The burden of otitis media

Vaccine. 2000 Dec 8;19 Suppl 1:S2-8. doi: 10.1016/s0264-410x(00)00271-1.


Otitis media is the most frequent reason that children go to the doctor for illness. In developing countries, where children have limited access to medical care, suppurative complications of otitis media (OM) are frequent and permanent hearing loss results. In developed countries, the most common morbidity of OM is conductive hearing loss due to middle ear effusion. Infants with severe and recurrent OM and persistent middle ear effusion are at risk for problems in behavior and development of speech, language and cognitive abilities. Parent stress is frequent. The cost of otitis media is large (>$5 billion in the United States). Selection and spread of multi-drug resistant bacterial pathogens arising from extensive use of antimicrobial agents for OM is a problem for management of all diseases due to the pathogens. The incidence and severity of OM may diminish with introduction of new bacterial and viral vaccines.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / economics
  • Child, Preschool
  • Cost of Illness
  • Deafness / etiology
  • Deafness / prevention & control
  • Developing Countries
  • Drug Costs
  • Drug Resistance, Multiple
  • Drug Utilization / statistics & numerical data
  • Female
  • Forecasting
  • Humans
  • Infant
  • Language Disorders / etiology
  • Language Disorders / prevention & control
  • Male
  • Middle Ear Ventilation / economics
  • Middle Ear Ventilation / statistics & numerical data
  • Otitis Media / complications
  • Otitis Media / economics
  • Otitis Media / epidemiology*
  • Otitis Media / therapy
  • Parents / psychology
  • Recurrence
  • Risk Factors
  • Stress, Physiological / etiology
  • Tympanic Membrane Perforation / etiology
  • United States / epidemiology


  • Anti-Bacterial Agents