European Journal of Pediatrics

, Volume 168, Issue 10, pp 1251–1257

Burden of otitis media and pneumonia in children up to 6 years of age: results of the LISA birth cohort

Authors

    • Institute of EpidemiologyHelmholtz Zentrum Munich, Center for Environment and Health
  • Stefanie Sausenthaler
    • Institute of EpidemiologyHelmholtz Zentrum Munich, Center for Environment and Health
  • Inken Brockow
    • Institute of EpidemiologyHelmholtz Zentrum Munich, Center for Environment and Health
  • Johannes Liese
    • Dr. von Haunersches Kinderspital, Children’s HospitalLudwig Maximilians University
  • Olf Herbarth
    • Department Human Exposure Research and EpidemiologyUFZ Helmholtz Zentrum for Environmental Research
    • Department Environmental Medicine and HygieneUniversity of Leipzig, Faculty of Medicine
  • Borte Michael
    • Department of PediatricsUniversity of Leipzig
    • Municipal Hospital “St. Georg”Leipzig Children’s Hospital
  • Beate Schaaf
    • Medical Practice for Pediatrics
  • Ursula Krämer
    • Department of EpidemiologyIUF, Enviromental Health Research Institute
  • Andrea von Berg
    • Department of PediatricsMarien-Hospital Wesel
  • H.-Erich Wichmann
    • Institute of EpidemiologyHelmholtz Zentrum Munich, Center for Environment and Health
    • Institute of Medical Data Management, Biometrics and EpidemiologyLudwig Maximilians University
  • Joachim Heinrich
    • Institute of EpidemiologyHelmholtz Zentrum Munich, Center for Environment and Health
  • for the LISA Study Group
Original Paper

DOI: 10.1007/s00431-008-0921-9

Cite this article as:
Schnabel, E., Sausenthaler, S., Brockow, I. et al. Eur J Pediatr (2009) 168: 1251. doi:10.1007/s00431-008-0921-9

Abstract

Infections play an important role in childhood. For Germany, few data are available on the epidemiology of infectious diseases such as otitis media and pneumonia in children. We therefore described the prevalence, first episode proportions and recurrence of these childhood infection diseases in selected regions of Germany in children up to 6 years of age. The analysis was based on data from the LISA Study, a prospective population-based birth cohort study including 3,097 full-term infants. Information was collected by parent questionnaire. The first episode proportions for the first 6 years of life were high for otitis media (66.7%; 95%CI 0.65–0.69) and pneumonia (13.5%; 95%CI 0.12–0.15). The annual first episode proportions for otitis media ranged from 7.3% to 25.6% and for pneumonia from 1.4% to 3.4%; both peaked during the second year. The average number of otitis media episodes was 2.2 (SD 2.0) episodes per child within the first 2 years. During the first 2 years of life, hospitalisations due to otitis and pneumonia occurred in up to 7.8‰ and 3.0‰ of the children, respectively. On average, 50.6% of the children with otitis media were treated with antibiotics during the first year of life. In conclusion, this analysis shows that infectious diseases, especially otitis media, are very frequent childhood diseases in Germany. Thus, parents and physicians should not per se worry about a high frequency of otitis media during early childhood.

Keywords

EpidemiologyFirst episodeOtitis mediaPneumoniaChildren

Copyright information

© Springer-Verlag 2009