非处方治疗儿童感染：奥地利单中心横断面问卷调查研究。
Non-prescription treatments for childhood infections: an Austrian, monocentric, cross-sectional questionnaire study.
机构信息
First Vienna Pediatric Medical Center, Donau-City-Strasse 1, 1220, Vienna, Austria.
Sigmund Freud University Vienna, Donau-City Strasse 1, 1220, Vienna, Austria.
出版信息
BMC Pediatr. 2022 Mar 24;22(1):154. doi: 10.1186/s12887-022-03220-6.
BACKGROUND
Infectious diseases like the common cold, otitis media, or gastroenteritis frequently occur in childhood. In addition to prescription drugs, parents often use supplementary over-the-counter (OTC) products recommended by pharmacists and other non-medical professionals to relieve their children's symptoms. However, the efficacy of such alternative treatments lacks conclusive evidence. The objective of this study was to investigate the use of OTC products and related active ingredients in children, and the motivations behind this choice.
METHODS
The present study included 215 children aged between 1 and 14 years with an acute respiratory tract infection, e.g., common cold, bronchitis, otitis media, tonsillitis, or gastroenteritis. During their visit to the pediatric practice, parents filled in a self-administered questionnaire about their child's diagnosis, additional treatment options, and motivations to integrate supplementary medicinal products after their first visit for acute infection or follow-up examination. Children with chronic illnesses and patients visiting for a routine maternal and child health program check-up were excluded.
RESULTS
The study included 111 (51.6%) males and 104 (48.4%) females. Median age was 3.00 (IQR 2.0 - 5.0) years. The most common reason for a visit was a respiratory tract infection (78.6%). Out of 215 parents, 182 (84.7%) resorted to non-prescription remedies to alleviate their child's symptoms. Teas (45.1%), and home remedies (43.3%) were the most popular. At total 133 (74.3%) followed recommendations from friends and family regarding additional medications usage. Parents with previous experience with complementary medicine tended to prefer this approach to treat their children (p.adjust = 0.08).
CONCLUSION
The use of non-prescription medicine is increasing as well as the range of related information sources. Evidence-based recommendations in this field might improve pediatric care.
背景
儿童常患普通感冒、中耳炎或肠胃炎等传染病。除了处方药外，父母还经常使用药剂师和其他非医疗专业人员推荐的补充非处方（OTC）产品来缓解孩子的症状。然而，这种替代疗法的疗效缺乏确凿的证据。本研究的目的是调查儿童使用 OTC 产品和相关活性成分的情况，以及选择这些产品的动机。
方法
本研究纳入了 215 名 1 至 14 岁患有急性呼吸道感染（如普通感冒、支气管炎、中耳炎、扁桃体炎或肠胃炎）的儿童。在儿科就诊时，父母填写了一份自我管理的问卷，内容包括孩子的诊断、其他治疗选择，以及在首次急性感染或随访检查后整合补充药物的动机。患有慢性疾病和接受常规母婴健康计划检查的患者被排除在外。
结果
研究包括 111 名（51.6%）男性和 104 名（48.4%）女性。中位年龄为 3.00（IQR 2.0-5.0）岁。就诊最常见的原因是呼吸道感染（78.6%）。在 215 位家长中，182 位（84.7%）会使用非处方药物来缓解孩子的症状。茶（45.1%）和家庭疗法（43.3%）是最受欢迎的。共有 133 位（74.3%）家长遵循朋友和家人的建议使用额外的药物。有补充医学经验的家长更倾向于选择这种方法来治疗孩子（p.adjust=0.08）。
结论
非处方药物的使用越来越多，相关信息来源也越来越多。在该领域提供循证建议可能会改善儿科护理。
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