Trends in Otitis Media and Myringotomy with Tube Placement among American Indian and Alaska Native Children and the US 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

doi:10.1097/INF.0000000000001704

Trends in Otitis Media and Myringotomy with Tube Placement among American Indian and Alaska Native Children and the US 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

School of Medicine

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

Background: American Indian/Alaska Native (AI/AN) children have experienced higher otitis media (OM) outpatient visit rates than other 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-age children in the general US population (62.8) and decreased from the 2003 to 2005 AI/AN rate (91.4). Further decline in AI/AN OM visit rates was seen for 2010-2011 to 2012-2013 (P < 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). Conclusions: 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 language	English (US)
Pages (from-to)	e6-e12
Journal	Pediatric Infectious Disease Journal
Volume	37
Issue number	1
DOIs	https://doi.org/10.1097/INF.0000000000001704
State	Published - Jan 1 2018

Keywords

Alaska Native
American Indian
children
otitis media

ASJC Scopus subject areas

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

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10.1097/INF.0000000000001704

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Singleton, R., Seeman, S., Grinnell, M., Bulkow, L., Kokesh, J., Emmett, S., Holve, S., McCollum, J., & Hennessy, T. (2018). Trends in Otitis Media and Myringotomy with Tube Placement among American Indian and Alaska Native Children and the US General Population of Children after Introduction of the 13-valent Pneumococcal Conjugate Vaccine. Pediatric Infectious Disease Journal, 37(1), e6-e12. https://doi.org/10.1097/INF.0000000000001704

Trends in Otitis Media and Myringotomy with Tube Placement among American Indian and Alaska Native Children and the US General Population of Children after Introduction of the 13-valent Pneumococcal Conjugate Vaccine. / Singleton, Rosalyn; Seeman, Sara; Grinnell, Margaret et al.
In: Pediatric Infectious Disease Journal, Vol. 37, No. 1, 01.01.2018, p. e6-e12.

Research output: Contribution to journal › Article › peer-review

Singleton, R, Seeman, S, Grinnell, M, Bulkow, L, Kokesh, J, Emmett, S, Holve, S, McCollum, J & Hennessy, T 2018, 'Trends in Otitis Media and Myringotomy with Tube Placement among American Indian and Alaska Native Children and the US General Population of Children after Introduction of the 13-valent Pneumococcal Conjugate Vaccine', Pediatric Infectious Disease Journal, vol. 37, no. 1, pp. e6-e12. https://doi.org/10.1097/INF.0000000000001704

Singleton R, Seeman S, Grinnell M, Bulkow L, Kokesh J, Emmett S et al. Trends in Otitis Media and Myringotomy with Tube Placement among American Indian and Alaska Native Children and the US General Population of Children after Introduction of the 13-valent Pneumococcal Conjugate Vaccine. Pediatric Infectious Disease Journal. 2018 Jan 1;37(1):e6-e12. doi: 10.1097/INF.0000000000001704

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title = "Trends in Otitis Media and Myringotomy with Tube Placement among American Indian and Alaska Native Children and the US General Population of Children after Introduction of the 13-valent Pneumococcal Conjugate Vaccine",

abstract = "Background: American Indian/Alaska Native (AI/AN) children have experienced higher otitis media (OM) outpatient visit rates than other 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-age children in the general US population (62.8) and decreased from the 2003 to 2005 AI/AN rate (91.4). Further decline in AI/AN OM visit rates was seen for 2010-2011 to 2012-2013 (P < 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). Conclusions: 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.",

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AU - Grinnell, Margaret

AU - Bulkow, Lisa

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AU - Emmett, Susan

AU - Holve, Stephen

AU - McCollum, Jeffrey

AU - Hennessy, Thomas

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N2 - Background: American Indian/Alaska Native (AI/AN) children have experienced higher otitis media (OM) outpatient visit rates than other 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-age children in the general US population (62.8) and decreased from the 2003 to 2005 AI/AN rate (91.4). Further decline in AI/AN OM visit rates was seen for 2010-2011 to 2012-2013 (P < 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). Conclusions: 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.

AB - Background: American Indian/Alaska Native (AI/AN) children have experienced higher otitis media (OM) outpatient visit rates than other 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-age children in the general US population (62.8) and decreased from the 2003 to 2005 AI/AN rate (91.4). Further decline in AI/AN OM visit rates was seen for 2010-2011 to 2012-2013 (P < 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). Conclusions: 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.

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

Abstract

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