title: [Knowledge and practice of Brazilian pediatricians concerning gastroesophageal reflux disease in infants].
abstract: OBJECTIVE
  To assess the knowledge and practice of pediatricians about infants with physiological reflux and gastroesophageal reflux disease.
  
  
  METHODS
  140 pediatricians were interviewed during two scientific events in 2009 and 2010. The questions referred to two clinical cases of infants. One with symptoms of infant regurgitation (physiological reflux) and another with gastroesophageal reflux disease.
  
  
  RESULTS
  Among 140 pediatricians, 11.4% (n=16) and 62.1% (n=87) would require investigation tests, respectively for infant regurgitation (physiological reflux) and gastroesophageal reflux disease. A series of upper gastrointestinal exams would be the first requested with a higher frequency. Medication would be prescribed by 18.6% (n=26) in the case of physiological reflux and 87.1% (n=122) in the case of gastroesophageal reflux disease. Prokinetic drugs would be prescribed more frequently than gastric acid secretion inhibitors. Sleeping position would be recommended by 94.2% (n=132) and 92.9% (n=130) of the respondents, respectively for the case of physiological reflux and gastroesophageal reflux disease; however, about half of the respondents would recommend the prone position. Only 10 (7.1%) of the pediatricians would exclude the cow's milk protein from the infants' diet.
  
  
  CONCLUSIONS
  Approaches different from the international guidelines are often considered appropriate, especially when recommending a different position other than the supine and prescription of medication. In turn, the interviews enable us to infer the right capacity of the pediatricians to distinguish physiologic reflux and gastroesophageal reflux disease correctly.
authors: Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brasil.
authors: Ana Cristina Fontenele
authors: AC
authors: Soares
authors: Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brasil.
authors: Carla Lima
authors: CL
authors: de Freitas
authors: Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brasil. Electronic address: mbmorais@osite.com.br.
authors: Mauro Batista
authors: MB
authors: de Morais
mesh_terms: D001938:Brazil; D005260:Female; D005764:Gastroesophageal Reflux / Q000628:therapy*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007223:Infant; D008297:Male; D010372:Pediatrics; D010818:Practice Patterns, Physicians'; D057566:Self Report
keywords: Conhecimentos, atitudes e prática em saúde; Fórmulas infantis; Gastroesophageal reflux; Health knowledge, attitudes, practice; Infant; Infant formula; Lactente; Professional practice; Prática profissional; Refluxo gastroesofágico; Vomiting; Vômito