Skip to main content
Erschienen in: Current Allergy and Asthma Reports 6/2012

01.12.2012 | OTITIS (DP SKONER, SECTION EDITOR)

Current Knowledge of the Genetics of Otitis Media

verfasst von: Lena Hafrén, Erna Kentala, Elisabet Einarsdottir, Juha Kere, Petri S. Mattila

Erschienen in: Current Allergy and Asthma Reports | Ausgabe 6/2012

Einloggen, um Zugang zu erhalten

Abstract

Otitis media is one of the most common childhood infections leading to doctor’s visits and a leading cause of antibiotic prescriptions in children. Twin and family studies have confirmed that the predisposition of developing a bacterial middle ear infection is genetically determined. Several case-control studies have been performed to analyze genes involved in inflammatory processes in search of potential associations. Modern genome-wide association approaches that require no prior assumptions of the involvement of a given gene locus in the risk of otitis media are currently being used to identify otitis media genes, and will hopefully give more detailed information on the pathogenesis of childhood otitis media. That information could be used in finding the high-risk patient, in the prevention of the disease, and in the design of new treatments.
Literatur
1.
Zurück zum Zitat Freid VM, Makuc DM, Rooks RN. Ambulatory health care visits by children: principal diagnosis and place of visit. Vital Health Stat. 1998;13(137):1–23. Freid VM, Makuc DM, Rooks RN. Ambulatory health care visits by children: principal diagnosis and place of visit. Vital Health Stat. 1998;13(137):1–23.
2.
Zurück zum Zitat Daly KA, Hoffman HJ, Kvaerner KJ, et al. Epidemiology, natural history, and risk factors: panel report from the Ninth International Research Conference on Otitis Media. Int J Pediatr Otorhinolaryngol. 2010;74:231–40.PubMedCrossRef Daly KA, Hoffman HJ, Kvaerner KJ, et al. Epidemiology, natural history, and risk factors: panel report from the Ninth International Research Conference on Otitis Media. Int J Pediatr Otorhinolaryngol. 2010;74:231–40.PubMedCrossRef
3.
Zurück zum Zitat Gonzales R, Malone DC, Maselli JH, et al. Excessive antibiotic use for acute respiratory infections in the United States. Clin Infect Dis. 2001;33:757–62.PubMedCrossRef Gonzales R, Malone DC, Maselli JH, et al. Excessive antibiotic use for acute respiratory infections in the United States. Clin Infect Dis. 2001;33:757–62.PubMedCrossRef
4.
Zurück zum Zitat Lubianca Neto JF, Hemb L, Silva DB. Systematic literature review of modifiable risk factors for recurrent acute otitis media in childhood. J Pediatr (Rio J). 2006;82:87–96.CrossRef Lubianca Neto JF, Hemb L, Silva DB. Systematic literature review of modifiable risk factors for recurrent acute otitis media in childhood. J Pediatr (Rio J). 2006;82:87–96.CrossRef
5.
Zurück zum Zitat Paradise JL, Rockette HE, Colborn DK, et al. Otitis media in 2253 Pittsburgh-area infants: prevalence and risk factors during the first two years of life. Pediatrics. 1997;99:318–33.PubMedCrossRef Paradise JL, Rockette HE, Colborn DK, et al. Otitis media in 2253 Pittsburgh-area infants: prevalence and risk factors during the first two years of life. Pediatrics. 1997;99:318–33.PubMedCrossRef
6.
Zurück zum Zitat Abrahams SW, Labbok MH. Breastfeeding and otitis media: a review of recent evidence. Curr Allergy Asthma Rep. 2011;11:508–12.PubMedCrossRef Abrahams SW, Labbok MH. Breastfeeding and otitis media: a review of recent evidence. Curr Allergy Asthma Rep. 2011;11:508–12.PubMedCrossRef
7.
Zurück zum Zitat Bluestone CD. Pathogenesis of otitis media: role of eustachian tube. Pediatr Infect Dis J. 1996;15:281–91.PubMedCrossRef Bluestone CD. Pathogenesis of otitis media: role of eustachian tube. Pediatr Infect Dis J. 1996;15:281–91.PubMedCrossRef
8.
Zurück zum Zitat Daly KA, Rich SS, Levine S, et al. The family study of otitis media: design and disease and risk factor profiles. Genet Epidemiol. 1996;13:451–68.PubMedCrossRef Daly KA, Rich SS, Levine S, et al. The family study of otitis media: design and disease and risk factor profiles. Genet Epidemiol. 1996;13:451–68.PubMedCrossRef
9.
