Changes in day care attendance rates and in the occurrence of adenoidectomies and tympanostomies.
The care of a child in a day care center is a marked risk factor for acute otitis media. In a nationwide questionnaire survey we found that the rate of tympanostomies and adenoidectomies was 59-67% higher for the children cared for at a day care center before the age of 3 y. When the local authorities in Finland at the beginning of 1990 were obliged by law to arrange day care for all children under 3 y, the number of adenoidectomies performed on children at this age increased by 30%.
Niemelä
M
M
Department of Paediatrics, University of Oulu, Finland.
Uhari
M
M
Luotonen
M
M
Luotonen
J
J
Manninen
M P
MP
Puhakka
H
H
D000233:Adenoidectomy / Q000706:statistics & numerical data*; D002656:Child Day Care Centers; D002675:Child, Preschool; D005387:Finland / Q000453:epidemiology; D006801:Humans; D007223:Infant; D016015:Logistic Models; D010033:Otitis Media / Q000453:epidemiology* / Q000601:surgery; D014432:Tympanic Membrane / Q000601:surgery*