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How French general practitioners manage and prevent recurrent respiratory tract
infections in children: the SOURIRRE survey
#MMPMID28293116
Chicoulaa B
; Haas H
; Viala J
; Salvetat M
; Olives JP
Int J Gen Med
2017[]; 10
(?): 61-68
PMID28293116
show ga
BACKGROUND: Recurrent respiratory tract infections (RRTIs) are the most common
reason for children's visits to primary care physicians in France; however,
little is known about general practitioners' (GPs) opinions and expectations
concerning the management and prevention of these common and recurrent
pathologies. PURPOSE: To describe French GPs' daily practice in the management of
respiratory infections and the prevention of their recurrence in children.
METHODS: A sample group of French GPs answered a structured questionnaire on risk
factors, RRTI management, antibiotic use and prevention measures. RESULTS: A
total of 358 GPs participated in the survey. Rhinopharyngitis, the most frequent
respiratory infection, was considered to be recurrent if six or more episodes
occurred in a year. Four risk factors were acknowledged as substantial: living in
communities, passive smoking, pollution and allergies. Around 63% of GPs said
that RRTIs are too often treated with antibiotics. More than 85% thought that
prevention of RRTIs is possible. Smoking cessation, vaccination, allergen
avoidance and hygiene were identified as the main preventive measures. A large
majority of GPs (84%) prescribed products for prevention and ~90% would prescribe
a product stimulating immunity if the efficacy and tolerability of these agents
was proven and confirmed in their daily practice. CONCLUSIONS: French GPs are
well aware of the health and socioeconomic burdens resulting from RRTIs, as well
as the risk of antibiotic overuse. They have a prevention-oriented approach,
implement preventive measures when possible and prescribe products for
prevention.