Evaluation of the Behaviors and Attitudes of the Parents of the Primary School Students Among the Rational Use of Antibiotics (original) (raw)
Related papers
Indian Journal of Pharmacology, 2015
Objectives: The objective was to assess the views of clinicians in teaching hospitals of Kolkata regarding the use of antibiotics in their own hospitals, focusing on perceived misuse, reasons behind such misuse and feasible remedial measures. Materials and Methods: A total of 200 clinicians from core clinical disciplines was approached in six teaching hospitals of Kolkata through purposive sampling. A structured, validated questionnaire adopted from published studies and modifi ed to suit the responding population was completed by consenting respondents through face-to-face interaction with a single interviewer. Respondents were free to leave out questions they did not wish to answer. Results: Among 130 participating clinicians (65% of approached), all felt that antibiotic misuse occurs in various hospital settings; 72 (55.4% of the respondents) felt it was a frequent occurrence and needed major rectifi cation. Cough and cold (78.5%), fever (65.4%), and diarrhea (62.3%) were perceived to be the commonest conditions of antibiotic misuse. About half (50.76%) felt that oral preparations were more misused compared to injectable or topical ones. Among oral antibiotics, co-amoxiclav (66.9%) and cefpodoxime (63.07%) whereas among parenteral ones, ceftriaxone and other third generation cephalosporins (74.6%) followed by piperacillin-tazobactam (61.5%) were selected as the most misused ones. Defi cient training in rational use of medicines (70.7%) and absence of institutional antibiotic policy (67.7%) were listed as the two most important predisposing factors. Training of medical students and interns in rational antibiotic use (78.5%), implementation of antibiotic policy (76.9%), improvement in microbiology support (70.7%), and regular surveillance on this issue (64.6%) were cited as the principal remedial measures. Conclusions: Clinicians acknowledge that the misuse of antibiotics is an important problem in their hospitals. A system of clinical audit of antibiotic usage, improved microbiology support and implementation of antibiotic policy can help to promote rational use of antimicrobial agents.
Knowledge, attitudes and practices of parents regarding antibiotic use in children
Journal of Ayub Medical College, Abbottabad : JAMC
Emerging resistance to antimicrobial chemotherapy is becoming a challenge for medicine in recent times. Un-prescribed use of antibiotics is a major contributor to development of this problem. In Pakistan access to antibiotics remains unchecked and hence results in it are over use. The aim of this study was to assess knowledge of parents regarding use of antibiotics, its associated problems, their source of information and their expectations from Paediatricians for prescription of anti-biotics. This is a questionnaire based cross sectional study conducted in Hayatabad town, District Peshawar. Parents who were consenting, had children aged between 0-16 years, and were not related to medical profession were included in study. Total number of participants interviewed was 400. Analysis was done using prevalence ratios. Most of the participants were mothers. Majority of respondents were literate with education up till level of Graduation. 64% mentioned that they enjoyed a good access to h...
Knowledge and Practices about the Rational Use of Antibiotics
Decreasing antibiotic effectiveness due to inadequate knowledge and misconceptions on antibiotic usages has been a big threat all over the world including Bangladesh. The aim of the study was to determine the level of knowledge and practice about the rational use of antibiotics among adults in rural area of Rajshahi, Bangladesh. A Community Clinic (CC) based study was performed by involving 600 rural adults. Data were collected from different CC areas in the Rajshahi district, Bangladesh. Knowledge and practice were measured by using composite index. Multistage random sampling and binary logistic regression were used. The study revealed that only 17.2% rural adults had good knowledge about the rational use of antibiotics. The knowledge of proper usages of antibiotics was higher among the young adult compared to older age groups. Adults with primary, secondary and higher educational levels were more likely to have a good knowledge about the rational use of antibiotics compared to illiterate groups. In case of the rural adults, who were secondary and higher educated were more likely to have good practices about the rational use of antibiotics compared with their counterparts. However, majority of the participants (91.0%) had very poor practices in rational use of antibiotic. In this study we found that there was a vast gap of knowledge and practices about the rational use of antibiotics among rural adults in Bangladesh. Consequently, our findings can be considered to make awareness programme about rational use of antibiotic among rural adults in Bangladesh.
