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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