Care for Acute Otitis Media in Children by General Practitioners in North Benin in 2017

Marius Claude Flatin; Spéro Herménégilde Raoul Hounkpatin; Cossi Angelo Attinsounon; Abdou Zulkif Toungou; Fatiou Alabi Bouraima; Alexis do Santos Zounon; François Avakoudjo; Wassi Adjibabi

doi:doi:10.11648/j.ijidt.20180302.11

Care for Acute Otitis Media in Children by General Practitioners in North Benin in 2017

Marius Claude Flatin, Spéro Herménégilde Raoul Hounkpatin, Cossi Angelo Attinsounon, Abdou Zulkif Toungou, Fatiou Alabi Bouraima, Alexis do Santos Zounon, François Avakoudjo, Wassi Adjibabi

Published in International Journal of Infectious Diseases and Therapy (Volume 3, Issue 2)

Received: 16 March 2018 Accepted: 29 March 2018 Published: 9 May 2018

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Abstract

Introduction: Acute otitis media (AOM) is a common childhood infection, subject to a wrongful prescription of antibiotics. The objective of this work was to evaluate the practices of general practitioners of North-Benin, in term of caring AOM in children. Methods: This was a cross-sectional, descriptive survey based on a telephone interview questionnaire with 112 general practitioners working in North Benin in 2017. The collected data were analyzed using EpiData Analysis and Open Epi software. The Khi2 test was used for comparisons. The significance threshold adopted was 0.05. Results: Of the 145 general practitioners listed, 112 participated in the survey for a participation rate of 77.2%. The mean age was 32 ± 6 years with a sex ratio of 4.04 and the median duration of seniority in the medical practice was 4 years with extremes of 1 and 32 years. Three main clinical signs suggestive of the diagnosis were, according to the respondents, otalgia (107; 95.5%), otorrhea (86; 76.8%) and fever (77; 68.8%). Tympanum inflammation and middle ear effusion association was considered as a diagnostic criterium by 17.9% of doctors. Therapeutic recommendations were known by 15 doctors (13.4%). Systematic antibiotic therapy was advocated by 86 doctors (76.8%). The main reasons for systematic antibiotics were the frequent use of antibiotics by parents in the self-medication (63 cases or 74.4%), the difficulty of following up the child (55 cases or 64 per cent) and the fear of the locoregional or systemic spread of infection (40 cases or 46.5%). The amoxicillin-clavulanic acid combination was prescribed as first-line by 68 respondents (62.4%). Forty doctors (36.7%) prescribed third-generation cephalosporins as second-line therapy. Systemic rhinopharyngeal disinfection was performed by 23 doctors (20.5%). In case of therapeutic failure, the opinion of an ENT doctor was requested by 66 general practitioners or 58.9% of the cases. Conclusion: It is necessary that Beninese medical companies develop national recommendations for managing the acute otitis media and ensure their diffusion through continuous medical training.

Published in	International Journal of Infectious Diseases and Therapy (Volume 3, Issue 2)
DOI	10.11648/j.ijidt.20180302.11
Page(s)	24-29
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Acute Otitis Media, Antibiotic Therapy, General Practitioners, North Benin

References

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[8]	Institut National d’excellence en Santé et en service sociaux (INESS). Otite moyenne aiguë chez l’enfant de 3 mois et plus. [Available from: https://www.inesss.qc.ca/fileadmin/doc/CDM/UsageOptimal/Guides-serieI/Guide-Otite-Enfant.pdf].
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[11]	Cassir N, Di Marco J-N, Poujol A, Lagier J-C. Prescription inappropriée d’antibiotiques chez l’enfant en médecine de ville : raisons et conséquences. Arch Pédiatrie. 2012; 19 (6):579–84.
[12]	Ganga-Zandzou PS, Fermantel A, Robic C, Pouessel G, Pierre M-H, Bourgois B, et al. Évaluation de la prise en charge de l’otite moyenne aiguë du nourrisson et de l’enfant en médecine de ville dans le Nord de la France. Presse Med. 2009; 38 (12):1730–7.
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Marius Claude Flatin, Spéro Herménégilde Raoul Hounkpatin, Cossi Angelo Attinsounon, Abdou Zulkif Toungou, Fatiou Alabi Bouraima, et al. (2018). Care for Acute Otitis Media in Children by General Practitioners in North Benin in 2017. International Journal of Infectious Diseases and Therapy, 3(2), 24-29. https://doi.org/10.11648/j.ijidt.20180302.11

