Knowledge, attitudes and practices of parents regarding antibiotic use in children (original) (raw)

Awareness Level of Parents about Antibiotics Those Are given to Children in Riyadh Region 2017

The Egyptian Journal of Hospital Medicine, 2017

Background: Defect of use of antibiotics is bothering pediatricians. This defect is participating in the prevalence of one of global health problem called antibiotic Resistance. Many articles are supporting the idea that use of antibiotics is positively related to antibiotic resistance and this problem is increasing and growing up. By the way, incorrect use of antibiotics has many factors that contribute on, like patient attitude and deficiency of education from the physician who prescribed the antibiotic. Also, patient's knowledge and practice with the antibiotic like self-prescription. What is patient expecting from antibiotic and previous experience with antibiotics? Parents are responsible to give medications to children. So, we need to increase parents' knowledge, attitude and practice (KAP) toward antibiotics to reach new generation without antibiotic resistance. Regarding Saudi Arabia, antibiotic resistance already exists and the rate of resistance is increased in the last decade. Aim of the work: To assess how parents are aware of antibiotics those given to their children by evaluating knowledge, attitude, and practice of parents in Riyadh region, central Saudi Arabia. Methods: This is questionnaire based cross-sectional study. Authors were circulating on Riyadh Region to find volunteers to fill questionnaires among parents of children in public places by selecting parents of children up to 12 years old by choosing random samples from each place. The questionnaire has two parts: the first part, as usual, is containing demographic data. While the second part: is the part that is evaluating KAP of parents towards antibiotics. Then we compared the final results by Chi-Square test and p-values less than 0.05 was considered as significant value. Results: around 1058 parents volunteered to participate in this study (response rate was 88.16%) by mean age of 38. Around 89.6% used antibiotics for their children before. There are 9.5% of parents were believe that their children need antibiotics each time they get sick. More than 35% of our participants don't complete period of antibiotic use to their child as what is mentioned on prescription. About 82.3% believe that antibiotics can harm children. There are 41.7% of parents bought antibiotics to their children from the previous prescription. Around 61.1% don't know the term antibiotic resistance. There are 28.4% of participants could change their doctors if they don't prescribe antibiotics easily, while only 642(60.7%) could change their doctors if they prescribe antibiotics excessively. About 68.1% of participants believe that doctors prescribe antibiotics excessively. Nearly 49% have good KAP, 41% of participants have intermediate KAP and remaining 10% have poor KAP. Females are better than male in KAP, people with high degree education are better than other and parents who used antibiotics before are better than those who didn't (p-value < 0.05). Conclusion: Level of knowledge, attitude, and practice of people in Riyadh region is ranging between good to moderate, and tends to be good. We can expect antibiotics resistance to happen among new generation in Riyadh region. There is an unacceptable idea that is highly prevalent among parents that doctors excessively prescribe antibiotics. Moreover, mothers have better awareness than fathers. People with high degree level of education have better awareness than others.

Knowledge and awareness of proper use of antibiotics for children in Shobak medical center in Jordan

to asses awareness toward proper use of antibiotics for children in Jordan and to asses parents behavior toward prescribed medicines. Method: questionnaires were self admitted to parents both fathers and mothers, parents were persuaded for advantages of this study. Results: after astatistical analysis, collected data showed weak awareness of parents regarding proper use of antibiotic for their children. Conclusion:according to our studymore effort is needed toward parent's awareness of proper use of antibiotics.Pharmacists and physicians should concentrate on patient counseling to reduceirrational use of antibiotics.

Knowledge of pharmacists and parents towards antibiotic use in pediatrics: a cross-sectional study in Lebanon

Pharmacy Practice

Objectives: to assess the knowledge of both parents and community pharmacists regarding antibiotics use and resistance in pediatrics in Lebanon. Methods: A cross-sectional study was conducted between June and August 2017 in community pharmacies. A pre-established questionnaire targeting knowledge of parents and pharmacists regarding antibiotics use/misuse was carried out. An index of knowledge was computed to assess factors associated with good knowledge on antibiotics use/misuse. Results: The study showed that 28.7% of pharmacists did not know which factors may contribute to antimicrobial resistance. Concerning the misuse of antibiotics, pharmacists blamed at first parents (90.1%), at second level physicians (72.8%), and third themselves (59.4%). Furthermore, pharmacists believed that the socioeconomic problems of the country (86.1%), the level of resistance to the molecule of choice (80.8%), the lack of consultation time (71.2%) and the lack of national guidelines/recommendations (66.3%) might be additional factors contributing to antimicrobial resistance. In case of acute otitis media, the majority of pharmacists chose the correct treatment, dose and duration according to international guidelines; this was in contrast to the results obtained in case of pharyngitis. Female pharmacists had a significantly higher knowledge score compared to their male counterparts (ORa=2.51). Half of parents (42.6%) declared that antibiotics act against both viruses and bacteria, 55.9% still believe that the presence of fever requires the administration of antibiotics, 50% didn't know the consequences of antibiotics misuse, 58.4% said that it is okay to give their child antibiotics without a physician's advice or based on a pharmacist's recommendation, and 66.7% trusted the pharmacist in the antibiotic prescription. Parents with a university level of education or a master's degree had significantly better knowledge compared to illiterate ones (ORa=9.04 and ORa=16.46, respectively). Conclusions: Based on the results obtained, it would be necessary to implement educational campaigns in order to increase awareness on antibiotics misuse and resistance in pediatrics.

