{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T22:07:58Z","timestamp":1790287678148,"version":"4.1.0"},"reference-count":22,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T00:00:00Z","timestamp":1753833600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0022215125102910_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Necrotising otitis externa is a serious infective condition with significant risk of complications and a profound impact on patients\u2019 quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215125102910_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A quantitative descriptive study was undertaken using epidemiological data from the National Health Service Hospital Episode Statistics database and other national databases. Data correlating with reported cases 2002-2024 were compiled and analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215125102910_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The national incidence of necrotising otitis externa has demonstrated a sustained increase 2002-2024. The 30 per cent incidence drop during the coronavirus disease 2019 pandemic may be attributable to reduced exposure to risk factors, reduced contact between susceptible patients and health professionals and pandemic-related deaths of at-risk populations. There remains a strong correlation between growths in necrotising otitis externa incidence, the ageing population and national incidence of diabetes mellitus. These are all projected to continue to rise. Antibiotic resistance is not a significant contributing factor.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215125102910_sec4d\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study demonstrates several significant trends, offering a strong foundation for deeper exploration in future studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0022215125102910","type":"journal-article","created":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T07:50:58Z","timestamp":1753861858000},"page":"976-982","source":"Crossref","is-referenced-by-count":1,"title":["The incidence and epidemiology of necrotising otitis externa in England before, during and after the coronavirus disease 2019 pandemic: an updated analysis of Hospital Episode Statistics data 2002\u20132024"],"prefix":"10.1017","volume":"139","author":[{"given":"Donny","family":"Kong","sequence":"first","affiliation":[{"name":"Manchester Royal Infirmary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7984-8431","authenticated-orcid":false,"given":"Stefan","family":"Linton","sequence":"additional","affiliation":[{"name":"Manchester Royal Infirmary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7763-9705","authenticated-orcid":false,"given":"Emma","family":"Stapleton","sequence":"additional","affiliation":[{"name":"Manchester Royal Infirmary"},{"name":"University of Manchester"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,7,30]]},"reference":[{"key":"S0022215125102910_ref19","unstructured":"19 NHS England Digital. Hospital admitted patient care activity. In: https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/hospital-admitted-patient-care-activity [30 October 2024]"},{"key":"S0022215125102910_ref15","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215120001735"},{"key":"S0022215125102910_ref17","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215121002140"},{"key":"S0022215125102910_ref2","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215124000513"},{"key":"S0022215125102910_ref11","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24726"},{"key":"S0022215125102910_ref20","unstructured":"20 NHS England Digital. National Diabetes Audit. 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Population projections. 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