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Survey assessment on pediatricians’ attitudes on head lice management

BACKGROUND: Pediculosis capitis is a worldwide health problem. One of the most important factor in effective head lice eradication is to ensure that infestation is adequately recognized and treated. Our survey investigated the knowledge and practice among primary care Italian pediatricians regarding...

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Autores principales: Fancelli, Claudia, Prato, Manuela, Montagnani, Carlotta, Pierattelli, Monica, Becherucci, Paolo, Chiappini, Elena, de Martino, Maurizio, Galli, Luisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3853107/
https://www.ncbi.nlm.nih.gov/pubmed/24090319
http://dx.doi.org/10.1186/1824-7288-39-62
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author Fancelli, Claudia
Prato, Manuela
Montagnani, Carlotta
Pierattelli, Monica
Becherucci, Paolo
Chiappini, Elena
de Martino, Maurizio
Galli, Luisa
author_facet Fancelli, Claudia
Prato, Manuela
Montagnani, Carlotta
Pierattelli, Monica
Becherucci, Paolo
Chiappini, Elena
de Martino, Maurizio
Galli, Luisa
author_sort Fancelli, Claudia
collection PubMed
description BACKGROUND: Pediculosis capitis is a worldwide health problem. One of the most important factor in effective head lice eradication is to ensure that infestation is adequately recognized and treated. Our survey investigated the knowledge and practice among primary care Italian pediatricians regarding to the prevention and treatment of head lice. METHODS: The questionnaire was distributed to all the pediatricians registered at the Annual Congress of Practice in Pediatrics held in Florence, Italy, November 11–12, 2011. It includes 10 questions in a multiple choice format, and one answer for each question was provided. The questionnaire was conceived by pediatricians at the Infectious Disease Unit of the Department of Science for the Health of Woman and Child, University of Florence. Questions were designed according to the guidelines by the Italian Pediatric Society (SIP), and international guidelines, such as the Centers for Disease Control and Prevention (CDC), and the American Academy of Pediatrics (AAP). RESULTS: Overall, 364/600 pediatricians (60.7% of physicians registered to the Congress) returned the questionnaire. The majority of them (232/364; 63,7%) believe that parents consult their primary care pediatrician only after the failure of other “remedies”. Mostly, they prescribe Malathion (116/364, 31,8%) as first line treatment. Two-hundred-fourty-three (66.7%) of participants consider creams, foams and gels the most effective formulations. Two-hundred-sixty-two of pediatricians interviewed (72.0%) suggest to repeat the treatment after one week, 37/364 (10.2%) after two weeks. The majority of the pediatricians interviewed reported that recurrences occur in less than 30% of cases (279/364; 76,6%). In their own opinion, most of recurrences are the consequence of a reinfestation in the community (259/264; 77%). Three-hundred-thirty-four (91.7%) of them have never prescribed oral therapy for the treatment of head lice. Finally, 289/364 (79.4%) pediatricians believe that no product is effective for prevention. CONCLUSIONS: This is the first study that investigates the clinical practice of family pediatricians about the management and treatment of head lice globally, the Italian pediatricians surveyed proved to be quite informed on the head lice management. However, even in a country where pediatric assistance is free for everybody, a considerable proportion of parents do not seek advice to their own family pediatrician. Therefore, educations of parents, other than continuous updating of pediatricians, may contribute to a better management of head lice in the community.
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spelling pubmed-38531072013-12-18 Survey assessment on pediatricians’ attitudes on head lice management Fancelli, Claudia Prato, Manuela Montagnani, Carlotta Pierattelli, Monica Becherucci, Paolo Chiappini, Elena de Martino, Maurizio Galli, Luisa Ital J Pediatr Research BACKGROUND: Pediculosis capitis is a worldwide health problem. One of the most important factor in effective head lice eradication is to ensure that infestation is adequately recognized and treated. Our survey investigated the knowledge and practice among primary care Italian pediatricians regarding to the prevention and treatment of head lice. METHODS: The questionnaire was distributed to all the pediatricians registered at the Annual Congress of Practice in Pediatrics held in Florence, Italy, November 11–12, 2011. It includes 10 questions in a multiple choice format, and one answer for each question was provided. The questionnaire was conceived by pediatricians at the Infectious Disease Unit of the Department of Science for the Health of Woman and Child, University of Florence. Questions were designed according to the guidelines by the Italian Pediatric Society (SIP), and international guidelines, such as the Centers for Disease Control and Prevention (CDC), and the American Academy of Pediatrics (AAP). RESULTS: Overall, 364/600 pediatricians (60.7% of physicians registered to the Congress) returned the questionnaire. The majority of them (232/364; 63,7%) believe that parents consult their primary care pediatrician only after the failure of other “remedies”. Mostly, they prescribe Malathion (116/364, 31,8%) as first line treatment. Two-hundred-fourty-three (66.7%) of participants consider creams, foams and gels the most effective formulations. Two-hundred-sixty-two of pediatricians interviewed (72.0%) suggest to repeat the treatment after one week, 37/364 (10.2%) after two weeks. The majority of the pediatricians interviewed reported that recurrences occur in less than 30% of cases (279/364; 76,6%). In their own opinion, most of recurrences are the consequence of a reinfestation in the community (259/264; 77%). Three-hundred-thirty-four (91.7%) of them have never prescribed oral therapy for the treatment of head lice. Finally, 289/364 (79.4%) pediatricians believe that no product is effective for prevention. CONCLUSIONS: This is the first study that investigates the clinical practice of family pediatricians about the management and treatment of head lice globally, the Italian pediatricians surveyed proved to be quite informed on the head lice management. However, even in a country where pediatric assistance is free for everybody, a considerable proportion of parents do not seek advice to their own family pediatrician. Therefore, educations of parents, other than continuous updating of pediatricians, may contribute to a better management of head lice in the community. BioMed Central 2013-10-03 /pmc/articles/PMC3853107/ /pubmed/24090319 http://dx.doi.org/10.1186/1824-7288-39-62 Text en Copyright © 2013 Fancelli et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Fancelli, Claudia
Prato, Manuela
Montagnani, Carlotta
Pierattelli, Monica
Becherucci, Paolo
Chiappini, Elena
de Martino, Maurizio
Galli, Luisa
Survey assessment on pediatricians’ attitudes on head lice management
title Survey assessment on pediatricians’ attitudes on head lice management
title_full Survey assessment on pediatricians’ attitudes on head lice management
title_fullStr Survey assessment on pediatricians’ attitudes on head lice management
title_full_unstemmed Survey assessment on pediatricians’ attitudes on head lice management
title_short Survey assessment on pediatricians’ attitudes on head lice management
title_sort survey assessment on pediatricians’ attitudes on head lice management
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3853107/
https://www.ncbi.nlm.nih.gov/pubmed/24090319
http://dx.doi.org/10.1186/1824-7288-39-62
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