Department of Medicine, The President Stanisław Wojciechowski State University of Applied Sciences in Kalisz, Nowy Šwiat 4, 62-800 Kalisz, Poland.
Physiology Department, Karol Marcinkowski Medical University in Poznań, ul. Fredry 10, 61-701 Poznań, Poland.
Int J Environ Res Public Health. 2020 Sep 25;17(19):7011. doi: 10.3390/ijerph17197011.
The objective of the study was to characterize how infantile colic is perceived and managed by German and Polish pediatricians. Data in both countries were collected by using a paper questionnaire with seven questions and predefined and free text fields for the answers. Answers from 160 German and 133 Polish pediatricians were collected. The average of the occurrence rates estimated by both responder groups were at the higher end of published rates. The majority of pediatricians from both countries rated the parental burden caused by infantile colic to be high or very high. Pediatricians' awareness about the association between infantile colic and maternal depression and premature termination of breastfeeding is relatively well established in both countries. While more than 90% of German pediatricians stated knowledge of infantile colic being a major risk factor for shaken baby syndrome, this knowledge was only declared by half of the Polish responders. Pharmacological interventions, pro-/synbiotics or simethicone, are part of the treatment repertoire of nearly all responding pediatricians. In addition, non-pharmacological interventions (e.g., change of feeding, change of parental behavior) are also among the employed interventions. Results of this study will allow to better design and prioritize communication about infantile colic directed at pediatricians.
本研究的目的在于描述德国和波兰儿科医生对婴儿肠绞痛的认知和处理方式。通过使用带有七个问题的纸质问卷以及预定义和自由文本字段来收集两国的数据。共收集了 160 名德国儿科医生和 133 名波兰儿科医生的回答。这两个回应群体估计的发生率平均值处于已发表率的较高端。两国的大多数儿科医生都认为婴儿肠绞痛给父母带来的负担很高或非常高。儿科医生对婴儿肠绞痛与产妇抑郁和母乳喂养提前终止之间的关联的认识在两国都相对较好。虽然超过 90%的德国儿科医生表示婴儿肠绞痛是摇晃婴儿综合征的主要危险因素，但只有一半的波兰回应者表示知道这一点。药物干预、益生菌/益生元或二甲硅油是几乎所有回应儿科医生治疗方案的一部分。此外，非药物干预（例如，改变喂养方式、改变父母行为）也属于已采用的干预措施。本研究的结果将有助于更好地设计和优先考虑针对儿科医生的婴儿肠绞痛沟通。
