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Background and aims The use of CAM (Complementary and Alternative Medicine) in paediatrics is high, although a variability of usage frequency between countries is reported, depending on data collection methods and type of CAM. The aim of this survey was to look into physicians’ approaches towards paediatric use of natural medicines, by a consistent study approach in a multi-country survey. Methods On-line survey involving 582 general paediatricians and general practioners treating paediatric patients in 6 countries. The study was sponsored by DHU-Arzneimittel GmbH and Co. KG. Results 99% of respondents recommended natural medicines (Phytotherapy or vitamins/minerals/supplements, VSM) in the previous year. Natural medicines were used as a complement to conventional treatment in most of patients. The most frequently treated conditions were: upper respiratory tract infections (51%), allergies (22%), acute abdominal problems (22%), recurrent infections (22%), earache (17%) and infant colic (15%). Here we give summarised data about the trends in natural remedies prescriptions by paediatricians. In the case of a 2 month old infant with recurrent colic 80% of physicians advised dietary changes. Conventional drugs were as frequently recommended as phytotherapy or homeopathy. The therapy of choice was probiotics. For a 2 year old child with teething problems, homeopathy was advised by 30% of physicians, while only 25% recommended conventional drugs. For a 5 year old child with recurrent upper respiratory tract infections the most frequent recommendations were conventional drugs, dietary advice and vitamins. Personal use of natural medicines corresponded to physicians´ predisposition to recommend natural treatments for their paediatric patients. Nearly half of the physicians were extremely interested in phytotherapy for paediatric conditions. Conclusions This survey confirms that physicians have a high interest in using natural medicines in paediatrics. Natural medicines were most often prescribed alongside conventional drugs. There is evidence of a variable level of knowledge about natural medicine options. There were significant country differences showing a cultural influence on physicians’ decisions.

In order to better understand the global approach and country differences in physicians’ usage, knowledge, and attitudes towards natural remedies and homeopathy in pediatric practice, an online survey involving 582 general pediatricians and general practitioners treating pediatric diseases was conducted in 6 countries. Overall, 17% of the pediatric prescriptions refer to phytotherapy and 15% refer to homeopathic preparations. Natural remedies and homeopathic preparations are more frequently used in upper respiratory tract infections, infant colic, sleep disturbances, and recurrent infections. In the majority of cases, they are used together with chemical drugs. Both treatment options are typically used if parents are concerned about side effects of conventional drugs or prefer natural remedies for themselves. Physicians express high interest in natural remedies and homeopathy; however, their knowledge is variable. Lack of proven efficacy, knowledge on mechanism of action, and information on indications are main factors that limit their usage.

We investigated the clinical effectiveness of a homeopathic add-on therapy in a pediatric subpopulation with upper respiratory tract infections (URTI) in a randomized, controlled, multinational clinical trial. Patients received either on-demand symptomatic standard treatment (ST-group) or the same ST plus a homeopathic medication (Influcid; IFC-group) for 7 days. Outcome assessment was based on symptom and fever resolution and the Wisconsin Upper Respiratory Symptom Survey–21 (WURSS-21). A total of 261 pediatric (

OBJECTIVE The aim of this study was to assess parental reliability in estimating child body weight in emergency situations, when weighing the child is often impossible. METHODS 312 parents were asked to complete an anonymous questionnaire that included estimating their child's weight. 233 questionnaires were enrolled in the study and were assessed statistically using Students t test, and chi2 and ANOVA tests. RESULTS 51.5% of parents estimated their child's body weight within +/-5% of the true weight, 73.4% within +/-10%, and 87.5% within +/-20%. A significant difference was found between paternal and maternal estimations, with 56% of mothers and only 40.3% of fathers estimating within a 5% range of accuracy (P < 0.05). CONCLUSIONS Parents, especially mothers, can estimate their child's body weight within clinically acceptable limits. These estimations can reliably be used to calculate drug doses in prehospital and emergency department situations, when children's weight is not known and cannot be measured.