Dicembre 2010 - Volume XXIX - numero 10
Pagine elettroniche ; Ricerca
Pediatra di famiglia, Friuli Venezia Giulia
1Clinica Pediatrica, IRCCS “Burlo Garofolo”, Trieste
2SCO ORL pediatrica e audiologia, IRCCS “Burlo Garofolo”, Trieste
Indirizzo per corrispondenza: marchetti@burlo.trieste.it
Key words: AOM, Wait-and-see strategy, Antibiotic therapy, Primary care paediatric physicians
Objectives - Evaluating the applicability of international practice guidelines based on wait-and-see strategy for children with acute otitis media (AOM) in a regional primary care paediatric practices (PPs) setting. Methods and materials - A simple questionnaire was submitted to 110 primary paediatric physicians in Friuli Venezia Giulia (FVG), Italy. The physicians who answered were 57 (51.8%). Results - 83% of PPs apply the wait-and-see strategy. The age under which the PPs use antibiotic in any case is 1 year of life for 43% and 2 years of life for 27%. 49% of PPs using delayed prescribing strategy discharge patients with an antibiotic prescription and instruct parents to fill if their children’s symptoms persisted 2 or 3 days; 33% do not usually but from time to time discharge without prescription. 84% use amoxicillin. The used dosage of amoxicillin is 50 mg/kg for 54%, 75 mg/kg or more for 46%. Conclusions - FVG’s PPs generally comply with the proposed guidelines. Some controversial points remain (age criterion for wait-and-see strategy or optimal antibiotic dosage). Further studies are required to understand peculiarly influencing afactors.
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Pagine elettroniche ; Caso Contributivo
SC di Pediatria, Ospedale “SS. Annunziata”, Savigliano (Cuneo)
Indirizzo per corrispondenza: sardinicola@hotmail.com
Key words: ADR, Case report, Ibuprofen, Children
We report a case of a 7-year-old girl developing an haemorragic duodenitis as a consequence of the administration of a single standard dose of ibuprofen for the symptomatic treatment of an upper respiratory tract infection. The aim of the case report was to underline that gastroenteric bleeding may be one of the side effects of nonsteroid anti-inflammatory drugs (NSAIDs) used at standard doses.
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