Turkish journal of family medicine and primary care, 2022
Background and Objectives: Antibiotics are widely used all over the world, but the use of appropriate antibiotics in the appropriate dose and duration plays a critical role in reducing the development of resistance, and mortality in particular, as well as undesirable effects and treatment costs associated with infections. The purpose of this study was to investigate the knowledge and attitudes of primary care family physicians regarding the rational use of antibiotics (RUA) and to raise awareness about this issue. Methods: Before the "Training for the Rational Use of Antibiotics" for family physicians of primary healthcare in Antalya in 2019, a questionnaire was distributed to the physicians. The questionnaire contained 37 questions, including 27 multiple-choice questions designed to assess physicians' general attitudes toward antibiotic rationalization. The questionnaire, which consists of ten questions, also includes a test at the end, which is calculated over a total of 100 points. The purpose of the test is to assess family physicians' knowledge of rational antibiotic use. Each correct answer was worth 10 points, and the average success and standard deviations of the physicians were computed. Results: This study included 143 family physicians in total. The mean success score standard deviation (SD) was found to be 66.5 18.51 out of 100 in the test, which measures the knowledge level of physicians prior to training. The success scores of physicians aged 55 and older were found to be statistically significantly lower than the scores of those in other age groups (55.6 21.2 points (mean SD). Other variables examined within the scope of the study were found to have no effect on the physicians' success scores. It was also discovered that physicians frequently answered incorrectly questions about the use of the Modified Centor Clinical Scoring system.The relevant records showed that only 7867 (27.4%) of 28 712 Rapid Antigen tests (RATs) distributed to family physicians by the Provincial Health Directorate were used. Conclusions: Although the majority of the participants stated that they used diagnosis and treatment guidelines when prescribing antibiotics, it was discovered that the use of the Modified Centor clinical scoring system and the RADTs was not common among them, and that there were some deficiencies in the RUA.
What drives inappropriate use of antibiotics? A mixed methods study from Bahawalpur, Pakistan
This study investigates the knowledge, attitudes and practices of the general public regarding the use of antibiotics in community pharmacy, in Pakistan. Methods: This is a mixed method study where data were collected through a validated questionnaire and semi-structured interviews. Convenience sampling techniques were used to recruit participants from the general public of Bahawalpur, Pakistan who visited pharmacies to purchase antibiotics between 1 June 2018 and 31 July 2018. Descriptive statistics and regression analyses were used to tabulate the results of quantitative data while inductive thematic analysis was used to identify themes and draw conclusions from the qualitative data. Results: Over 60% of the 400 survey participants (n=246; 61.5%) had a moderate level of antibiotic knowledge; however, attitudes regarding antibiotics use were poor in half the sample (n=201; 50.3%). More than half (n=226; 56.6%) of the respondents stated that antibiotics could cure all types of infections. Just under one third (n=129; 32.3%) of respondents obtained the appropriate dosage regimen while the majority did not complete the course (n=369; 92.3%); stopping when they felt better. Inductive thematic analysis yielded four themes, 10 subthemes and 27 categories. Two subthemes were related to knowledge, one to attitude, three to practices and four subthemes were related to suggestions to improve the healthcare system. Inappropriate antibiotic practices included: lack of consultation with healthcare professionals, purchase of antibiotics without prescription or refilling of previous prescription, use of home supply of antibiotics, sharing of antibiotics with others, improper dosage regimens and early cessation of antibiotic therapy. Conclusion: Level of education, low health literacy, high consultation fees of private practitioners, inadequate health facilities in government hospitals and patient overload, busy schedules of people, poor healthcare infrastructure in rural areas and unrestricted supply of antibiotics were key factors associated with inappropriate use of antibiotics in Pakistan.
Use of Antibiotics in Paediatrics, What Parents Think
Background-The exaggerated use of antibiotics led to high rates of antibiotic resistance in our geographical area. Objective-to map the parents' attitudes and their knowledge regarding the antibiotic therapy in Paediatrics. Materials and methods-A questionnaire was used, comprising 20 questions that would probe the parents' attitude towards the introduction of antibiotic therapy, the criteria for introducing the antibiotic therapy, the frequency of antibiotic consumption in the family, elements of antibiotic resistance, the frequent consumption of antibiotics, etc. 500 parents of children admitted to the Paediatrics Clinic of the Arad County Hospital answered the questionnaire and the data were analysed statistically by the SPSS 10 software. Results and discussions-the parents consider that the antibiotic reduces the fever and that it must be introduced against the fever. The parents introduce the antibiotic following advice from unauthorized persons and sometimes administer...
Parent related factors influencing the improper use of antibiotics in children
International journal of pharmaceutical research and life sciences, 2020
Objective to determine the parent related factors which are in luencing the improper use of antibiotics in children. Antibiotics are the most commonly used drugs for treating infections. Parents' knowledge and practices to use medicines have important effects on the management of childhood illness. Improper use of the antibiotics could be because of some strongly in luenced parent related factors. A prospective study was conducted in 200 subjects from the randomly chosen communities in Bangalore. Door to door visit was done by the investigators. Demographic data were collected using CRF [Case Report Form] and Questionnaires were used to assess parental knowledge and practice of antibiotic use in children. Questionnaires were validated and either of the parents was asked to answer the questionnaire. Answers collected using the questionnaire was correlated with some of the parent related demographic factors. Our study revealed that majority of the responders were mother and most of them are of middle age and have myth about the antibiotic use in children. Education level of the parents has a direct impact on knowledge about antibiotic use. Increase in number of children in a family have a correlation in improper practice of antibiotic use. Income status is related with the practise of the antibiotic use. Occupation also plays an important role in the practice of antibiotic use in children. Residing area also in luences in antibiotic use by parents. Parents' non-adherence towards antibiotics for their children is also governed by various adverse drug reactions like allergic conditions, nausea, vomiting, fever etc.
