PARENTAL KNOWLEDGE, ATTITUDES AND PRACTICES (KAPs) ON THE USE OF ANTIBIOTICS IN CHILDREN FOR UPPER RESPIRATORY TRACT INFECTIONS (URTIs (original) (raw)
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Sohag Medical Journal, 2018
Background: Upper respiratory tract infections (URTIs) are considered to be the most common reason for children's visits to outpatient clinics. The emergence and spread of resistance related to the irrational use of antibiotics is a major global public health problem. Aim of the work: This study aimed to assess parents' knowledge, attitude, and practice (KAP) regarding the use of antibiotics in URTIs in children. Methodology: A cross-sectional study wascarried out among parents(N=800) of children who were attending the maternal and child health center in Sohag city and the family medicine unit in Elmahamdaelbahria village in the period from 1 st July 2016 till 31 th May 2017.Results:Our results revealed that females were about 62.6%, those not sharing in labor force were 55.9 %, and urban parents were about58.8%. The mean age of parents was 33 years old.There is a statistically highly significant difference between mother & father in mean scoresof knowledge, attitude, practice; they were lower in fathers. Also, there is statistically significant difference between parents with different ages in practice score. There are highly statistically significant differences between mothers who were sharing and not sharing in labor force in Attitude, Practice scores.Conclusion:Parents with loweducational level, rural residence, low income and with two children or less have lack of knowledge ,inappropriate beliefs andpractices so they are vulnerable for misusing antibiotics for their children.
Journal of Family Medicine and Primary Care, 2019
Objectives: This study aimed to evaluate parents' awareness toward antibiotics use in upper respiratory tract infection in children. Methods: This cross-sectional study conducted in Al-Qassim using validated and translated questionnaire whish was distributed using what's app. over a period of 3 months, extended from May 2018 to July 2018. Results: The number of respondents were 405, majority 81% chose physicians as the main source of information about antibiotic use. Forty-four percent of parents agreed that most URTIs are viral in origin and self-limiting without needing antibiotics. However, 19% of parents believed that antibiotics should be given to all children who have a fever. Fifty two percent were aware that inappropriate use of antibiotics reduces antibiotic efficacy and drives bacterial resistance. Sixty percent of participants chose antibiotics as the treatment they anticipated to be recommended. Fever was the dominant symptom among others of URTI, that would make (21.7%) always ask physicians to prescribe antibiotics. Parents who never asked paediatricians to prescribed antibiotics for their children were (36.5%). The attitude and practice of the participants were associated with the number of children they had; parents with five children or more had a lower attitude and practice score. Conclusion: this study found that majority of the participant were educated but with poor attitude and practice. Although parents are concerned about the use of over counter antibiotics, often demand it. Considering that parents are unaware of indications and subsequent complications of using over counter antibiotics, they often request mentioned drugs, showing concern nonetheless. the need to understand parents' knowledge, attitude and practice regarding the use of antibiotics for URTIs is required in creating suitable interventional educational programs and raise awareness to avoid futile antibiotic use.
Singapore medical journal, 2006
A study was carried out in a primary healthcare clinic in the Hulu Langat district of Malaysia to assess the parental knowledge, attitudes and antibiotic use for common childhood acute upper respiratory tract infection (URTI). A cross-sectional study involving 421 parents, who were surveyed by using an interviewer-administered questionnaire, from April to June 2001. Approximately 59 percent of parents from this study believed that weather was the main cause of acute URTI of their children, 13 percent thought it was due to food, and only about 27 percent said it was caused by germs. Nearly 68 percent, 69 percent and 76 percent of them believed that antibiotics was helpful in treating the common cold, cough and fever, respectively. 29 percent of parents who thought that their child with acute URTI needed antibiotics were not prescribed with any. On the other hand, 17 percent believed that antibiotics were unnecessary when prescribed. 28 percent of parents had requested for antibiotics...
Epidemiology, Biostatistics, and Public Health
Background: Upper respiratory tract infections are common in children and represent a significant cause of antibiotic abuse. Parents’ knowledge and attitudes often contribute to inappropriate prescription of antibiotics and promoting antibiotics resistance. The study aimed at exploring parental knowledge, attitudes and practices towards antibiotic use in children with URTI along with identifying the reasons behind self-medication and abuse of antibiotics Methods: A cross sectional survey was conducted at pediatric outpatient clinics of Saqr Hospital in the emirate of Ras Al Khaimah,United Arab Emirates A structured interview questionnaire was used to collect data from 239 parents of children aged less than7 years, between February to March 2016 Results: More than half (54.4%) of the respondents had a poor level of knowledge. About (66.1%) were not aware that antibiotics are indicated to treat bacterial infection. However, 67.2 % of the respondents incorrectly identified that antibio...
2021
BackgroundUpper respiratory tract infections (URTIs) are common in children. Most URTIs have been shown to be of viral origin. Inappropriate use of antibiotics is one of the main causes of antibiotic resistance. The problem of unnecessary antibiotic use among children is a concern for antibiotic resistance in low- and middle-income developing countries.MethodsOur study is a cross-sectional survey study. It was carried out between 14 December 2020 and 1 April 2021 for parents over 18 years of age with a child under 18 years’ old who applied to the general pediatrics outpatient clinics of Gazi University Faculty of Medicine Hospital Department of Pediatrics.Results554 parents responded to the questionnaire. A total of 15.7% of parents stated to use antibiotics in any child with fever. 37% of parents believed that antibiotics could cure infections caused by viruses. 6.3% of parents declared that they put pressure on pediatricians to prescribe antibiotics. 85.6% of the parents stated th...
