[Epidemiology and burden of XXXX in Valencia (Spain)].

@entity1 @entity2261 @entity697 @entity115 @entity4581 @entity2972 @entity798 @entity693 @entity2267 @entity2346
OBJECTIVE: To assess the burden (incidence, treatment and complications) of @entity697 ( @entity697 ) and @entity2346 media with effusion (OME) in @entity1 younger than 5 years of age from Valencia, Spain. SUBJECT AND METHODS: We performed a retrospective cohort study of 1,399 @entity1 followed-up for the first 5 years of life. Seventeen pediatricians reviewed the medical records of their @entity1 born in 1995 and 1996 and followed-up from birth until the age of 5 years. For each @entity1 , the number of @entity2346 episodes, treatment, complications, and surgical interventions was obtained. RESULTS: There were 2,961 episodes of @entity697 in the first 5 years of life (2.23 cases/ @entity1 ). Four hundred seventy-six cases (16.1 %) occurred before 1 year of age and 1,346 between the first and second year of life (45.5 %). By the third year of life, 59.8 % had had at least one episode. In most @entity1 (80.9 %), diagnosis was made in primary care and required a median of 1.81 visits/episode for follow-up. A total of 94.5 % were treated with antibiotics ( @entity115 - @entity798 38.8 %, @entity2261 14.3 %, @entity4581 8.2 % and @entity115 5.9 %) and 8.5 % required a change of antibiotic therapy. Two hundred seventeen @entity1 (15.2 %) had at least one episode of OME. Twenty-six @entity1 (1.8 %, 95 % CI: 1.2-2.7 %) required insertion of ventilation tubes. Twenty-four @entity1 (1.7 %) had secondary hypoacusis. There was one case of @entity693 and two cases of chronic @entity2972 . No cases of @entity2267 were recorded. CONCLUSIONS: The incidence of @entity697 in Valencia is 40,014 episodes/100,000 @entity1 younger than 5 years/year (95 % CI: 39,700-40,300). It represents a significant burden due to the large number of visits, antibiotic use, associated surgical procedures and need for auditory rehabilitation.
