Trends in Otitis Media and Myringotomy with Tube Placement among American Indian and Alaska Native Children and the U.S. General Population of Children after Introduction of the 13-valent Pneumococcal Conjugate Vaccine

Rosalyn Singleton, Sara Seeman, Margaret Grinnell, Lisa Bulkow, John Kokesh, Susan Emmett, Stephen Holve, Jeffrey McCollum, Thomas Hennessy

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND:: American Indian/Alaska Native (AI/AN) children have experienced higher otitis media (OM) outpatient visit rates than other United States (US) children. To understand recent trends, we evaluated AI/AN OM rates before and after 13-valent pneumococcal conjugate vaccine introduction. METHODS:: We analyzed outpatient visits listing OM as a diagnosis among AI/AN children <5 years of age from the Indian Health Service National Patient Information Reporting System for 2010-2013. OM outpatient visits for the general US child population < 5 years of age were analyzed using the National Ambulatory Medical Care and National Hospital Ambulatory Care Surveys for 2010-2011. RESULTS:: The 2010-2011 OM-associated outpatient visit rate for AI/AN children (63.5 per 100/year) was similar to 2010-2011 rate for same-aged children in the general US population (62.8), and decreased from the 2003-2005 AI/AN rate (91.4). Further decline in AI/AN OM visit rates were seen for 2010-2011 to 2012-2013 (p-value<0.0001). The AI/AN infant OM visit rate (130.5) was 1.6 fold higher than the US infant population. For 2010-2011, the highest AI/AN OM visit rate for <5 year olds was from Alaska (135.0). CONCLUSION:: AI/AN < 5 year old OM visits declined by one-third from 2003-2005 to 2010-2011 to a rate similar to the US general population <5 years. However, the AI/AN infant OM rate remained higher than the US infant population. The highest AI/AN < 5 year old OM rate occurred in Alaska.

Original languageEnglish (US)
JournalPediatric Infectious Disease Journal
DOIs
StateAccepted/In press - Jul 19 2017

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Microbiology (medical)
  • Infectious Diseases

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