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ACS Style

Marius Claude Flatin; Spéro Herménégilde Raoul Hounkpatin; Cossi Angelo Attinsounon; Abdou Zulkif Toungou; Fatiou Alabi Bouraima, et al. Care for Acute Otitis Media in Children by General Practitioners in North Benin in 2017. Int. J. Infect. Dis. Ther. 2018, 3(2), 24-29. doi: 10.11648/j.ijidt.20180302.11

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Marius Claude Flatin, Spéro Herménégilde Raoul Hounkpatin, Cossi Angelo Attinsounon, Abdou Zulkif Toungou, Fatiou Alabi Bouraima, et al. Care for Acute Otitis Media in Children by General Practitioners in North Benin in 2017. Int J Infect Dis Ther. 2018;3(2):24-29. doi: 10.11648/j.ijidt.20180302.11

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@article{10.11648/j.ijidt.20180302.11,
  author = {Marius Claude Flatin and Spéro Herménégilde Raoul Hounkpatin and Cossi Angelo Attinsounon and Abdou Zulkif Toungou and Fatiou Alabi Bouraima and Alexis do Santos Zounon and François Avakoudjo and Wassi Adjibabi},
  title = {Care for Acute Otitis Media in Children by General Practitioners in North Benin in 2017},
  journal = {International Journal of Infectious Diseases and Therapy},
  volume = {3},
  number = {2},
  pages = {24-29},
  doi = {10.11648/j.ijidt.20180302.11},
  url = {https://doi.org/10.11648/j.ijidt.20180302.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijidt.20180302.11},
  abstract = {Introduction: Acute otitis media (AOM) is a common childhood infection, subject to a wrongful prescription of antibiotics. The objective of this work was to evaluate the practices of general practitioners of North-Benin, in term of caring AOM in children. Methods: This was a cross-sectional, descriptive survey based on a telephone interview questionnaire with 112 general practitioners working in North Benin in 2017. The collected data were analyzed using EpiData Analysis and Open Epi software. The Khi2 test was used for comparisons. The significance threshold adopted was 0.05. Results: Of the 145 general practitioners listed, 112 participated in the survey for a participation rate of 77.2%. The mean age was 32 ± 6 years with a sex ratio of 4.04 and the median duration of seniority in the medical practice was 4 years with extremes of 1 and 32 years. Three main clinical signs suggestive of the diagnosis were, according to the respondents, otalgia (107; 95.5%), otorrhea (86; 76.8%) and fever (77; 68.8%). Tympanum inflammation and middle ear effusion association was considered as a diagnostic criterium by 17.9% of doctors. Therapeutic recommendations were known by 15 doctors (13.4%). Systematic antibiotic therapy was advocated by 86 doctors (76.8%). The main reasons for systematic antibiotics were the frequent use of antibiotics by parents in the self-medication (63 cases or 74.4%), the difficulty of following up the child (55 cases or 64 per cent) and the fear of the locoregional or systemic spread of infection (40 cases or 46.5%). The amoxicillin-clavulanic acid combination was prescribed as first-line by 68 respondents (62.4%). Forty doctors (36.7%) prescribed third-generation cephalosporins as second-line therapy. Systemic rhinopharyngeal disinfection was performed by 23 doctors (20.5%). In case of therapeutic failure, the opinion of an ENT doctor was requested by 66 general practitioners or 58.9% of the cases. Conclusion: It is necessary that Beninese medical companies develop national recommendations for managing the acute otitis media and ensure their diffusion through continuous medical training.},
 year = {2018}
}

