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Applicabilità della strategia della “vigile attesa” nel trattamento dell’OMA: le attitudini dei Pediatri di famiglia in Friuli Venezia Giulia
APPLICABILITY OF “WAIT-AND-SEE” STRATEGY ON TREATMENT OF AOM
Daniele Orso1, Mariagrazia Pizzul, Nilo Bassani, Giancarlo Besoli, Patricia Bohm, Livio Castelpietra, Susanna Centuori, Gabriella Cescato, Antonio Clemente, Vincenzo Colacino, Paolo Cortesia, Franco Cuttini, Gabriela De Carolis, Roberto De Clara, Andrea De Manzini, Teresa De Monte, Paolo De Mottoni, Sergio Facchini, Simonetta Fain, Nilde Francano, Giuliana Gaeta, Antonella Genero, Gabriella Geronti, Piero Iaschi, Daniela Lizzi, Paolo Lizzi, Maria Lorenzon, Lorena Loschi, Paolo Lubrano, Anna Macaluso, Stefano Marinoni, Paola Materassi, Silvia Minisini, Carmen Muzzolini, Flavia Nicoloso, Claudia Perin, Laura Prata, Cristina Rizzian, Daniela Rosenwirth, Ingrid Rudoi, Giuseppina Scornavacca, Raffaella Servello, Marina Spaccini, Mauro Stradi, Maurizio Tasso, Lidia Tion, Marina Trevisan, Antonella Ulliana, Daniele Venir, Adelmo Vinci, Oscar Volpi, Domenico Grasso2, Federico Marchetti1
Pediatra di famiglia, Friuli Venezia Giulia
1Clinica Pediatrica, IRCCS “Burlo Garofolo”, Trieste
2SCO ORL pediatrica e audiologia, IRCCS “Burlo Garofolo”, Trieste
Dicembre 2010 - pagg. 665 -666
Abstract
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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Bibliografia
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Corrispondenza: marchetti@burlo.trieste.it