Adherence to acute otitis media treatment guidelines among primary health care providers in Israel

Shviro-Roseman, Noa; Reuveni, Haim; Gazala, Eli; Leibovitz, Eugene

doi:10.1016/j.bjid.2013.11.007

Cited by 12 publications

(6 citation statements)

References 13 publications

(27 reference statements)

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“…A national study of French GPs and paediatricians, which covered 2015-2017, found that the respective figures were higher for amoxicillin (52.5%, 65.5%) and lower for amoxicillin-clavulanic acid (11.5%, 13.5%). 17 Previous studies have shown some differences in antibiotic prescriptions between specialists, for acute otitis media [18][19][20][21] and upper and lower respiratory tract infections. 17,22 There were no substantial changes by time in our study when amoxicillin and amoxicillin-clavulanic acid prescriptions were jointly analysed.…”

Section: Discussionmentioning

confidence: 99%

Antibiotic prescriptions for child sinusitis varied between specialties after Finnish guidelines were updated in 2018

et al. 2022

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Viral rhinosinusitis is common during upper respiratory tract infections in children, [1][2][3] and approximately 7%-8% of cases may lead to acute bacterial infections in the paranasal sinuses. [1][2][3][4] Bacterial sinusitis is diagnosed when the infection takes an abnormal clinical course. Radiological or magnetic resonance imaging and ultrasound scans are not routinely recommended and neither are microbiological or other laboratory tests. 3,5,6 The criteria for bacterial sinusitis in children include persistent presumptive symptoms for more than 10 days, without any considerable improvement. Alternatively, they may include a purulent nasal discharge at onset and fever that lasts

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Section: Discussionmentioning

confidence: 99%

Antibiotic prescriptions for child sinusitis varied between specialties after Finnish guidelines were updated in 2018

et al. 2022

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“…The studies vary in their design (ranging from a survey of private physicians to analysis of regional electronic databases), study population (at‐risk groups vs general population), and outcomes (ranging from diagnosis to antibiotic prescribing). Overall, adherence to published guidelines seems suboptimal (eg, in the United Kingdom, Italy, Sweden, Turkey, Serbia, Greece, Israel, the United States) 75‐83 . In France, 84 guidelines have been effective in changing the antibiotic prescribing habits of pediatricians, and in Denmark, 85 general practitioners (GPs) to a large degree prescribe antibiotics appropriately.…”

Section: Discussionmentioning

confidence: 99%

“…Overall, adherence to published guidelines seems suboptimal (eg, in the United Kingdom, Italy, Sweden, Turkey, Serbia, Greece, Israel, the United States). [75][76][77][78][79][80][81][82][83] In France, 84 guidelines have been effective in changing the antibiotic prescribing habits of pediatricians, and in Denmark, 85 general practitioners (GPs) to a large degree prescribe antibiotics appropriately. In the United Kingdom, the proportion of AOM episodes for which an antibiotic was prescribed was largely unchanged, 75 and the use of a broader spectrum antibiotic (amoxicillin plus clavulanic acid instead of amoxicillin) was the reason for diverging from recommendations in Hungary.…”

Section: Impact Of Guidelinesmentioning

confidence: 99%

Panel 7: Otitis Media: Treatment and Complications

Schilder

Marom²,

Bhutta

et al. 2017

Otolaryngol.--head neck surg.

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Objective We aimed to summarize key articles published between 2011 and 2015 on the treatment of (recurrent) acute otitis media, otitis media with effusion, tympanostomy tube otorrhea, chronic suppurative otitis media and complications of otitis media, and their implications for clinical practice. Data Sources PubMed, Ovid Medline, the Cochrane Library, and Clinical Evidence (BMJ Publishing). Review Methods All types of articles related to otitis media treatment and complications between June 2011 and March 2015 were identified. A total of 1122 potential related articles were reviewed by the panel members; 118 relevant articles were ultimately included in this summary. Conclusions Recent literature and guidelines emphasize accurate diagnosis of acute otitis media and optimal management of ear pain. Watchful waiting is optional in mild to moderate acute otitis media; antibiotics do shorten symptoms and duration of middle ear effusion. The additive benefit of adenoidectomy to tympanostomy tubes in recurrent acute otitis media and otitis media with effusion is controversial and age dependent. Topical antibiotic is the treatment of choice in acute tube otorrhea. Symptomatic hearing loss due to persistent otitis media with effusion is best treated with tympanostomy tubes. Novel molecular and biomaterial treatments as adjuvants to surgical closure of eardrum perforations seem promising. There is insufficient evidence to support the use of complementary and alternative treatments. Implications for Practice Emphasis on accurate diagnosis of otitis media, in its various forms, is important to reduce overdiagnosis, overtreatment, and antibiotic resistance. Children at risk for otitis media and its complications deserve special attention.

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“…We included three studies: one cross-sectional survey 16 and two cohort studies 17,18 (Table 2). All the studies found that paediatricians' prescription for acute otitis media adheres better to guidelines than family doctors' did.…”

Section: Otitis Media Managementmentioning

confidence: 99%

Paediatricians provide higher quality care to children and adolescents in primary care: A systematic review

et al. 2020

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Aim The number of primary care paediatricians is decreasing in Europe without a justifiable reason. We aimed to compare the clinical practice of paediatricians and family doctors attending children and adolescents in primary care. Methods MEDLINE, Embase, CENTRAL, TRIP and Google Scholar were searched from December 2008 to February 2018. No language or study design restrictions were applied. Three reviewers assessed eligibility of the studies. Seven pairs of reviewers performed the data extraction and assessed the methodological quality independently. Discrepancies were resolved by consensus. Results Fifty‐four, out of 1150 studies preselected, were included. We found that paediatricians show more appropriate pharmacology prescription patterns for the illness being treated; they achieve higher vaccination rates and have better knowledge of vaccines and fewer doubts about vaccine safety; their knowledge and implementation of different screening tests are better; they prescribe psychoactive drugs more cautiously and more in line with current practice guidelines; their evaluation and treatment of obesity and lipid disorders follow criteria more consistently with current clinical practice guidelines; and they perform fewer diagnostic test, show a more suitable use of the test and request fewer referrals to specialists. Conclusion According to published data, in developed countries, paediatricians provide higher quality care to children than family doctors.

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Adherence to acute otitis media treatment guidelines among primary health care providers in Israel

Cited by 12 publications

References 13 publications

Antibiotic prescriptions for child sinusitis varied between specialties after Finnish guidelines were updated in 2018

Antibiotic prescriptions for child sinusitis varied between specialties after Finnish guidelines were updated in 2018

Panel 7: Otitis Media: Treatment and Complications

Paediatricians provide higher quality care to children and adolescents in primary care: A systematic review

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