Clinical Study

Factors Associated with Antibiotic Prescribing in Children with Otitis Media

Table 2

Crude and adjusted odds ratio for prescribing antibiotics.

VariableMeaning OR (CI) valuesAdjusted OR*Adjusted values

Children 0–≤2 years ( )

Gender Boys23611
Girls2051.46 (1.00–2.14)0.051.27 (0.82–1.97)0.28
Symptoms
 Fever (+ earache)No fever 681<0.011<0.01
Fever (>38, 5°C)815.25 (2.60–10.58)5.89 (2.62–13.21)
 Fever (no earache)No1621<0.011<0.01
Yes13010.71 (6.12–18.75)8.13 (4.61–14.32)
 Earache (+ Fever)No 1301 0.3110.29
Yes 811.37 (0.75–2.52)1.43 (0.74–2.79)
 Earache (no fever)No1621<0.0110.02
Yes 682.80 (1.45–5.41)2.32 (1.18–4.56)
 Sleep problemsNo 115 10.25 10.42
Yes 3261.29 (0.84–1.99) 1.25 (0.73–2.13)
 Ear rubbingNo 211 1 0.2010.48
Yes2300.78 (0.54–1.14)0.80 (0.44–1.47)
Medical examination
 TympanometryNo Type B58 1 0.0210.10
Type B 3772.07 (1.13–3.77)1.92 (0.89–4.13)
 OtoscopyNo RTM151 1<0.011<0.01
Red tym. mem.2887.06 (4.33–11.50)4.73 (2.52– 8.86)

Children >2–7 years ( )

Gender Boys251 10.1510.25
Girls 2270.76 (0.53–1.10)0.77 (0.49–1.21)
Symptoms
 Fever (+ earache)No fever 210 1<0.011<0.01
Fever (>38,5°C) 1134.27 (2.61–6.98)4.59 (2.55–8.25)
 Fever (no earache)No 1041<0.011<0.01
Yes49 21.88 (8.39–57.05)19.45 (6.38–59.24)
 Earache (+ fever) No 49 10.2810.62
Yes1131.47 (0.73–2.96)1.26 (0.51–3.12)
 Earache (no fever)No 104 1<0.011<0.01
Yes 2107.54 (3.33–17.08)3.62 (1.50–8.75)
 Sleep problemsNo 245 1<0.0110.41
Yes2311.88 (1.29–2.72)1.21 (0.76–1.93)
 Ear rubbingNo 270 1<0.0110.93
Yes 2061.58 (1.09–2.28)1.02 (0.62–1.70)
Medical examination
 TympanometryNo Type B 97 10.001<0.02
Type B3732.12 (1.30–3.64)2.42 (1.17–5.00)
 OtoscopyNo RTM184 1<0.011<0.01
Red tym. mem. 2935.36 (3.44–8.32)3.76 (2.13–6.64)

The ORs are adjusted for GPs, gender and age and for all variables included in the table.