Zurück zum Zitat Chantzi FM, Kafetzis DA, Bairamis T, et al. IgE sensitization, respiratory allergy symptoms, and heritability independently increase the risk of otitis media with effusion. Allergy. 2006;61:332–6.PubMedCrossRef Chantzi FM, Kafetzis DA, Bairamis T, et al. IgE sensitization, respiratory allergy symptoms, and heritability independently increase the risk of otitis media with effusion. Allergy. 2006;61:332–6.PubMedCrossRef
10.
11.
Zurück zum Zitat Visscher PM, Hill WG, Wray NR. Heritability in the genomics era–concepts and misconceptions. Nat Rev Genet. 2008;9:255–66.PubMedCrossRef Visscher PM, Hill WG, Wray NR. Heritability in the genomics era–concepts and misconceptions. Nat Rev Genet. 2008;9:255–66.PubMedCrossRef
12.
Zurück zum Zitat Kvaerner KJ, Tambs K, Harris JR, et al. Distribution and heritability of recurrent ear infections. Ann Otol Rhinol Laryngol. 1997;106:624–32.PubMed Kvaerner KJ, Tambs K, Harris JR, et al. Distribution and heritability of recurrent ear infections. Ann Otol Rhinol Laryngol. 1997;106:624–32.PubMed
13.
Zurück zum Zitat Casselbrant ML, Mandel EM, Fall PA, et al. The Heritability of Otitis Media: A Twin and Triplet Study. JAMA. 1999;282:2125–30.PubMedCrossRef Casselbrant ML, Mandel EM, Fall PA, et al. The Heritability of Otitis Media: A Twin and Triplet Study. JAMA. 1999;282:2125–30.PubMedCrossRef
14.
Zurück zum Zitat Rovers M, Haggard M, Gannon M, et al. Heritability of symptom domains in otitis media: a longitudinal study of 1,373 twin pairs. Am J Epidemiol. 2002;155:958–64.PubMedCrossRef Rovers M, Haggard M, Gannon M, et al. Heritability of symptom domains in otitis media: a longitudinal study of 1,373 twin pairs. Am J Epidemiol. 2002;155:958–64.PubMedCrossRef
15.
Zurück zum Zitat Casselbrant ML, Mandel EM, Rockette HE, et al. The genetic component of middle ear disease in the first 5 years of life. Archives of Otolaryngology -- Head & Neck Surgery. 2004;130:273–8.CrossRef Casselbrant ML, Mandel EM, Rockette HE, et al. The genetic component of middle ear disease in the first 5 years of life. Archives of Otolaryngology -- Head & Neck Surgery. 2004;130:273–8.CrossRef
16.
Zurück zum Zitat Kvestad E, Kvaerner KJ, Roysamb E, et al. Otitis media: genetic factors and sex differences. Twin Research. 2004;7:239–44.PubMed Kvestad E, Kvaerner KJ, Roysamb E, et al. Otitis media: genetic factors and sex differences. Twin Research. 2004;7:239–44.PubMed
17.
Zurück zum Zitat Almasy L, Blangero J. Multipoint Quantitative-Trait Linkage Analysis in General Pedigrees. Am J Human Genet. 1998;62:1198–211.CrossRef Almasy L, Blangero J. Multipoint Quantitative-Trait Linkage Analysis in General Pedigrees. Am J Human Genet. 1998;62:1198–211.CrossRef
18.
Zurück zum Zitat • Hafren L, Kentala E, Jarvinen TM, et al. Genetic background and the risk of otitis media. Int J Pediatr Otorhinolaryngol 2011. The heritability of OM is estimated from pedigrees as opposed from twin studies. • Hafren L, Kentala E, Jarvinen TM, et al. Genetic background and the risk of otitis media. Int J Pediatr Otorhinolaryngol 2011. The heritability of OM is estimated from pedigrees as opposed from twin studies.
20.
Zurück zum Zitat Daly KA, Brown WM, Segade F, et al. Chronic and recurrent otitis media: a genome scan for susceptibility loci. Am J Hum Genet. 2004;75:988–97.PubMedCrossRef Daly KA, Brown WM, Segade F, et al. Chronic and recurrent otitis media: a genome scan for susceptibility loci. Am J Hum Genet. 2004;75:988–97.PubMedCrossRef
21.
Zurück zum Zitat • Casselbrant ML, Mandel EM, Jung J, et al. Otitis media: a genome-wide linkage scan with evidence of susceptibility loci within the 17q12 and 10q22.3 regions. BMC Med Genet. 2009;10:85. A linkage study on a large cohort, with strict phenotype criteria.PubMedCrossRef • Casselbrant ML, Mandel EM, Jung J, et al. Otitis media: a genome-wide linkage scan with evidence of susceptibility loci within the 17q12 and 10q22.3 regions. BMC Med Genet. 2009;10:85. A linkage study on a large cohort, with strict phenotype criteria.PubMedCrossRef
22.