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TY - JOUR
T1 - Care for Acute Otitis Media in Children by General Practitioners in North Benin in 2017
AU - Marius Claude Flatin
AU - Spéro Herménégilde Raoul Hounkpatin
AU - Cossi Angelo Attinsounon
AU - Abdou Zulkif Toungou
AU - Fatiou Alabi Bouraima
AU - Alexis do Santos Zounon
AU - François Avakoudjo
AU - Wassi Adjibabi
Y1 - 2018/05/09
PY - 2018
N1 - https://doi.org/10.11648/j.ijidt.20180302.11
DO - 10.11648/j.ijidt.20180302.11
T2 - International Journal of Infectious Diseases and Therapy
JF - International Journal of Infectious Diseases and Therapy
JO - International Journal of Infectious Diseases and Therapy
SP - 24
EP - 29
PB - Science Publishing Group
SN - 2578-966X
UR - https://doi.org/10.11648/j.ijidt.20180302.11
AB - Introduction: Acute otitis media (AOM) is a common childhood infection, subject to a wrongful prescription of antibiotics. The objective of this work was to evaluate the practices of general practitioners of North-Benin, in term of caring AOM in children. Methods: This was a cross-sectional, descriptive survey based on a telephone interview questionnaire with 112 general practitioners working in North Benin in 2017. The collected data were analyzed using EpiData Analysis and Open Epi software. The Khi2 test was used for comparisons. The significance threshold adopted was 0.05. Results: Of the 145 general practitioners listed, 112 participated in the survey for a participation rate of 77.2%. The mean age was 32 ± 6 years with a sex ratio of 4.04 and the median duration of seniority in the medical practice was 4 years with extremes of 1 and 32 years. Three main clinical signs suggestive of the diagnosis were, according to the respondents, otalgia (107; 95.5%), otorrhea (86; 76.8%) and fever (77; 68.8%). Tympanum inflammation and middle ear effusion association was considered as a diagnostic criterium by 17.9% of doctors. Therapeutic recommendations were known by 15 doctors (13.4%). Systematic antibiotic therapy was advocated by 86 doctors (76.8%). The main reasons for systematic antibiotics were the frequent use of antibiotics by parents in the self-medication (63 cases or 74.4%), the difficulty of following up the child (55 cases or 64 per cent) and the fear of the locoregional or systemic spread of infection (40 cases or 46.5%). The amoxicillin-clavulanic acid combination was prescribed as first-line by 68 respondents (62.4%). Forty doctors (36.7%) prescribed third-generation cephalosporins as second-line therapy. Systemic rhinopharyngeal disinfection was performed by 23 doctors (20.5%). In case of therapeutic failure, the opinion of an ENT doctor was requested by 66 general practitioners or 58.9% of the cases. Conclusion: It is necessary that Beninese medical companies develop national recommendations for managing the acute otitis media and ensure their diffusion through continuous medical training.
VL - 3
IS - 2
ER -

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Author Information

Marius Claude Flatin

Faculty of Medicine, University of Parakou, Parakou, Benin
Spéro Herménégilde Raoul Hounkpatin

Faculty of Medicine, University of Parakou, Parakou, Benin
Cossi Angelo Attinsounon

Faculty of Medicine, University of Parakou, Parakou, Benin
Abdou Zulkif Toungou

Faculty of Medicine, University of Parakou, Parakou, Benin
Fatiou Alabi Bouraima

Regional and Teaching Hospital of Borgou, Parakou, Benin
Alexis do Santos Zounon

Faculty of Medicine, University of Abomey Calavi, Cotonou, Benin
François Avakoudjo
Wassi Adjibabi

