Vayalumkal Joseph, Kellner James D
Department of Pediatrics, University of Calgary, Calgary, Alberta, Canada.
Arch Pediatr Adolesc Med. 2004 Oct;158(10):962-5. doi: 10.1001/archpedi.158.10.962.
To evaluate the current knowledge, practice patterns, skills, and attitudes of Canadian pediatricians and family physicians regarding the role of diagnostic tympanocentesis in the management of acute otitis media in children.
Survey.
A self-completion questionnaire was mailed to a random selection of 302 pediatricians and 196 family physicians practicing in hospitals and community settings across Canada in 2002. A second questionnaire was sent to those who did not respond to the first mailing.
The demographic features of respondents and their attitudes, beliefs, and behaviors regarding tympanocentesis for acute otitis media were collected via a 2-page questionnaire consisting of open-ended and multiple-choice questions.
The overall response rate was 56%. Only 4% of pediatricians and family physicians surveyed received training in tympanocentesis, and none currently perform the procedure. Higher proportions of those who learned to perform tympanocentesis graduated from medical school before 1970 and received postgraduate training outside of Canada compared with those who did not learn to perform tympanocentesis. Pediatricians were more likely than family physicians to make referrals to otolaryngologists for tympanocentesis for acute otitis media (62% vs 48%; P = .04).
Few Canadian pediatricians and family physicians in our survey learned to perform tympanocentesis, and none currently perform the procedure. It is not clear whether current practices for tympanocentesis in children with acute otitis media are adequate.
评估加拿大儿科医生和家庭医生在儿童急性中耳炎管理中关于诊断性鼓膜穿刺术作用的现有知识、实践模式、技能和态度。
调查。
2002年，一份自填式问卷被邮寄给随机抽取的302名在加拿大各地医院和社区执业的儿科医生以及196名家庭医生。第二份问卷被发送给那些未回复第一份邮件的人。
通过一份由开放式和多项选择题组成的两页问卷，收集受访者的人口统计学特征以及他们对急性中耳炎鼓膜穿刺术的态度、信念和行为。
总体回复率为56%。接受调查的儿科医生和家庭医生中只有4%接受过鼓膜穿刺术培训，目前没有人进行该操作。与未学习进行鼓膜穿刺术的人相比，那些学习过鼓膜穿刺术的人中有更高比例在1970年之前从医学院毕业并在加拿大境外接受研究生培训。与家庭医生相比，儿科医生更有可能因急性中耳炎鼓膜穿刺术而将患者转诊给耳鼻喉科医生（62%对48%；P = 0.04）。
在我们的调查中，很少有加拿大儿科医生和家庭医生学习过进行鼓膜穿刺术，目前也没有人进行该操作。目前对于急性中耳炎患儿鼓膜穿刺术的做法是否恰当尚不清楚。
