Salatino Silvia, Gray Alastair
Deutsche Homöopathie-Union DHU-Arzneimittel GmbH & Co. KG, Karlsruhe, Germany.
College of Natural Health and Homeopathy, New Zealand; Centre of Homeopathic Education, NYC, USA; Endeavour College of Natural Health, Australia; Portland Centre of Integrative Medicine, UK.
Complement Ther Clin Pract. 2016 Feb;22:29-32. doi: 10.1016/j.ctcp.2015.11.003. Epub 2015 Dec 2.
This survey investigated the management of pediatric tonsillopharyngitis, with a focus on natural remedies. 138 pediatricians, general practitioners and ear-nose-throat (ENT) specialists in 7 countries were surveyed by a dedicated questionnaire. A rapid strept test (RST) to diagnose acute tonsillopharyngitis was routinely used by 56/138 participants (41%). The use of RST allowed 200 diagnosis/year compared with 125 diagnosis/year for clinicians who did not use this tool. Homeopathy remedies were prescribed as a supportive therapy by 62% of participants (85/138). Among different homeopathic remedies, SilAtro-5-90 was the most frequently prescribed (53/138, 38%). In the chronic setting, homeopathy was suggested as a supportive therapy by 82/138 participants (59%), phytotherapy by 39 (28%) and vitamins/nutritional supplementation by 51 (37%). The management of tonsillopharyngitis in pediatric patients still remains empiric. Natural remedies, and homeopathy in particular, are used in the management of URTIs. An integrative approach to these infections may help reduce excessive antibiotic prescription.
本调查研究了小儿扁桃体咽炎的治疗方法，重点是天然疗法。通过一份专门的问卷对7个国家的138名儿科医生、全科医生和耳鼻喉科专家进行了调查。138名参与者中有56名（41%）常规使用快速链球菌检测（RST）来诊断急性扁桃体咽炎。使用RST的医生每年可诊断200例，而未使用该工具的医生每年诊断125例。62%的参与者（85/138）将顺势疗法作为辅助治疗方法。在不同的顺势疗法药物中，SilAtro-5-90的处方频率最高（53/138，38%）。在慢性病例中，138名参与者中有82名（59%）建议使用顺势疗法作为辅助治疗，39名（28%）建议使用植物疗法，51名（37%）建议使用维生素/营养补充剂。小儿扁桃体咽炎的治疗仍然是经验性的。天然疗法，尤其是顺势疗法，被用于上呼吸道感染的治疗。对这些感染采用综合治疗方法可能有助于减少抗生素的过度使用。
