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Parental knowledge, attitudes and practices regarding antibiotic use for acute upper respiratory tract infections in children: a cross-sectional study in Palestine.

Zyoud SH, Abu Taha A, Araj KF, Abahri IA, Sawalha AF, Sweileh WM, Awang R, Al-Jabi SW - BMC Pediatr (2015)

Bottom Line: Only 18.9% of parents thought that antibiotics did not have any harmful side effects.Fifty nine per cent of parents did not agree that URTIs are mostly viral in origin and are self-limited.Educational interventions for both parents and physicians will reduce unnecessary antibiotic use and resistance.

View Article: PubMed Central - PubMed

Affiliation: Poison Control and Drug Information Center (PCDIC), College of Medicine and Health Sciences, An-Najah National University, Nablus, 44839, Palestine. saedzyoud@yahoo.com.

ABSTRACT

Background: In primary health care centres, upper respiratory tract infections (URTIs) in children are commonly encountered by physicians. Viruses cause most URTIs, but parents' attitudes often represent an important reason for antibiotic abuse, which leads to the development and spread of antimicrobial resistance. The goal of this study was to examine parents' knowledge, attitudes, and practices (KAP) about antibiotic use for children with URTIs in Palestine.

Methods: A cross-sectional study was performed in primary health care centres in Nablus city from 1 June to 31 October 2012. A questionnaire was developed and administered to determine parents' KAP regarding antibiotic use for their children with URTIs.

Results: Three hundred and eighty-five parents completed the questionnaire. A total of 79.7% of the parents were attentive to the truth that antibiotic misuse is responsible for bacterial resistance. Only 18.9% of parents thought that antibiotics did not have any harmful side effects. Fifty nine per cent of parents did not agree that URTIs are mostly viral in origin and are self-limited. Almost 73% of parents choose antibiotics as a treatment for URTIs, while earache (68%) and fever (64%) were the most common reasons for which parents expected antibiotics. However, more than 38% of the parents never asked the paediatrician to prescribe antibiotics, and only 6% congratulated their paediatricians for not prescribing antibiotics.

Conclusions: Although there is a trusted relationship between parents and paediatricians, Palestinian parents have insufficient knowledge related to antibiotic use for URTIs in children, which results in inappropriate attitudes and practices. Educational interventions for both parents and physicians will reduce unnecessary antibiotic use and resistance.

No MeSH data available.


Related in: MedlinePlus

Parental expectations for antibiotic use corresponding to upper respiratory tract infection symptoms. Questions adopted from Panagakou et al. [31]
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Fig3: Parental expectations for antibiotic use corresponding to upper respiratory tract infection symptoms. Questions adopted from Panagakou et al. [31]

Mentions: Few parents would ask their paediatrician for antibiotics for nasal drainage (22 %) or dry throat (11 %), while the majority of parents would want their paediatrician to recommend an antibiotic if their child had an earache (68 %), fever (64 %), cold (52 %), cough (34 %), or was vomiting (30 %). Figure 3 shows parental expectations for antibiotic use corresponding to URTI symptoms. There are many reasons for parents to administer antibiotics to their children without having received previous medical advice. In particular, 24.7 % of parents used antibiotics as self-medication due to economic hardships or lack of time, while 50.6 % would give antibiotics to their child because they believed that symptoms (e.g., earache, fever, cold, cough) were not dangerous as much as necessary to see the paediatrician.Fig. 3


Parental knowledge, attitudes and practices regarding antibiotic use for acute upper respiratory tract infections in children: a cross-sectional study in Palestine.

Zyoud SH, Abu Taha A, Araj KF, Abahri IA, Sawalha AF, Sweileh WM, Awang R, Al-Jabi SW - BMC Pediatr (2015)

Parental expectations for antibiotic use corresponding to upper respiratory tract infection symptoms. Questions adopted from Panagakou et al. [31]
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4642624&req=5

Fig3: Parental expectations for antibiotic use corresponding to upper respiratory tract infection symptoms. Questions adopted from Panagakou et al. [31]
Mentions: Few parents would ask their paediatrician for antibiotics for nasal drainage (22 %) or dry throat (11 %), while the majority of parents would want their paediatrician to recommend an antibiotic if their child had an earache (68 %), fever (64 %), cold (52 %), cough (34 %), or was vomiting (30 %). Figure 3 shows parental expectations for antibiotic use corresponding to URTI symptoms. There are many reasons for parents to administer antibiotics to their children without having received previous medical advice. In particular, 24.7 % of parents used antibiotics as self-medication due to economic hardships or lack of time, while 50.6 % would give antibiotics to their child because they believed that symptoms (e.g., earache, fever, cold, cough) were not dangerous as much as necessary to see the paediatrician.Fig. 3

Bottom Line: Only 18.9% of parents thought that antibiotics did not have any harmful side effects.Fifty nine per cent of parents did not agree that URTIs are mostly viral in origin and are self-limited.Educational interventions for both parents and physicians will reduce unnecessary antibiotic use and resistance.

View Article: PubMed Central - PubMed

Affiliation: Poison Control and Drug Information Center (PCDIC), College of Medicine and Health Sciences, An-Najah National University, Nablus, 44839, Palestine. saedzyoud@yahoo.com.

ABSTRACT

Background: In primary health care centres, upper respiratory tract infections (URTIs) in children are commonly encountered by physicians. Viruses cause most URTIs, but parents' attitudes often represent an important reason for antibiotic abuse, which leads to the development and spread of antimicrobial resistance. The goal of this study was to examine parents' knowledge, attitudes, and practices (KAP) about antibiotic use for children with URTIs in Palestine.

Methods: A cross-sectional study was performed in primary health care centres in Nablus city from 1 June to 31 October 2012. A questionnaire was developed and administered to determine parents' KAP regarding antibiotic use for their children with URTIs.

Results: Three hundred and eighty-five parents completed the questionnaire. A total of 79.7% of the parents were attentive to the truth that antibiotic misuse is responsible for bacterial resistance. Only 18.9% of parents thought that antibiotics did not have any harmful side effects. Fifty nine per cent of parents did not agree that URTIs are mostly viral in origin and are self-limited. Almost 73% of parents choose antibiotics as a treatment for URTIs, while earache (68%) and fever (64%) were the most common reasons for which parents expected antibiotics. However, more than 38% of the parents never asked the paediatrician to prescribe antibiotics, and only 6% congratulated their paediatricians for not prescribing antibiotics.

Conclusions: Although there is a trusted relationship between parents and paediatricians, Palestinian parents have insufficient knowledge related to antibiotic use for URTIs in children, which results in inappropriate attitudes and practices. Educational interventions for both parents and physicians will reduce unnecessary antibiotic use and resistance.

No MeSH data available.


Related in: MedlinePlus