International Journal of Innovative Scientific Research & Education
Introduction: Antibiotics resistance is a form of a drug resistance where bacteria are able to survive after exposure to one or more antibiotics. Bacteria that are resistant to multiple antibiotics are considered multidrug resistant. Overuse and misuse of antibiotics has become the primary cause of rising levels of antibiotic resistance. Aim of the study: To assess the knowledge and practices regarding use of antibiotics among adults residing in selected area of District Mohali. Material and methods: Convenient sampling technique was used to select 200 adults residing in selected areas of District Mohali. The investigator developed a questionnaire and Likert rating scale to assess knowledge and practices on use of antibiotics respectively. Results: Majority of subjects 128 (64%) had inadequate knowledge regarding antibiotic use whereas only 72 (36%) subjects had adequate knowledge regarding antibiotics. As per practice, majority of subjects 76 (38%) often reduced the doses of antibiotics when they get better. 68 (34%) subjects sometimes took antibiotics by their own choice when condition was mild. 76 (38%) subjects believe that they often get more sick if they did not receive antibiotics for common cold and cough. 102 (51%) rarely followed antibiotics doses strictly. 100 (50%) rarely felt that skipping of antibiotics doses does not make much difference. 78 (39%) often took antibiotics for common cold. 76 (38%) subjects often felt that children with common cold get better faster when antibiotics are given. 78 (39%) subjects often expect prescription of medication including antibiotics when they visit to doctor. 84 (42%) subjects felt that their cold symptoms are often cured by antibiotics. 72 (36%) subjects often stopped taking antibiotics when they felt better. 106 (53%) sometimes stopped taking to antibiotics when family and friends advised to them. 76 (38%) rarely get antibiotics from pharmacy without prescription. 70 (35%) subjects rarely stored antibiotics at home for future use. 72 (36%) sometimes took antibiotics without prescription when they had high temperature. 84 (42%) subjects rarely changed the doctor when doctor do not prescribed antibiotics. Conclusion: Majority of subjects 64% had inadequate knowledge regarding antibiotic use whereas only 36% subjects had adequate knowledge regarding antibiotics.
Pediatric Oncall, 2020
To assess parents' knowledge and attitudes towards the use of antibiotics within the paediatric age range. Methods and Materials: This observational, descriptive and cross-sectional study, with a voluntary and anonymous questionnaire was implemented over three months to a sample of parents of children and teenagers enrolled on two Family Health Units, D. Jordão (rural area) and Sétima Colina (urban area). results: A total of 294 valid questionnaires were obtained. Only 149 (51%) answered that antibiotics treat bacterial infections, 101 (34%) believed that they help in the recovery of a flu and 36 (12%) considered that they should always be used in case of fever. Two hundred twenty-seven (77%), identified misuse of antimicrobials as a cause of bacterial resistance, even so, 31% became concerned if the doctor does not prescribe these drugs. Only 87 (30%) showed high level of knowledge and a statistically significant correlation existed between higher age of parents [Odd's ratio (OR)=2.37], education (OR=3.42), confidence in doctors (OR=2.06) and level of knowledge of respondents. There was no statistically significant difference between the level of knowledge of users in the rural environment compared to those in the urban environment (p=0.546). conclusion: Most parents are unaware of antibiotics' function, as well as the difference between viral and bacterial infections. Although they identify that misuse of these drugs may lead to bacterial resistance, parents become reluctant when antibiotics are not prescribed. introduction Antibiotics, whose function allows the prevention and cure of infections of bacterial origin, are considered one of the most relevant inventions of the 20 th century. 1-3 Prior to their discovery, bacterial infections contributed significantly tzo morbidity and mortality on a global scale. 1,4 Thus, antibiotics play an essential role in medical practice, 2,5 so their prescription has been increasing. 4,6 In 2014, these drugs contributed to 70.5% of the total anti-infectious drugs prescribed at ambulatory care and hospitals in Mainland Portugal. 7 However, its widespread use correlates with the development of strains of resistant bacteria. 1,8,9 Although this is a natural process resulting from the selective pressure exerted by the use of antibiotics, the selection of resistant strains is enhanced by inappropriate and frequent use of this pharmacological class. 8,10,15