Use of complementary and alternative medicine in children with recurrent acute otitis media in Italy
Language: 
English
Abstract: 

Controlling environmental factors, chemoprophylaxis, immunoprophylaxis and surgery are considered possible means of preventing recurrent acute otitis media (RAOM), but there are no available data concerning the paediatric use of complementary and alternative medicine (CAM). We evaluated the uses of CAM (homeopathy and/or herbal medicine) as means of preventing AOM in children with a history of RAOM. Eight hundred and forty Italian children with RAOM (?3 episodes in six months) aged 1-7 years were surveyed in 2009 using a face-to-face questionnaire, filled by parents or caregivers, that explored the prevalence, determinants, reasons, cost, and perceived safety and efficacy of CAM. About one-half (46%) of the children used CAM, significantly more than the number who used immunoprophylaxis (influenza vaccine 15%; p<0.05), PCV-7 34%; p<0.05) or chemoprophylaxis (2%; p<0.001). Use of CAM in the family was the only important factor positively associated with the use of CAM in children (adjusted OR 7.94; 95% CI: 5.26-11.99). The main reasons for using CAM were a fear of the adverse effects of conventional medicine (40%) and to increase host defences (20%). CAM was widely seen as safe (95%) and highly effective (68%). CAM prescribers were paediatricians in 50.7% of cases; self-initiation was reported by 23% of respondents. CAM expenditure was between Euro 25 and Euro 50/month in 27.6% of cases and ? Euro 50/month in 16%. Children with RAOM should be considered among the categories of subjects likely to be using CAM. Together with the fact that paediatricians are the main prescribers, this is worrying because of the current lack of evidence regarding the efficacy, safety and cost-effectiveness of CAM in the prevention of RAOM.

Author(s): 
Marchisio, P.
Bianchini, S.
Galeone, C.
Baggi, E.
Rossi, E.
Albertario, G.
Torretta, S.
Pignataro, L.
Esposito, S.
Principi, N.
Item Type: 
Journal Article
Publication Title: 
International Journal of Immunopathology and Pharmacology
Journal Abbreviation: 
Int J Immunopathol Pharmacol
Publication Date: 
2011-06
Publication Year: 
2011
Pages: 
441-449
Volume: 
24
Issue: 
2
ISSN: 
0394-6320
DOI: 
10.1177/039463201102400217
Library Catalog: 
PubMed
Extra: 
PMID: 21658318

Turabian/Chicago Citation

P. Marchisio, S. Bianchini, C. Galeone, E. Baggi, E. Rossi, G. Albertario, S. Torretta, L. Pignataro, S. Esposito and N. Principi. 2011-06. "Use of complementary and alternative medicine in children with recurrent acute otitis media in Italy." International Journal of Immunopathology and Pharmacology 24: 2: 441-449. 10.1177/039463201102400217.

Wikipedia Citation

<ref> {{Cite journal | doi = 10.1177/039463201102400217 | issn = 0394-6320 | volume = 24 | pages = 441-449 | last = Marchisio | first = P. | coauthors = Bianchini, S., Galeone, C., Baggi, E., Rossi, E., Albertario, G., Torretta, S., Pignataro, L., Esposito, S., Principi, N. | title = Use of complementary and alternative medicine in children with recurrent acute otitis media in Italy | journal = International Journal of Immunopathology and Pharmacology | date = 2011-06 | pmid = | pmc = }} </ref>