BMC Pediatrics, 2015
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.
Background:- Upper respiratory tract infections (URTIs) occur most commonly among children and most of these infections are self-limiting with a very low risk ofcomplications and its management consist of self-care and symptomatic treatment. Objectives:- To examine assess parental knowledge about the antibiotic use in the treatment of childhood upper respiratory tract infections (URTIs), Saudi Arabia. Methods:- A Pre-formed Self-administered questionnairewas conducted among the parents of children with URTIs of Jeddah City. Results:- A total of 385parents from Jeddah City were included, of them 325 were females. Overall, 69 members of all interviewed parents had satisfactory knowledge on antibiotic use but 316 parents which represents the majority of subjects had poor knowledge.Univariate analysis showed that female was found to be the only variablethat associated with satisfactory knowledge. Conclusion:- The knowledge of Parents in this study showed a poor knowledge on antibiotic use, which is significantly dependent on female gender.
International Journal of Environmental Research and Public Health, 2011
Upper respiratory tract infections (URTIs) are common in children and represent a significant cause of antibiotic abuse which contributes to the development of antibiotic resistance. A survey was conducted in Cyprus in 2006 to assess parents' and pediatricians' Knowledge, Attitude and Practices (KAP) concerning the role of antibiotics in children with URTIs. A school-based stratified geographic clustering sampling was used and a pre-tested KAP questionnaire was distributed. A different questionnaire was distributed to paediatricians. Demographic factors associated with antibiotic misuse were identified by backward logistic regression analysis. The parental overall response rate was 69.3%. Parents (N = 1,462) follow pediatricians advice and rarely administer antibiotics acquired OPEN ACCESS over the counter. Although a third expects an antibiotic prescription for URTI symptoms, most deny pressuring their doctors. Low parental education was the most important independent risk factor positively related to antibiotic misuse (OR = 2.88, 95%CI 2.02 to 4.12, p < 0.001). Pediatricians (N = 33) denied prescribing antibiotics after parental pressure but admit that parents ask for antibiotics and believe they expect antibiotic prescriptions even when not needed. In conclusion, Cypriotic parents trust their primary care providers. Although it appears that antibiotic misuse is not driven by parental pressure, the pediatricians' view differs.
BMC Pediatrics
Background: Excessive and inappropriate antimicrobial use in the community is one risk factor that can result in the spread of antimicrobial resistance. Upper respiratory tract infections are most frequently reported among children and mainly of viral origin and do not require antibiotics. We have conducted Knowledge, Attitude and Perception (KAP) survey of parents to explore the parent's knowledge, attitude & perception of Saudi parents. Methods: A knowledge attitude perception questioner was adopted from a previous study conducted in Greece by Panagakou et al. Raosoft online sample size calculator calculated the sample size by adding the total estimated Makkah population of 5,979,719 with a response rate of 30%, 5% margin of error and 99% confidence interval. Based on the described criteria five hundred & fifty-eight was the required sample size of the study. Incomplete questioners were excluded from the statistical analysis. SPSS version 21 was used to analyse data and to produce descriptive statistics. Results: Most of the mothers (95%) responded among parents. 67% had no health insurance to cover medications costs. Most of them (74%) were related to medium income level. Seventy per cent of the parents believed physicians as a source of information for judicious antibiotics use. Interestingly, only 8% were agreed that most of the upper respiratory tract infections are caused by viral reasons. Majority of Saudi parents (53%) expect pediatricians to prescribe antimicrobials for their children for symptoms like a cough, nose discharge, sore throat and fever. Moreover, most the parents had the poor knowledge to differentiate commonly used OTC medications for URTI and antibiotics like Augmentin (Co-amoxiclav), Ceclor (cefaclor) and Erythrocin (Erythromycin). While comparing males and female's knowledge level, few males have identified Amoxil (Amoxicillin). Similarly, parents of age 20-30 years have good knowledge about the antibiotics. Conclusions: Majority of Saudi parents believe in pediatricians and use antibiotics on physician's advice. Most of them expect antibiotics from their physicians as a primary treatment for upper respiratory tract infections. There is need for more educational activities to parents by the pharmacists to prevent antibiotics overuse among children.
Parental knowledge of antibiotic use in children with respiratory infections: a systematic review
The International journal of pharmacy practice, 2017
Antimicrobial resistance (AMR) is an increasing global problem. AMR threatens the effective prevention and treatment of an ever-increasing range of infections caused by bacteria, parasites, viruses and fungi. The misuse and overuse of antibiotics (AB) is the major contributor to the emergence of resistant bacteria in humans. To present and describe characteristics in parents' knowledge about when and how to use AB for an upper respiratory tract infection (URTI), their attitudes towards doctors and AB use in general, and their behaviour when their child suffers from an URTI. The database search was conducted in EMBASE and PubMed for articles published in English, French, Spanish and Scandinavian languages from the inception until May 2016. Qualitative and quantitative studies with focus on parent' knowledge, attitude and behaviour concerning treatment with AB for URTIs among children and adolescents were included. Extracted information included date of study, design, focus, l...