Faculty of Medicine, University of Abomey Calavi, Cotonou, Benin

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Marius Claude Flatin, Spéro Herménégilde Raoul Hounkpatin, Cossi Angelo Attinsounon, Abdou Zulkif Toungou, Fatiou Alabi Bouraima, et al. (2018). Care for Acute Otitis Media in Children by General Practitioners in North Benin in 2017. International Journal of Infectious Diseases and Therapy, 3(2), 24-29. https://doi.org/10.11648/j.ijidt.20180302.11

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Marius Claude Flatin; Spéro Herménégilde Raoul Hounkpatin; Cossi Angelo Attinsounon; Abdou Zulkif Toungou; Fatiou Alabi Bouraima, et al. Care for Acute Otitis Media in Children by General Practitioners in North Benin in 2017. Int. J. Infect. Dis. Ther. 2018, 3(2), 24-29. doi: 10.11648/j.ijidt.20180302.11

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AMA Style

Marius Claude Flatin, Spéro Herménégilde Raoul Hounkpatin, Cossi Angelo Attinsounon, Abdou Zulkif Toungou, Fatiou Alabi Bouraima, et al. Care for Acute Otitis Media in Children by General Practitioners in North Benin in 2017. Int J Infect Dis Ther. 2018;3(2):24-29. doi: 10.11648/j.ijidt.20180302.11

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@article{10.11648/j.ijidt.20180302.11,
  author = {Marius Claude Flatin and Spéro Herménégilde Raoul Hounkpatin and Cossi Angelo Attinsounon and Abdou Zulkif Toungou and Fatiou Alabi Bouraima and Alexis do Santos Zounon and François Avakoudjo and Wassi Adjibabi},
  title = {Care for Acute Otitis Media in Children by General Practitioners in North Benin in 2017},
  journal = {International Journal of Infectious Diseases and Therapy},
  volume = {3},
  number = {2},
  pages = {24-29},
  doi = {10.11648/j.ijidt.20180302.11},
  url = {https://doi.org/10.11648/j.ijidt.20180302.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijidt.20180302.11},
  abstract = {Introduction: Acute otitis media (AOM) is a common childhood infection, subject to a wrongful prescription of antibiotics. The objective of this work was to evaluate the practices of general practitioners of North-Benin, in term of caring AOM in children. Methods: This was a cross-sectional, descriptive survey based on a telephone interview questionnaire with 112 general practitioners working in North Benin in 2017. The collected data were analyzed using EpiData Analysis and Open Epi software. The Khi2 test was used for comparisons. The significance threshold adopted was 0.05. Results: Of the 145 general practitioners listed, 112 participated in the survey for a participation rate of 77.2%. The mean age was 32 ± 6 years with a sex ratio of 4.04 and the median duration of seniority in the medical practice was 4 years with extremes of 1 and 32 years. Three main clinical signs suggestive of the diagnosis were, according to the respondents, otalgia (107; 95.5%), otorrhea (86; 76.8%) and fever (77; 68.8%). Tympanum inflammation and middle ear effusion association was considered as a diagnostic criterium by 17.9% of doctors. Therapeutic recommendations were known by 15 doctors (13.4%). Systematic antibiotic therapy was advocated by 86 doctors (76.8%). The main reasons for systematic antibiotics were the frequent use of antibiotics by parents in the self-medication (63 cases or 74.4%), the difficulty of following up the child (55 cases or 64 per cent) and the fear of the locoregional or systemic spread of infection (40 cases or 46.5%). The amoxicillin-clavulanic acid combination was prescribed as first-line by 68 respondents (62.4%). Forty doctors (36.7%) prescribed third-generation cephalosporins as second-line therapy. Systemic rhinopharyngeal disinfection was performed by 23 doctors (20.5%). In case of therapeutic failure, the opinion of an ENT doctor was requested by 66 general practitioners or 58.9% of the cases. Conclusion: It is necessary that Beninese medical companies develop national recommendations for managing the acute otitis media and ensure their diffusion through continuous medical training.},
 year = {2018}
}

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