Evaluation of the Behaviors and Attitudes of the Parents of the Primary School Students Among the Rational Use of Antibiotics

The Journal of Tepecik Education and Research Hospital

Objective: Inappropriate use of antibiotics leads to an increase in antibiotic resistance. It is aimed to determine the attitudes of parents about the rational use of antibiotics in primary school students. Methods: The parents of primary school students in Hatay province were included in the study. Parents were asked to fill in a 25-question google questionnaire. The results were analyzed with SPSS v24. P<0.05 was considered significant. Results: A total of 481 parents participated voluntarily. Of them 46.4% stated that they first applied to the family physician when their child got sick. If both parents graduated from high school or higher degree, the rate of preference for family physicians was determined as 60.7% (n=139) (p<0.001). Multivitamin use was also higher in this group (32.2%, n=85, p<0.001). About half of the parents (47.4%) use antibiotics two-to-three times a year for their children. While the rate of those who stated that they used it for the duration and dose recommended by the physician was 97.5%. It was determined that 13.5% of them used a scale other than the antibiotic scale when the same question was asked differently. Of the parents, 35.6% stated that they were not informed by the healthcare professional about the possible side effects of antibiotics. Those who think that they have knowledge about the harms of using inappropriate antibiotics are 71.5%. Conclusion: There is still a lack of information about the damages of inappropriate antibiotic use, at a rate of 30-35%. More information should be given about the rational use of antibiotics.

Determinants of Antibiotics Misuse by the Parents in Children: A Survey From Northern Region of Saudi Arabia

Bangladesh Journal of Child Health, 2017

Objectives: To investigate knowledge, beliefs and practices associated with parental antibiotic misuse.Methods: This cross sectional study was conducted among the parents visited 4 major shopping malls (selling medicines) of Tabuk, Saudi Arabia from June to December 2015. Self-prescription of antibiotics for a child in the past year was defined as antibiotic misuse was noted.Results: From 610 parents (60.5% mothers and 39.5% fathers) 11.6% reported selfprescription. Responded parents differed by age, education, number of children and profession. Parents responded that antibiotics should be used for runny nose, sore throat, cough and fever (50%); to reduce symptom severity and duration (57.7%), should be stopped on clinical improvement (28.7%), are effective in viral infections (68.6%) and if used by the other family members should be given to the children (20.1%). Determinants of misuse in a multivariable model, were income, number of kid, type of infection treated last year, knowle...

Parental awareness regarding pediatric antibiotic use in Madinah, Saudi Arabia

Tropical Journal of Pharmaceutical Research

Purpose: To determine the level of awareness of antibiotic use in children in Madinah, Saudi Arabia, and to identify factors associated with parental decisions regarding it. Methods: Using a multiple-choice-question-based questionnaire survey, 1256 forms were distributed to visitors of major shopping malls in Madinah City to obtain socio-demographic and antibiotics knowledgebased data from October 2017 to January 2018. Differences in scores between and within groups on knowledge of parents about antibiotics were determined. Results: Most participants (67 %) had good basic knowledge of antibiotics: 69 and 40 % of respondents were aware of their side effects and antibacterial resistance, respectively. Participants in high age groups (> 46 years old) have a significantly higher mean knowledge score (55.4 ± 20.1, p < 0.05) than those in younger groups. Educational status increased the mean knowledge score by approximately 60 %, with the most educated group having a mean score of 6...

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.

The Parental Use of Antibiotics in Children in Saudi Arabia

Epidemiology: Open Access, 2015

Background: The overuse of antibiotics especially in children is becoming one of the most important public health issues worldwide. This study aims to assess the factors underlying the parental use of antibiotics for children in Saudi Arabia. Methods: This is a cross-sectional study design. The study included 1104 Parents (52% were mothers) of children younger than 12 years old recruited from schools parental meetings in the Eastern Province of Saudi Arabia. Ordinal logistic regression was used to identify the factors influencing the parental use of antibiotics in children. Risk factors considered included parents' demographic information, child health-related information, along with the validated Parents Perceptions on Antibiotics (PAPA) scales, an instrument that measures parents' knowledge and beliefs, behaviors, adherence, seeking information, and awareness about antibiotic resistance. Results: There is a high association between the frequency of cold episodes and the number of antibiotics used for the youngest child in the family during the previous year. Three parent-related psychosocial aspects appeared to be significantly associated with the parents' tendency to use an antibiotic in their children: Knowledge and beliefs, behaviors, and seeking health-related information. Also, parent's geographical background is associated with their use of antibiotics. Conclusion: The strong association between the number of cold incidence and the amount of antibiotics used suggests an evidence for antibiotic misuse in Saudi Arabia. In addition, to stronger regulations relating to dispensing antibiotics, the Saudi government should implement public health interventions aimed at advocating parents to appropriate use of antibiotics, and the potential dangers in their misuse.

Parents Knowledge and Attitudes Towards the use of Antibiotics in Patients within the Paediatric age Range

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

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...