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In 1992, 77 766 grommet insertions were conducted; this was equivalent to a quarterly rate of 2.1 per 1000 children, with regional rates varying by a factor of two. A small increase in the quarterly rate of procedures per 1000 children during the three years before distribution of the bulletin (0.026 (95% confidence interval 0.022 to 0.073)) became a decrease in the four years after publication (0.044 (0.080 to 0.011); P

The risk of causing septic arthritis is extremely low; however, this condition remains the most feared complication. Gray and Gottlieb6 reported 2 cases of infection in more than 100,000 injections; Hollander7 described 18 cases in more than 250,000 injections. A postinjection flare, thought to be a result of corticosteroid crystal induced inflammation, may occur in up to 15% of patients8; it Cialis Uk Price Comparison
may be confused with the occurrence of septic arthritis.

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