Zurück zum Zitat Chen WM, Allen EK, Mychaleckyj JC, et al. Significant linkage at chromosome 19q for otitis media with effusion and/or recurrent otitis media (COME/ROM). BMC Med Genet. 2011;12:124.PubMedCrossRef Chen WM, Allen EK, Mychaleckyj JC, et al. Significant linkage at chromosome 19q for otitis media with effusion and/or recurrent otitis media (COME/ROM). BMC Med Genet. 2011;12:124.PubMedCrossRef
23.
Zurück zum Zitat Ruskamp JM, Hoekstra MO, Rovers MM, et al. Mannose-binding lectin and upper respiratory tract infections in children and adolescents: a review. Arch Otolaryngol Head Neck Surg. 2006;132:482–6.PubMedCrossRef Ruskamp JM, Hoekstra MO, Rovers MM, et al. Mannose-binding lectin and upper respiratory tract infections in children and adolescents: a review. Arch Otolaryngol Head Neck Surg. 2006;132:482–6.PubMedCrossRef
24.
Zurück zum Zitat Wiertsema SP, Herpers BL, Veenhoven RH, et al. Functional polymorphisms in the mannan-binding lectin 2 gene: effect on MBL levels and otitis media. J Allergy Clin Immunol. 2006;117:1344–50.PubMedCrossRef Wiertsema SP, Herpers BL, Veenhoven RH, et al. Functional polymorphisms in the mannan-binding lectin 2 gene: effect on MBL levels and otitis media. J Allergy Clin Immunol. 2006;117:1344–50.PubMedCrossRef
25.
Zurück zum Zitat Nuytinck L, De Meester E, Van Thielen M, et al. Role of mannose-binding lectin (MBL2) genotyping in predicting the risk of recurrent otitis media (rOM). Adv Exp Med Biol. 2006;586:281–90.PubMedCrossRef Nuytinck L, De Meester E, Van Thielen M, et al. Role of mannose-binding lectin (MBL2) genotyping in predicting the risk of recurrent otitis media (rOM). Adv Exp Med Biol. 2006;586:281–90.PubMedCrossRef
26.
Zurück zum Zitat • Sale MM, Chen WM, Weeks DE, et al. Evaluation of 15 functional candidate genes for association with chronic otitis media with effusion and/or recurrent otitis media (COME/ROM). PLoS One. 2011;6:e22297. This is a well designed candidate gene study on 15 genes. Initial findings in a large cohort are controlled in a separate cohort.PubMedCrossRef • Sale MM, Chen WM, Weeks DE, et al. Evaluation of 15 functional candidate genes for association with chronic otitis media with effusion and/or recurrent otitis media (COME/ROM). PLoS One. 2011;6:e22297. This is a well designed candidate gene study on 15 genes. Initial findings in a large cohort are controlled in a separate cohort.PubMedCrossRef
27.
Zurück zum Zitat Leichtle A, Lai Y, Wollenberg B, et al. Innate signaling in otitis media: pathogenesis and recovery. Curr Allergy Asthma Rep. 2011;11:78–84.PubMedCrossRef Leichtle A, Lai Y, Wollenberg B, et al. Innate signaling in otitis media: pathogenesis and recovery. Curr Allergy Asthma Rep. 2011;11:78–84.PubMedCrossRef
28.
Zurück zum Zitat Emonts M, Veenhoven RH, Wiertsema SP, et al. Genetic polymorphisms in immunoresponse genes TNFA, IL6, IL10, and TLR4 are associated with recurrent acute otitis media. Pediatrics. 2007;120:814–23.PubMedCrossRef Emonts M, Veenhoven RH, Wiertsema SP, et al. Genetic polymorphisms in immunoresponse genes TNFA, IL6, IL10, and TLR4 are associated with recurrent acute otitis media. Pediatrics. 2007;120:814–23.PubMedCrossRef
29.
Zurück zum Zitat Carroll SR, Zald PB, Soler ZM, et al. Innate immunity gene single nucleotide polymorphisms and otitis media. Int J Pediatr Otorhinolaryngol 2012. Carroll SR, Zald PB, Soler ZM, et al. Innate immunity gene single nucleotide polymorphisms and otitis media. Int J Pediatr Otorhinolaryngol 2012.
30.
Zurück zum Zitat Lee YC, Kim C, Shim JS, et al. Toll-like receptors 2 and 4 and their mutations in patients with otitis media and middle ear effusion. Clin Exp Otorhinolaryngol. 2008;1:189–95.PubMedCrossRef Lee YC, Kim C, Shim JS, et al. Toll-like receptors 2 and 4 and their mutations in patients with otitis media and middle ear effusion. Clin Exp Otorhinolaryngol. 2008;1:189–95.PubMedCrossRef
31.
Zurück zum Zitat Wiertsema SP, Khoo SK, Baynam G, et al. Association of CD14 promoter polymorphism with otitis media and pneumococcal vaccine responses. Clin Vaccine Immunol. 2006;13:892–7.PubMedCrossRef Wiertsema SP, Khoo SK, Baynam G, et al. Association of CD14 promoter polymorphism with otitis media and pneumococcal vaccine responses. Clin Vaccine Immunol. 2006;13:892–7.PubMedCrossRef
32.
