{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T10:32:35Z","timestamp":1791369155215,"version":"4.3.1"},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,1,30]],"date-time":"2019-01-30T00:00:00Z","timestamp":1548806400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>In the Australian Aboriginal population, type 2 diabetes occurs at a much higher prevalence, with a much younger age of onset of the disease and its complications. Despite the clear association with malignant otitis externa, no previous studies have examined malignant otitis externa in this population. This study explores the pattern of malignant otitis externa amongst Australian Aboriginal patients in the Northern Territory.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective case series.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Otolaryngology unit in a tertiary referral hospital in Northern Territory, Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Patients admitted with malignant otitis externa between January 2007 and October 2016 were identified by reviewing case notes. Patients diagnosed with malignant otitis externa based on results from clinical, microbiological and radiological criteria were included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Complications rates, duration of hospital stay and parenteral antibiotics, age of onset and causative organisms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Nine patients were included. Six were Australian Aboriginal \u2013 all from regional centres. The most common causative organism was <jats:italic>Pseudomonas aeruginosa<\/jats:italic>. There was a higher\u2010than\u2010expected occurrence of fungal malignant otitis externa (33% of Australian Aboriginal patients), who tended to be younger at diagnosis, had longer hospital stays and had a higher disease\u2010specific mortality. Over half of the patients did not receive follow\u2010up gallium bone scans to monitor disease resolution, reflecting the limitations of rural health care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Malignant otitis externa in the Australian Aboriginal population is a challenging disease with high complication and mortality rates. Their rural and remote distribution is a significant barrier to specialist investigation and care. Providing effective care for this disease requires improved access to high\u2010quality primary health care and tertiary specialist services.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajr.12468","type":"journal-article","created":{"date-parts":[[2019,1,30]],"date-time":"2019-01-30T12:30:01Z","timestamp":1548851401000},"page":"78-82","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Malignant otitis externa in Australian Aboriginal patients: A 9\u2010year retrospective analysis from the Northern Territory"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6877-5414","authenticated-orcid":false,"given":"Tze Ling","family":"Loh","sequence":"first","affiliation":[{"name":"Royal Darwin Hospital Tiwi Northern Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Renger","sequence":"additional","affiliation":[{"name":"Royal North Shore Hospital St Leonards New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergios","family":"Latis","sequence":"additional","affiliation":[{"name":"Otolaryngology Head and Neck Surgery Royal Darwin Hospital Tiwi Northern Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hemi","family":"Patel","sequence":"additional","affiliation":[{"name":"Otolaryngology Head and Neck Surgery Royal Darwin Hospital Tiwi Northern Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,1,30]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-196808000-00002"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(03)00858-2"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2008.01.004"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0709(80)80016-0"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(88)90592-X"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459989310900407"},{"key":"e_1_2_8_8_1","volume-title":"Australian Aboriginal and Torres Strait Islander Health Survey: First Results, Australia, 2012\u201013","author":"Australian Bureau of Statistics","year":"2013"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surge.2011.09.004"},{"key":"e_1_2_8_10_1","volume-title":"Aboriginal and Torres Strait Islander Health Performance Framework 2014 report: Northern Territory","author":"Australian Institute of Health and Welfare","year":"2015"},{"key":"e_1_2_8_11_1","unstructured":"Report on Government Services 2015: Aboriginal Compendium.Canberra ACT:Productivity Commission for the Steering Committee for the Review of Government Service Provision 2015."},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.12094"},{"key":"e_1_2_8_13_1","volume-title":"Disparities in Primary Health Care Utilisation: Who are the Disadvantaged Groups? How are they Disadvantaged? What Interventions Work? PHCRIS Policy Issue Review","author":"Bywood P","year":"2011"}],"container-title":["Australian Journal of Rural Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fajr.12468","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajr.12468","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T20:45:47Z","timestamp":1694724347000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ajr.12468"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1,30]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,2]]}},"alternative-id":["10.1111\/ajr.12468"],"URL":"https:\/\/doi.org\/10.1111\/ajr.12468","archive":["Portico"],"relation":{},"ISSN":["1038-5282","1440-1584"],"issn-type":[{"value":"1038-5282","type":"print"},{"value":"1440-1584","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1,30]]},"assertion":[{"value":"2018-08-02","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-01-30","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}