title: [Assessment of the management of acute otitis media in children by family practitioners in the North of France].
abstract: OBJECTIVE
  To assess the management of acute otitis media in children by paediatricians and general practitioners in the North of France compared with the AFSSAPS (Agence Française de Sécurité Sanitaire des Produits de Santé) guideline's recommendations of 2005.
  
  
  METHODS
  All eligible family paediatricians (n=68) and a group of general practitioners (n=200) first received a phone call invitation to participate to the study. The volunteers responded to a questionnaire by phone call.
  
  
  RESULTS
  The response rates were 67, 6 % for the group of paediatricians and 64, 5 % for the group of general practitioners. The guideline's recommendations were followed by respectively 28, 3 % and 9, 3 % of primary care physicians. The observation option, recommended in children aged more than 2 years, was followed by 46, 5 % of general practitioners and 54, 3 % of paediatricians. The durations of antibiotics were poorly respected by the 2 groups of physicians. In case of allergy to penicillin, the paediatricians followed more the recommendations than the general practitioners.
  
  
  CONCLUSIONS
  Educational interventions are needed in order to improve the adherence to guidelines of paediatricians and general practitioners for the management of acute otitis media in children.
authors.affiliation: Service de Pédiatrie, Centre Hospitalier de Roubaix, F-59056 Roubaix Cedex 1, France. serge.ganga@ch-roubaix.fr
authors.forename: Patrice Serge
authors.initials: PS
authors.lastname: Ganga-Zandzou
authors.forename: Aurore
authors.initials: A
authors.lastname: Fermantel
authors.forename: Claire
authors.initials: C
authors.lastname: Robic
authors.forename: Guillaume
authors.initials: G
authors.lastname: Pouessel
authors.forename: Marie-Hélène
authors.initials: MH
authors.lastname: Pierre
authors.forename: Béatrice
authors.initials: B
authors.lastname: Bourgois
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Cixous
authors.forename: Hubert
authors.initials: H
authors.lastname: Ythier
mesh_terms: D000208:Acute Disease; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002675:Child, Preschool; D004334:Drug Administration Schedule; D005194:Family Practice; D005260:Female; D005602:France; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006306:Health Surveys; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D010033:Otitis Media / Q000175:diagnosis / Q000188:drug therapy*; D010372:Pediatrics
chemical_list: D000900:Anti-Bacterial Agents