum hjá ungum börnum.
Description:
Neðst á síðunni er að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open
Additional Links:
http://www.laeknabladid.is

Full metadata record

DC FieldValue Language
dc.contributor.authorAnna Freyja Finnbogadóttir-
dc.contributor.authorHannes Petersen-
dc.contributor.authorÞröstur Laxdal-
dc.contributor.authorFriðrik Guðbrandsson-
dc.contributor.authorÞórólfur Guðnason-
dc.contributor.authorÁsgeir Haraldsson-
dc.date.accessioned2007-06-29T14:02:38Z-
dc.date.available2007-06-29T14:02:38Z-
dc.date.issued2007-04-01-
dc.date.submitted2007-06-29-
dc.identifier.citationLæknablaðið 2007, 93(4):275-80en
dc.identifier.issn0023-7213-
dc.identifier.pmid17460339-
dc.identifier.urihttp://hdl.handle.net/2336/12457-
dc.descriptionNeðst á síðunni er að nálgast greinina í heild sinni með því að smella á hlekkinn View/Openen
dc.description.abstractINTRODUCTION: Mastoiditis is an infection in the mastoid process and is a complication of otitis media. Studies have revealed that the incidence might be increasing with altered antibiotic usage. The aim of the current study was to describe the epidemiology, clinical symptoms and treatment of mastoiditis in Iceland during the last two decades with special emphasis on children and to study possible correlations between antibiotic use and incidence of mastoiditis. PATIENTS AND METHODS: Information on patients diagnosed with mastoiditis during the period 1984-2002 at The Children's Hospital Iceland, The Department of Paediatrics, Landakoti and Landspitali--University Hospital Iceland was gathered and clinical data were recorded from patients records of children diagnosed with mastoiditis during 1999-2002. Information on antibiotic use during the years 1989-2002 was obtained from the Ministry of Health in Iceland. RESULTS: Eighty-four patients were diagnosed with mastoiditis during the period 1984-2002. Of those, 52 (62%) were children less than 18 years of age. The mean age of those children was 2 years and 8 months. Boys were 58%. Twenty six (50%) of the children were less than three years old. During the years 1999-2002, a total of 28 children were diagnosed; the mean age was 2 years and 2 months. Fifteen children (54%) sought medical attention within a week prior to admission to hospital and had been diagnosed with otitis media. Eleven children (73%) were appropriately treated with antibiotics prior to the diagnosis of mastoiditis but four (27%) received no antibiotics. During the period 1989-2002, a statistically significant correlation was detected between decreased antibiotic use among children and increasing incidence of mastoiditis (r=-0.68; p=0.007). DISCUSSION: Following changes in guidelines for antibiotic prescriptions for otitis media in Iceland during the nineties, antibiotic use in children decreased at the same time as the incidence for mastoiditis increased. It is uncertain, however, if a causal relationship exists. It is important to diagnose and appropriately treat otitis media, while staying alert for serious complications, especially in young children.en
dc.description.abstractInngangur: Stikilbólga er sýking í stikilholrýmum gagnaugabeins og fylgikvilli miðeyrnabólgu. Erlendar rannsóknir benda til að síðustu ár hafi nýgengi aukist með breyttri notkun sýklalyfja við miðeyrnabólgu. Tilgangur rannsóknarinnar var að skoða faraldsfræði, einkenni og meðferð stikilbólgu á Íslandi síðustu 20 ár með sérstaka áherslu á börn með stikilbólgu, ásamt fylgni sýklalyfjanotkunar við nýgengi stikilbólgu. Sjúklingar og aðferðir: Upplýsingar um þá sem greindust með stikilbólgu á árunum 1984-2002 á Barnaspítala Hringsins, Landakoti og Landspítala (áður Borgarspítali og Sjúkrahús Reykjavíkur) voru skráðar og sjúkraskrár þeirra sem greindust á árunum 1999-2002 voru skoðaðar. Hjá heilbrigðisráðuneytinu fengust upplýsingar um sýklalyfjanotkun á Íslandi á tímabilinu 1989-2002. Niðurstöður: Alls greindust 84 með stikilbólgu á árunum 1984-2002, þar af 52 börn (62%). Miðaldur þeirra var 2 ár og 8 mánuðir. Drengir voru 58%. Tuttugu og sex (50%) börn voru yngri en 3 ára. Á árunum 1999-2002 greindust 28 börn, miðaldur var 2 ár og 2 mánuðir. Fimmtán börn (54%) leituðu til læknis innan viku fyrir innlögn og greindust með miðeyrnabólgu. Ellefu börn (73%) fengu viðeigandi sýklalyf en fjögur (27%) fengu ekki meðferð fyrir innlögn. Á tímabilinu 1989-2002 var marktæk fylgni á milli minnkandi notkunar sýklalyfja hjá börnum og vaxandi nýgengis stikilbólgu (r =-0,68; p = 0,007). Ályktanir: Í kjölfar breyttra ráðlegginga um sýklalyfjanotkun við miðeyrnabólgu á Íslandi sem birtar voru upp úr 1990 dró úr notkun sýklalyfja hjá börnum og nýgengi stikilbólgu jókst en óvíst er hvort um beint orsakasamhengi er að ræða. Mikilvægt er að greina miðeyrnabólgu og meðhöndla á réttan hátt, og vera vakandi fyrir alvarlegum fylgikvillum, einkum hjá ungum börnum.is
dc.format.extent-1 bytes-
dc.format.mimetypeapplication/pdf-
dc.languageiceen
dc.language.isoisen
dc.publisherLæknafélag Íslands, Læknafélag Reykjavíkuren
dc.relation.urlhttp://www.laeknabladid.isen
dc.subjectStikilbólgaen
dc.subjectSýklalyfen
dc.subjectEyrnasjúkdómaren
dc.subjectBörnen
dc.subject.classificationLBL12en
dc.subject.classificationFræðigreinaren
dc.subject.meshAnti-Bacterial Agentsen
dc.subject.meshChild, Preschoolen
dc.subject.meshDrug Utilizationen
dc.subject.meshFemaleen
dc.subject.meshHumansen
dc.subject.meshIceland/epidemiologyen
dc.subject.meshIncidenceen
dc.subject.meshMastoiditisen
dc.subject.meshMedical Recordsen
dc.subject.meshOtitis Mediaen
dc.subject.meshPractice Guidelinesen
dc.titleStikilbólga hjá börnum á Íslandien
dc.title.alternativeMastoiditis in children in Icelanden
dc.typeArticleen
dc.identifier.journalLæknablaðiðis
dc.format.digYES-

Related articles on PubMed

All Items in Hirsla are protected by copyright, with all rights reserved, unless otherwise indicated.