Knowledge and practices relating to the 2004 acute otitis media clinical practice guideline: a survey of practicing physicians

The Pediatric Infectious Disease Journal
Louis VernacchioAllen A Mitchell

Abstract

To identify primary care physicians' familiarity with the 2004 acute otitis media (AOM) clinical practice guideline and to compare their practices with its recommendations. Mail survey October through December 2004 to all active physician members of the Slone Center Office-based Research Network, a national, practice-based, pediatric research network. The response rate was 276 of 469 (58.8%). Overall, 90.5% had read the guideline or summaries of it. Pneumatic otoscopy was always used by 16.2%, used half the time or more by 23.1%, used less than half the time by 34.6% and never used by 26.2%. Observation is considered a reasonable option for some AOM cases by 88.0% and, over the previous 3 months, these physicians used observation a median of 10% of the time (25th and 75th percentiles, 5% and 25%, respectively). In terms of concern that the observation option may increase AOM complications, 75.6% were not at all or only slightly concerned; 24.4% were moderately or very concerned. In general, these physicians have altered their antibiotic prescribing practices for AOM towards the guideline's recommendations since its publication. However, antibiotic choices deviated most widely from the guideline in cases of AOM with severe illne...Continue Reading

References

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Citations

Apr 16, 2009·Current Infectious Disease Reports·Denia A Varrasso
Oct 12, 2010·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Jeffrey A LinderBlackford Middleton
Nov 27, 2008·The Pediatric Infectious Disease Journal·Paola MarchisioNicola Principi
Sep 23, 2011·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Elizabeth MorrisMeg Keeley
Feb 14, 2014·TheScientificWorldJournal·Chia-Huei ChuAn-Suey Shiao
Oct 8, 2014·Health Services Research·Alexander G FiksChristopher B Forrest
Jul 31, 2014·Expert Review of Anti-infective Therapy·Paola MarchisioNicola Principi
May 16, 2007·Clinical Pediatrics·Michael D CabanaBarbara Yawn
Aug 24, 2013·Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology·Matteo GelardiNicola Principi
Mar 15, 2019·BMC Medical Education·Alanna Higgins JoyceSuzanne M Schmidt
Mar 13, 2013·Pediatrics·Christopher B ForrestEvaline A Alessandrini

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