Zurück zum Zitat Wright JR. Immunoregulatory functions of surfactant proteins. Nat Rev Immunol. 2005;5:58–68.PubMedCrossRef Wright JR. Immunoregulatory functions of surfactant proteins. Nat Rev Immunol. 2005;5:58–68.PubMedCrossRef
33.
Zurück zum Zitat Ramet M, Lofgren J, Alho OP, et al. Surfactant protein-A gene locus associated with recurrent otitis media. J Pediatr. 2001;138:266–8.PubMedCrossRef Ramet M, Lofgren J, Alho OP, et al. Surfactant protein-A gene locus associated with recurrent otitis media. J Pediatr. 2001;138:266–8.PubMedCrossRef
34.
Zurück zum Zitat Pettigrew MM, Gent JF, Zhu Y, et al. Association of surfactant protein A polymorphisms with otitis media in infants at risk for asthma. BMC Med Genet. 2006;7:68.PubMedCrossRef Pettigrew MM, Gent JF, Zhu Y, et al. Association of surfactant protein A polymorphisms with otitis media in infants at risk for asthma. BMC Med Genet. 2006;7:68.PubMedCrossRef
35.
Zurück zum Zitat Patel JA, Nair S, Revai K, et al. Association of proinflammatory cytokine gene polymorphisms with susceptibility to otitis media. Pediatrics. 2006;118:2273–9.PubMedCrossRef Patel JA, Nair S, Revai K, et al. Association of proinflammatory cytokine gene polymorphisms with susceptibility to otitis media. Pediatrics. 2006;118:2273–9.PubMedCrossRef
36.
Zurück zum Zitat Revai K, Patel JA, Grady JJ, et al. Association between cytokine gene polymorphisms and risk for upper respiratory tract infection and acute otitis media. Clin Infect Dis. 2009;49:257–61.PubMedCrossRef Revai K, Patel JA, Grady JJ, et al. Association between cytokine gene polymorphisms and risk for upper respiratory tract infection and acute otitis media. Clin Infect Dis. 2009;49:257–61.PubMedCrossRef
37.
Zurück zum Zitat Alper CM, Winther B, Hendley JO, et al. Cytokine polymorphisms predict the frequency of otitis media as a complication of rhinovirus and RSV infections in children. Eur Arch Otorhinolaryngol. 2009;266:199–205.PubMedCrossRef Alper CM, Winther B, Hendley JO, et al. Cytokine polymorphisms predict the frequency of otitis media as a complication of rhinovirus and RSV infections in children. Eur Arch Otorhinolaryngol. 2009;266:199–205.PubMedCrossRef
38.
Zurück zum Zitat Gentile DA, Doyle WJ, Zeevi A, et al. Cytokine gene polymorphisms moderate illness severity in infants with respiratory syncytial virus infection. Hum Immunol. 2003;64:338–44.PubMedCrossRef Gentile DA, Doyle WJ, Zeevi A, et al. Cytokine gene polymorphisms moderate illness severity in infants with respiratory syncytial virus infection. Hum Immunol. 2003;64:338–44.PubMedCrossRef
39.
Zurück zum Zitat Patel A, Gentile DA, Koehrsen J, et al. Association Between TGF-B1 Genotype and the Development of Otitis Media (OM) in Young Children during Respiratory Virus Season. J Allergy Clin Immunol. 2006;117:S318.CrossRef Patel A, Gentile DA, Koehrsen J, et al. Association Between TGF-B1 Genotype and the Development of Otitis Media (OM) in Young Children during Respiratory Virus Season. J Allergy Clin Immunol. 2006;117:S318.CrossRef
40.
Zurück zum Zitat McCormick DP, Grady JJ, Diego A, et al. Acute otitis media severity: Association with cytokine gene polymorphisms and other risk factors. Int J Pediatr Otorhinolaryngol 2011. McCormick DP, Grady JJ, Diego A, et al. Acute otitis media severity: Association with cytokine gene polymorphisms and other risk factors. Int J Pediatr Otorhinolaryngol 2011.
41.
Zurück zum Zitat Joki-Erkkila VP, Puhakka H, Hurme M. Cytokine gene polymorphism in recurrent acute otitis media. Arch Otolaryngol Head Neck Surg. 2002;128:17–20.PubMed Joki-Erkkila VP, Puhakka H, Hurme M. Cytokine gene polymorphism in recurrent acute otitis media. Arch Otolaryngol Head Neck Surg. 2002;128:17–20.PubMed
42.
Zurück zum Zitat Rye MS, Wiertsema SP, Scaman ES, et al. FBXO11, a regulator of the TGFbeta pathway, is associated with severe otitis media in Western Australian children. Genes Immun. 2011;12:352–9.PubMedCrossRef Rye MS, Wiertsema SP, Scaman ES, et al. FBXO11, a regulator of the TGFbeta pathway, is associated with severe otitis media in Western Australian children. Genes Immun. 2011;12:352–9.PubMedCrossRef
43.
