title: The attitude of physicians toward cold remedies for upper respiratory infection in infants and children: a questionnaire survey.
abstract: Over-the-counter cold remedies are widely used for symptomatic relief of upper respiratory tract infections. The safety of these drugs is not well established in infants and their efficacy is questionable. Our aim was to study the attitude of family physicians and pediatricians toward the use of cold remedies in infants and children. A questionnaire was sent to 400 family physicians and 100 pediatricians randomly selected across Ontario. The overall response rate was 53.2%. Sixteen percent of family physicians recommended cold remedies for infants 0 to 6 months of age compared to 4% of the pediatricians (P = 0.01). For infants 6 to 12 months of age, the difference between pediatricians and family physicians persisted (14% and 38% of, respectively; P < 0.001). Despite that cold remedies are not proven to be effective and some safety issues are associated with their use in the pediatric age group, physicians still recommend them. Continuing medical education programs should address the issue.
authors.affiliation: Division of Clinical Pharmacology and Toxicology, Department of Pediatrics, University of Toronto, Hospital for Sick Children, Toronto, Ontario, Canada.
authors.forename: Raanan
authors.initials: R
authors.lastname: Cohen-Kerem
authors.forename: Savithiri
authors.initials: S
authors.lastname: Ratnapalan
authors.forename: Josephine
authors.initials: J
authors.lastname: Djulus
authors.forename: Xu
authors.initials: X
authors.lastname: Duan
authors.forename: Rahul V
authors.initials: RV
authors.lastname: Chandra
authors.forename: Shinya
authors.initials: S
authors.lastname: Ito
mesh_terms: D001291:Attitude of Health Personnel; D002648:Child; D002675:Child, Preschool; D003139:Common Cold / Q000188:drug therapy*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D004366:Nonprescription Drugs / Q000627:therapeutic use*; D009864:Ontario; D009935:Organizational Affiliation; D010372:Pediatrics / Q000706:statistics & numerical data; D010821:Physicians, Family / Q000706:statistics & numerical data*; D010818:Practice Patterns, Physicians'; D012141:Respiratory Tract Infections / Q000188:drug therapy; D011795:Surveys and Questionnaires
chemical_list: D004366:Nonprescription Drugs