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Pediatricians' Attitudes in Management of Acute Otitis Media and Ear Pain in Turkey

dc.authorid Ciftci, Ergin/0000-0002-4955-160X
dc.authorid Kara, Ates/0000-0002-1654-3232
dc.authorid Sutcu, Murat/0000-0002-2078-9796
dc.authorid Buyukcam, Ayse/0000-0002-4015-4210
dc.authorid Dinleyici, Ener Cagri/0000-0002-0339-0134
dc.authorscopusid 54079477200
dc.authorscopusid 7102824838
dc.authorscopusid 57200543937
dc.authorscopusid 55635379100
dc.authorscopusid 16242021300
dc.authorscopusid 55499199300
dc.authorscopusid 6602301979
dc.authorwosid Dinleyici, Ener/Aaf-8688-2019
dc.authorwosid Kosker, Muhammet/Gpx-3327-2022
dc.authorwosid Karbuz, Adem/Aap-8731-2021
dc.authorwosid Devrim, Ilker/Lzi-1447-2025
dc.authorwosid Bayhan, Gulsum/B-2832-2008
dc.authorwosid Kara, Ates/I-9081-2013
dc.authorwosid Buyukcam, Ayse/Aav-6986-2020
dc.contributor.author Buyukcam, Aye
dc.contributor.author Kara, Ates
dc.contributor.author Bedir, Tugba
dc.contributor.author Gulhan, Belgin
dc.contributor.author Ozdemir, Halil
dc.contributor.author Sutcu, Murat
dc.contributor.author Atla, Pinar
dc.date.accessioned 2025-05-10T17:04:37Z
dc.date.available 2025-05-10T17:04:37Z
dc.date.issued 2018
dc.department T.C. Van Yüzüncü Yıl Üniversitesi en_US
dc.department-temp [Buyukcam, Aye; Kara, Ates; Kukul, Musa Gurel] Hacettepe Univ, Pediat Infect Dept, Ankara, Turkey; [Bedir, Tugba; Tezer, Hasan] Gazi Univ, Pediat Infect Dept, Ankara, Turkey; [Gulhan, Belgin; Kanik, Saliha; Parlakay, Aslinur] Ankara Hematol Oncol Childrens Training & Res Hos, Pediat Infect Dept, Ankara, Turkey; [Ozdemir, Halil; Ciftci, Ergin] Ankara Univ, Pediat Infect Dept, Ankara, Turkey; [Sutcu, Murat; Somer, Ayper] Istanbul Univ, Pediat Infect Dept, Istanbul, Turkey; [Duzgol, Mine; Devrim, Ilker] Behcet Uz Training & Res Hosp, Pediat Infect Dept, Izmir, Turkey; [Arslan, Asli; Kurugol, Zafer] Ege Univ, Dept Pediat, Izmir, Turkey; [Tekin, Tuna; Dinleyici, Ener Cagri] Eskisehir Univ, Dept Pediat, Eskisehir, Turkey; [Celebi, Solmaz] Uludag Univ, Pediat Infect Dept, Bursa, Turkey; [Bayhan, Gulsum Iclal] Yuzuncu Yil Univ, Pediat Infect Dept, Van, Turkey; [Kosker, Muhammet] Diyarbakir Children Hosp, Pediat Infect Dept, Diyarbakir, Turkey; [Karbuz, Adem] Okmeydant Training & Res Hosp, Pediat Infect Dept, Istanbul, Turkey; [Celik, Melda] Keciogren Training & Res Hosp, Pediat Infect Dept, Ankara, Turkey; [Sutcu, Zumrut Kocabay] Suleymaniye Matern & Children Hosp, Dept Pediat, Istanbul, Turkey; [Metin, Ozge] Konya Training & Res Hosp, Pediat Infect Dept, Konya, Turkey; [Karakaslilar, Sebahat] Bursa Acibadem Hosp, Dept Pediat, Bursa, Turkey; [Dagli, Abdullah] Ordu Univ, Dept Pediat, Ordu, Turkey; [Kara, Soner Sertan] Erzurum Training & Res Hosp, Pediat Infect Dept, Erzurum, Turkey; [Albayrak, Eda] Recep Tayip Erdogan Univ, Dept Pediat, Rize, Turkey; [Atla, Pinar] Kirklareli State Hosp, Dept Pediat, Kirklareli, Turkey en_US
dc.description Ciftci, Ergin/0000-0002-4955-160X; Kara, Ates/0000-0002-1654-3232; Sutcu, Murat/0000-0002-2078-9796; Buyukcam, Ayse/0000-0002-4015-4210; Dinleyici, Ener Cagri/0000-0002-0339-0134 en_US
