Pediatric Cotton-Tip Applicator-Related Ear Injury Treated in United States Emergency Departments, 1990-2010
Objective To evaluate the characteristics of children with cotton-tip applicator (CTA)-related ear injuries. Study design Data on CTA-related ear injuries among children presenting to US emergency departments (EDs) from 1990 through 2010 were obtained from the National Electronic Injury Surveillance...
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| Veröffentlicht in: | The Journal of pediatrics 2017-07, Vol.186, p.124-130 |
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| container_title | The Journal of pediatrics |
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| creator | Ameen, Zeenath S., BS Chounthirath, Thiphalak, MS Smith, Gary A., MD, DrPH Jatana, Kris R., MD |
| description | Objective To evaluate the characteristics of children with cotton-tip applicator (CTA)-related ear injuries. Study design Data on CTA-related ear injuries among children presenting to US emergency departments (EDs) from 1990 through 2010 were obtained from the National Electronic Injury Surveillance System. Results Between 1990 and 2010, an estimated 263 338 children aged |
| doi_str_mv | 10.1016/j.jpeds.2017.03.049 |
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Study design Data on CTA-related ear injuries among children presenting to US emergency departments (EDs) from 1990 through 2010 were obtained from the National Electronic Injury Surveillance System. Results Between 1990 and 2010, an estimated 263 338 children aged <18 years were treated for CTA-related ear injuries in US hospital EDs. There was a nonsignificant increase in the annual number of injuries from 1990 through 2001 (78.2%) and a significant decrease from 2001 through 2010 (26.0%). Younger children sustained the highest rate of injury (32.2 per 100 000 for age 0-3 years). Ear cleaning was the most frequently documented circumstance at the time of injury (73.2%), and patients themselves were most commonly handling the CTA (76.9%). Foreign body sensation (39.2%) and bleeding (34.8%) were commonly documented reasons for visiting the ED. The presence of a foreign body (29.7%) and tympanic membrane perforation (25.3%) were common diagnoses. Conclusion Most CTA-related injuries occurred with children themselves handling CTAs while cleaning their ears. Foreign body and tympanic membrane perforation were the most common associated diagnoses. Despite warnings against the use of CTAs in the ear canal and use of CTAs by children, these injuries continued to occur. Additional injury prevention strategies through further parent/caregiver and child education are warranted.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/j.jpeds.2017.03.049</identifier><identifier>PMID: 28473166</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Age Factors ; Child ; Child, Preschool ; Cotton Fiber ; cotton swab ; Ear - injuries ; Emergency Service, Hospital - statistics & numerical data ; Female ; Foreign Bodies - epidemiology ; Humans ; Infant ; Infant, Newborn ; injury trends ; Male ; NEISS ; otorrhea ; Pediatrics ; Risk Factors ; tympanic membrane perforation ; Tympanic Membrane Perforation - epidemiology ; United States - epidemiology</subject><ispartof>The Journal of pediatrics, 2017-07, Vol.186, p.124-130</ispartof><rights>Elsevier Inc.</rights><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c459t-bd39a46cb25c571c8909d58b411e40a76d834dc6661f50b67fe2a655a0d7733e3</citedby><cites>FETCH-LOGICAL-c459t-bd39a46cb25c571c8909d58b411e40a76d834dc6661f50b67fe2a655a0d7733e3</cites><orcidid>0000-0002-8475-9780</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpeds.2017.03.049$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28473166$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ameen, Zeenath S., BS</creatorcontrib><creatorcontrib>Chounthirath, Thiphalak, MS</creatorcontrib><creatorcontrib>Smith, Gary A., MD, DrPH</creatorcontrib><creatorcontrib>Jatana, Kris R., MD</creatorcontrib><title>Pediatric Cotton-Tip Applicator-Related Ear Injury Treated in United States Emergency Departments, 1990-2010</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description>Objective To evaluate the characteristics of children with cotton-tip applicator (CTA)-related ear injuries. Study design Data on CTA-related ear injuries among children presenting to US emergency departments (EDs) from 1990 through 2010 were obtained from the National Electronic Injury Surveillance System. Results Between 1990 and 2010, an estimated 263 338 children aged <18 years were treated for CTA-related ear injuries in US hospital EDs. There was a nonsignificant increase in the annual number of injuries from 1990 through 2001 (78.2%) and a significant decrease from 2001 through 2010 (26.0%). Younger children sustained the highest rate of injury (32.2 per 100 000 for age 0-3 years). Ear cleaning was the most frequently documented circumstance at the time of injury (73.2%), and patients themselves were most commonly handling the CTA (76.9%). Foreign body sensation (39.2%) and bleeding (34.8%) were commonly documented reasons for visiting the ED. The presence of a foreign body (29.7%) and tympanic membrane perforation (25.3%) were common diagnoses. Conclusion Most CTA-related injuries occurred with children themselves handling CTAs while cleaning their ears. Foreign body and tympanic membrane perforation were the most common associated diagnoses. Despite warnings against the use of CTAs in the ear canal and use of CTAs by children, these injuries continued to occur. Additional injury prevention strategies through further parent/caregiver and child education are warranted.