Acute Otitis media is one of the most common acute respiratory infections managed in primary care and the most common infection among in children. Diagnostic criteria, however, do not always correspond to scientific evidence. They often differ depending on individual preferences and competences. Treatment, also, is controversial. In Germany, most children attending their pediatrician or primary care physician will be prescribed antibiotics. Evidence from several randomized studies and systematic reviews suggests that routine usage of antibiotics provides only modest benefit. The benefit of prescribing antibiotics should not only be balanced against the increased likelihood of side effects such as diarrhoea but also against the potential to contribute to longterm antibiotic resistance.

In Mecklenburg-Vorpommern the prevalence of stimulant treatment has clearly increased. Since diagnosis-related data is not available it is not possible to assess the indications for treatment. Further studies should serve to evaluate the correspondence between diagnosis and therapy in relation to stimulant medication.

Background: The goal of measles eradication is still broadly discussed by health care authorities. Several studies suggest negative attitudes of general physicians (GPs) oriented in complementary and alternative medicine (CAM) with regard to measles eradication. We intended to identify prognostic factors for positive/negative attitudes in a survey of German GPs. Methods: In 2004, a total of 732 GPs received a questionnaire to evaluate their attitudes towards the eradication of measles asking for age, gender, medical qualification, license by health insurance, CAM orientation, monthly number of early detection checkups, patients per day, appraisal of significance of legal aspects and parents' autonomy. We carried out a QUEST decision tree analysis to identify predictors for a positive/negative attitude towards the eradication of measles. Results: 621 GPs (348 conventional vs. 273 CAM-oriented GPs) sufficiently completed the questionnaire and were included in this analysis. 256 physicians (41%) had a negative attitude towards the eradication of measles. In a 3-level decision tree we found a high number of early detection checkups (U9) in children being the first predictor for a positive attitude, followed in the second node by the CAM orientation. Based on this decision tree only 27 attitudes of GPs (4.4%) were falsely classified as yielding to a kappa index of agreement of k = 0.91 (95% CI: 0.88-0.94). Discussion: The CAM orientation of the physicians is not the only predictor for positive or negative attitudes towards measles eradication. In particular, the number of early detection checkups of children seems to play a major role in this context. Future research should focus on this aspect.

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EinleitungIn der Anthroposophischen Medizin (AM) wie auch der Homöopathie begegnen sie Ausprägungen der Medizin, deren Anspruch per se darin besteht, eine individualisierte Perspektive gegenüber dem Patienten einzunehmen. Der Gestus, sich als Patient der AM zuzuwenden, ist daher bereits von bestimmten Erwartungen getragen: Routine- oder Serieninterventionen, wie Impfungen, werden nicht regelhaft abgelehnt, aber mit dem Anspruch versehen, eine Maßnahme zu sein, die sich sinnvoll in den individuellen biologischen, sozialen und biographischen Kontext einpasst. Patienten, die eine komplementärmedizinische Behandlung in Anspruch nehmen, sind darüber hinaus häufig an der nachhaltigen Wirksamkeit von therapeutischen Interventionen interessiert.