dc.description.abstract Objectives: Acute otitis media (AOM) is predominantly a disease of childhood and one of the common reasons for prescribing antibiotics. Ear pain is the main symptom of AOM, with the result that parents frequently seek immediate medical assistance for their children. Antibiotic therapy for AOM does not provide symptomatic relief in the first 24 hours, and analgesics are commonly recommended for relieving the pain associated with AOM. The aims of the present study were to assess pediatricians' attitudes toward AOM and ear pain management in Turkey. Methods: This multicenter descriptive questionnaire study was conducted in 20 centers from different geographic locations in Turkey, with 977 pediatricians, between June 2015 and December 2016. The questionnaire comprised 20 questions focusing on the pediatricians' sociodemographic variables, experiences, and treatment related to AOM and ear pain. Results: Of the pediatricians, 58.2% were residents, 36.5% were specialists, and 4.3% were lecturers. Most participants were working in a university hospital (54.8%) or education and research hospital (32.2%). In general daily practice, the AOM diagnosis rates were between 6% and 20% in outpatient clinics, and 52.3% of the participants stated the patients complained about ear pain in pediatric clinics. The watchful waiting (WW) rate, as opposed to immediate antibiotic treatment, was 39.8% for all the pediatricians. The pediatric residents used the WW strategy less than the specialists and lecturers did (p = 0.004). The rates of the WW strategy were higher in outpatient clinics where AOM was commonly diagnosed (p < 0.001). The most common antibiotic prescribed for AOM was amoxicillin clavulanate (76.7%). The mean recommended treatment period for AOM was 9.3 +/- 2.2 days. The choices for systemic ear pain treatment were acetaminophen (26.8%), ibuprofen (29.4%), and alternating between ibuprofen and acetaminophen (43.9%). Moreover, 34.6% of the participants recommended topical agents for otalgia. Topical agents were more commonly recommended by the pediatric residents than specialists or lecturers (p < 0.001). Finally, 58.3% of pediatricians had experiences of the parents' usage of a variety of herbal and folk remedies, such as breast milk or olive oil, for their children's ear pain. Conclusion: Amoxicillin clavulanate was the most frequently prescribed antibiotic for AOM. WW was approved by the pediatricians, and having more AOM patients was a significant factor in the physicians' choice of WW; nevertheless, the WW rate was poor. Implementation of educational intervention strategies will help pediatricians in improving their compliance with evidence-based guidelines for AOM treatment. Otalgia is taken seriously by parents and pediatricians, and otalgia treatment seems to be well accepted in Turkey for providing symptomatic relief and enhancing the patients' quality of life. en_US
dc.description.woscitationindex Science Citation Index Expanded
dc.identifier.doi 10.1016/j.ijporl.2018.01.011
dc.identifier.endpage 20 en_US
dc.identifier.issn 0165-5876
dc.identifier.issn 1872-8464
dc.identifier.pmid 29501295
dc.identifier.scopus 2-s2.0-85041613234
dc.identifier.scopusquality Q2
dc.identifier.startpage 14 en_US
dc.identifier.uri https://doi.org/10.1016/j.ijporl.2018.01.011
dc.identifier.uri https://hdl.handle.net/20.500.14720/6075
dc.identifier.volume 107 en_US
dc.identifier.wos WOS:000428492100004
dc.identifier.wosquality Q3
dc.language.iso en en_US
dc.publisher Elsevier Ireland Ltd en_US
dc.relation.publicationcategory Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı en_US
dc.rights info:eu-repo/semantics/closedAccess en_US
dc.subject Acute Otitis Media en_US
dc.subject Otalgia en_US
dc.subject Turkey en_US
dc.subject Pediatrician en_US
dc.subject Treatment en_US
dc.subject Attitude en_US
dc.title Pediatricians' Attitudes in Management of Acute Otitis Media and Ear Pain in Turkey en_US
dc.type Article en_US

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