Zurück zum Zitat Segade F, Daly KA, Allred D, et al. Association of the FBXO11 gene with chronic otitis media with effusion and recurrent otitis media: the Minnesota COME/ROM Family Study. Arch Otolaryngol Head Neck Surg. 2006;132:729–33.PubMedCrossRef Segade F, Daly KA, Allred D, et al. Association of the FBXO11 gene with chronic otitis media with effusion and recurrent otitis media: the Minnesota COME/ROM Family Study. Arch Otolaryngol Head Neck Surg. 2006;132:729–33.PubMedCrossRef
44.
Zurück zum Zitat Bhutta F, Burton MJ, Goel A, et al. Susceptibility to chronoc otitis media with effusion is associated with polymorphism at the loci FBXO11 and SMAD2. Presented at the 11th International Congress of the European Society of Pediatric Otorhinolaryngology. Amsterdam, the Netherlands; May 20-23, 2012. Bhutta F, Burton MJ, Goel A, et al. Susceptibility to chronoc otitis media with effusion is associated with polymorphism at the loci FBXO11 and SMAD2. Presented at the 11th International Congress of the European Society of Pediatric Otorhinolaryngology. Amsterdam, the Netherlands; May 20-23, 2012.
45.
Zurück zum Zitat Lin J, Tsuprun V, Kawano H, et al. Characterization of mucins in human middle ear and Eustachian tube. Am J Physiol Lung Cell Mol Physiol. 2001;280:L1157–67.PubMed Lin J, Tsuprun V, Kawano H, et al. Characterization of mucins in human middle ear and Eustachian tube. Am J Physiol Lung Cell Mol Physiol. 2001;280:L1157–67.PubMed
46.
Zurück zum Zitat Preciado D, Goyal S, Rahimi M, et al. MUC5B Is the predominant mucin glycoprotein in chronic otitis media fluid. Pediatr Res. 2010;68:231–6.PubMedCrossRef Preciado D, Goyal S, Rahimi M, et al. MUC5B Is the predominant mucin glycoprotein in chronic otitis media fluid. Pediatr Res. 2010;68:231–6.PubMedCrossRef
47.
Zurück zum Zitat Ubell ML, Khampang P, Kerschner JE. Mucin gene polymorphisms in otitis media patients. Laryngoscope. 2010;120:132–8.PubMedCrossRef Ubell ML, Khampang P, Kerschner JE. Mucin gene polymorphisms in otitis media patients. Laryngoscope. 2010;120:132–8.PubMedCrossRef
48.
Zurück zum Zitat Mortensen EH, Lildholdt T, Gammelgard NP, et al. Distribution of ABO blood groups in secretory otitis media and cholesteatoma. Clin Otolaryngol Allied Sci. 1983;8:263–5.PubMedCrossRef Mortensen EH, Lildholdt T, Gammelgard NP, et al. Distribution of ABO blood groups in secretory otitis media and cholesteatoma. Clin Otolaryngol Allied Sci. 1983;8:263–5.PubMedCrossRef
49.
Zurück zum Zitat Kalm O, Johnson U, Prellner K, et al. HLA frequency in patients with recurrent acute otitis media. Arch Otolaryngol Head Neck Surg. 1991;117:1296–9.PubMedCrossRef Kalm O, Johnson U, Prellner K, et al. HLA frequency in patients with recurrent acute otitis media. Arch Otolaryngol Head Neck Surg. 1991;117:1296–9.PubMedCrossRef
50.
Zurück zum Zitat Kalm O, Johnson U, Prellner K. HLA frequency in patients with chronic secretory otitis media. Int J Pediatr Otorhinolaryngol. 1994;30:151–7.PubMedCrossRef Kalm O, Johnson U, Prellner K. HLA frequency in patients with chronic secretory otitis media. Int J Pediatr Otorhinolaryngol. 1994;30:151–7.PubMedCrossRef
51.
Zurück zum Zitat Schmuczerova J, Brdicka R, Dostal M, et al. Genetic variability of HVRII mtDNA in cord blood and respiratory morbidity in children. Mutat Res. 2009;666:1–7.PubMedCrossRef Schmuczerova J, Brdicka R, Dostal M, et al. Genetic variability of HVRII mtDNA in cord blood and respiratory morbidity in children. Mutat Res. 2009;666:1–7.PubMedCrossRef
52.
Zurück zum Zitat Emonts M, Wiertsema SP, Veenhoven RH, et al. The 4 G/4G plasminogen activator inhibitor-1 genotype is associated with frequent recurrence of acute otitis media. Pediatrics. 2007;120:e317–23.PubMedCrossRef Emonts M, Wiertsema SP, Veenhoven RH, et al. The 4 G/4G plasminogen activator inhibitor-1 genotype is associated with frequent recurrence of acute otitis media. Pediatrics. 2007;120:e317–23.PubMedCrossRef
Metadaten
Titel
Current Knowledge of the Genetics of Otitis Media
verfasst von
Lena Hafrén
Erna Kentala
Elisabet Einarsdottir
Juha Kere
Petri S. Mattila
Publikationsdatum
01.12.2012
Verlag
Current Science Inc.
Erschienen in
Current Allergy and Asthma Reports / Ausgabe 6/2012
Print ISSN: 1529-7322
Elektronische ISSN: 1534-6315
DOI
https://doi.org/10.1007/s11882-012-0292-1

