{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T08:42:45Z","timestamp":1784191365975,"version":"3.55.0"},"reference-count":12,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[1993,9,1]],"date-time":"1993-09-01T00:00:00Z","timestamp":746841600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1993,9]]},"abstract":"<jats:p>We determined incidence of acute epiglottitis in the Northern California Region of the Kaiser Permanente Medical Care Program during an 11\u2010year period, from 1980 through 1990. The health plan membership is representative of the ethnicity, age, sex, and occupation of the Northern California population. The study included 135 children and 258 adults. Annual incidence in adults was relatively stable, ranging from 1.16 to 2.12 cases per 100,000. Annual incidence in children, however, decreased from 3.47 cases per 100,000\u00a0in 1980 to 0.63 cases per 100,000\u00a0in 1990. The ratio of annual incidence in children to that in adults decreased from 2.6\u00a0in 1980 to 0.4\u00a0in 1990. This changing epidemiologic pattern may be the effect of the <jats:italic>Hemophilus influenzae<\/jats:italic> type b vaccine (Hib), which was first given to children in 1985. Acute epiglottitis, classically considered a disease of children, is now becoming a disease of adults. (OTOLARYNGOL HEAD NECK SURG (1993;109:457\u201060.)<\/jats:p>","DOI":"10.1177\/019459989310900311","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T06:50:30Z","timestamp":1448434230000},"page":"457-460","source":"Crossref","is-referenced-by-count":61,"title":["Acute epiglottitis: Changing epidemiologic patterns"],"prefix":"10.1002","volume":"109","author":[{"given":"Timothy D.","family":"Frantz","sequence":"first","affiliation":[{"name":"Department of Head and Neck Surgery Kaiser Permanente Medical Center Oakland California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barry M.","family":"Rasgon","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Kaiser Permanente Medical Center Oakland California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[1993,9]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198605013141801"},{"key":"e_1_2_1_3_1","first-page":"520","article-title":"Epiglottitis: An increasing problem for adults","volume":"151","author":"Sheikh KH","year":"1989","journal-title":"West J Med"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348948809700517"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459989010300603"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1989.tb00410.x"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.65.5.491"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006454-199102000-00003"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.79.3.321"},{"key":"e_1_2_1_10_1","first-page":"220","volume-title":"American Academy of Pediatrics. Report of the Committee on Infectious Diseases","author":"Peter G","year":"1991"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006454-199102000-00004"},{"key":"e_1_2_1_12_1","first-page":"610","article-title":"Immunization with oligosaccharide conjugate Haemophilus influenzae type b (HbOC) vaccine on a large health maintenance organization population: extended followup and impact on Haemophilus influenzae disease epidemiology","volume":"11","author":"Black SB","year":"1992","journal-title":"Pediatr Infect Dis J"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198503000-00009"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989310900311","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989310900311","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T08:46:39Z","timestamp":1760949999000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459989310900311"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1993,9]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1993,9]]}},"alternative-id":["10.1177\/019459989310900311"],"URL":"https:\/\/doi.org\/10.1177\/019459989310900311","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[1993,9]]}}}