evaluation of iranian pediatric specialists’ attitude and knowledge regarding approach to patients with acute otitis media

background: the ministry of health and medical education of iran and many other countries advice physicians to use this guideline for diagnosis and treatment of acute otitis media (aom), but there is not any evaluation of effectiveness and obedience of this guideline, so the aim of this study was to evaluate the attitude of pediatricians, the most important group that interfere with these patients in treatment of acute otitis media. methods: a total of 120 anonymous surveys were mailed to 120 pediatrician in tehran (iran) to evaluate pattern of diagnosis and treatment of aom in these physicians. age, gender, place of work, attitude of diagnosis and treatment were asked by anonymous survey. results: sixty-two completed surveys were received, for a response rate of 51%. there was no significant difference between responders in these survey and scenarios, according to sex, age, practice setting, graduation year or the number of aom patients visiting each month. conclusion: our study seems to add new insights to the previous literature on management of aom according to guideline. we can assess the impact of guidelines on the usual practice of practitioners in evidencedbased management of aom.