Weitere Artikel der Ausgabe 6/2012

Current Allergy and Asthma Reports 6/2012 Zur Ausgabe

Pediatric Allergy and Immunology (JM Portnoy and CE Ciaccio, Section Editors)

Medical Causation and Expert Testimony: Allergists at this Intersection of Medicine and Law

OTITIS (DP SKONER, SECTION EDITOR)

Treatment of Acute Otitis Media in Young Children

Pediatric Allergy and Immunology (JM Portnoy and CE Ciaccio, Section Editors)

Innovations in Technology: Social Media and Mobile Technology in the Care of Adolescents with Asthma

Betalaktam-Allergie: praxisnahes Vorgehen beim Delabeling

16.05.2024 Pädiatrische Allergologie Nachrichten

Die große Mehrheit der vermeintlichen Penicillinallergien sind keine. Da das „Etikett“ Betalaktam-Allergie oft schon in der Kindheit erworben wird, kann ein frühzeitiges Delabeling lebenslange Vorteile bringen. Ein Team von Pädiaterinnen und Pädiatern aus Kanada stellt vor, wie sie dabei vorgehen.

Eingreifen von Umstehenden rettet vor Erstickungstod

15.05.2024 Fremdkörperaspiration Nachrichten

Wer sich an einem Essensrest verschluckt und um Luft ringt, benötigt vor allem rasche Hilfe. Dass Umstehende nur in jedem zweiten Erstickungsnotfall bereit waren, diese zu leisten, ist das ernüchternde Ergebnis einer Beobachtungsstudie aus Japan. Doch es gibt auch eine gute Nachricht.

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Klinik aktuell Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.