</description><subject>Adolescent</subject><subject>Age Factors</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cotton Fiber</subject><subject>cotton swab</subject><subject>Ear - injuries</subject><subject>Emergency Service, Hospital - statistics & numerical data</subject><subject>Female</subject><subject>Foreign Bodies - epidemiology</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>injury trends</subject><subject>Male</subject><subject>NEISS</subject><subject>otorrhea</subject><subject>Pediatrics</subject><subject>Risk Factors</subject><subject>tympanic membrane perforation</subject><subject>Tympanic Membrane Perforation - epidemiology</subject><subject>United States - epidemiology</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUFv1DAQhS0EokvhFyChHDmQMI4dOz6AVC0LVKoEotuz5dizyCGbBNtB2n-P0y0cuHAaa_TezPh7hLykUFGg4m1f9TO6WNVAZQWsAq4ekQ0FJUvRMvaYbADqumRcigvyLMYeABQHeEou6pZLRoXYkOErOm9S8LbYTilNY7n3c3E1z4O3Jk2h_IaDSeiKnQnF9dgv4VTsA963_FjcjX593abciMXuiOE7jvZUfMDZhHTEMcU3BVUKynwlPCdPDmaI-OKhXpK7j7v99nN58-XT9fbqprS8UansHFOGC9vVjW0kta0C5Zq245QiByOFaxl3VghBDw10Qh6wNqJpDDgpGUN2SV6f585h-rlgTProo8VhMCNOS9S0VQI4tEJkKTtLbZhiDHjQc_BHE06agl4x617fY9YrZg1MZ8zZ9ephwdId0f31_OGaBe_OAszf_OUx6Gh9JpNhB7RJu8n_Z8H7f_x28GOOZPiBJ4z9tIQxE9RUx1qDvl2TXoOmkgEXlLPfugaibA</recordid><startdate>20170701</startdate><enddate>20170701</enddate><creator>Ameen, Zeenath S., BS</creator><creator>Chounthirath, Thiphalak, MS</creator><creator>Smith, Gary A., MD, DrPH</creator><creator>Jatana, Kris R., MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8475-9780</orcidid></search><sort><creationdate>20170701</creationdate><title>Pediatric Cotton-Tip Applicator-Related Ear Injury Treated in United States Emergency Departments, 1990-2010</title><author>Ameen, Zeenath S., BS ; Chounthirath, Thiphalak, MS ; Smith, Gary A., MD, DrPH ; Jatana, Kris R., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-bd39a46cb25c571c8909d58b411e40a76d834dc6661f50b67fe2a655a0d7733e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Age Factors</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cotton Fiber</topic><topic>cotton swab</topic><topic>Ear - injuries</topic><topic>Emergency Service, Hospital - statistics & numerical data</topic><topic>Female</topic><topic>Foreign Bodies - epidemiology</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>injury trends</topic><topic>Male</topic><topic>NEISS</topic><topic>otorrhea</topic><topic>Pediatrics</topic><topic>Risk Factors</topic><topic>tympanic membrane perforation</topic><topic>Tympanic Membrane Perforation - epidemiology</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ameen, Zeenath S., BS</creatorcontrib><creatorcontrib>Chounthirath, Thiphalak, MS</creatorcontrib><creatorcontrib>Smith, Gary A., MD, DrPH</creatorcontrib><creatorcontrib>Jatana, Kris R., MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ameen, Zeenath S., BS</au><au>Chounthirath, Thiphalak, MS</au><au>Smith, Gary A., MD, DrPH</au><au>Jatana, Kris R., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pediatric Cotton-Tip Applicator-Related Ear Injury Treated in United States Emergency Departments, 1990-2010</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>2017-07-01</date><risdate>2017</risdate><volume>186</volume><spage>124</spage><epage>130</epage><pages>124-130</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><abstract>Objective To evaluate the characteristics of children with cotton-tip applicator (CTA)-related ear injuries. Study design Data on CTA-related ear injuries among children presenting to US emergency departments (EDs) from 1990 through 2010 were obtained from the National Electronic Injury Surveillance System. Results Between 1990 and 2010, an estimated 263 338 children aged <18 years were treated for CTA-related ear injuries in US hospital EDs. There was a nonsignificant increase in the annual number of injuries from 1990 through 2001 (78.2%) and a significant decrease from 2001 through 2010 (26.0%). Younger children sustained the highest rate of injury (32.2 per 100 000 for age 0-3 years). Ear cleaning was the most frequently documented circumstance at the time of injury (73.2%), and patients themselves were most commonly handling the CTA (76.9%). Foreign body sensation (39.2%) and bleeding (34.8%) were commonly documented reasons for visiting the ED. The presence of a foreign body (29.7%) and tympanic membrane perforation (25.3%) were common diagnoses. Conclusion Most CTA-related injuries occurred with children themselves handling CTAs while cleaning their ears. Foreign body and tympanic membrane perforation were the most common associated diagnoses. Despite warnings against the use of CTAs in the ear canal and use of CTAs by children, these injuries continued to occur. Additional injury prevention strategies through further parent/caregiver and child education are warranted.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28473166</pmid><doi>10.1016/j.jpeds.2017.03.049</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-8475-9780</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Age Factors Child Child, Preschool Cotton Fiber cotton swab Ear - injuries Emergency Service, Hospital - statistics & numerical data Female Foreign Bodies - epidemiology Humans Infant Infant, Newborn injury trends Male NEISS otorrhea Pediatrics Risk Factors tympanic membrane perforation Tympanic Membrane Perforation - epidemiology United States - epidemiology |
| title | Pediatric Cotton-Tip Applicator-Related Ear Injury Treated in United States Emergency Departments, 1990-2010 |
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