Parents Perception on use of Antibiotics in Children
DOI:
https://doi.org/10.51253/pafmj.v74i5.10930Keywords:
:Antibiotics, Antimicrobial agents, Antimicrobial resistance, Parental perception.Abstract
Objective: To determine parents’ perception on use of antibiotics in children.
Study Design: Cross-sectional study.
Place and Duration of Study: Department of Paediatrics, Combined Military Hospital, Kharian Pakistan, from Jul 2022 to Mar 2023.
Methodology: Fifty parents aged 18-50 years were included in the study. Their parity, education levels, knowledge and attitudes on antibiotic use, including basic concepts of antibiotics, indications of antibiotic, administration of antibiotics, Antimicrobial Resistance and other side effects; parental experiences and practices around buying antibiotics without a prescription and parental experiences regarding using antibiotics to treat their children themselves were noted.
Result: Sixteen respondents (32%) were male and 34(68%) were female. It was found that most parents used Cefixime 28(56%), followed by Amoxicillin, and Azithromycin. Twenty-three (46%) participants stated that antibiotics could cure infections caused by viruses. Eighty-eight percent participants knew that antibiotics should only be taken according to doctor’s prescription. Almost half of parents believed that antibiotics should be withdrawn as soon as the symptoms disappear. About 26% of parents believed that antibiotics could prevent the common cold. Thirty-six (72%) parents agreed that overuse of antibiotics exists in Pakistan.
Conclusion: Poor knowledge or understanding of antibiotic usage persists among parents in Pakistan. A doctor's prescription for antibiotics may have an impact on how parents use those medicines on their children.
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References
Chougule M. Neuropathology of Brain Tumors with Radiologic Correlates: Springer Nature; 2020.
van Hecke O, Wang K, Lee JJ, Roberts NW, Butler CC. Implications of antibiotic resistance for patients’ recovery from common infections in the community: a systematic review and meta-analysis. Clin Infect Dis 2017; 65(3): 371-382.
https://doi.org/10.1093/cid/cix233
Hippisley-Cox J, Vinogradova Y. Final report to the NHS information Centre and Department of Health. Trends in consultation rates in general practice 1995/1996 to 2008/2009: analysis of the QResearch® database. London: NHS Information Centre for Health and Social Care 2009. Available at: https://www.qresearch.org/public_documents/qresearch_protocol_may03 (Accessed on March 20, 2023)
Hiscock H, Neely RJ, Lei S, Freed G. Paediatric mental and physical health presentations to emergency departments, Victoria, 2008–15. Med J Aust 2018; 208(8): 343-348.
https://doi.org/10.5694/mja17.00434
Butt AA, Navasero CS, Thomas B, Al Marri S, Al Katheeri H, Al Thani A, et al. Antibiotic prescription patterns for upper respiratory tract infections in the outpatient Qatari population in the private sector. Int J Infect Dis 2017; 55: 20-23.
https://doi.org/10.1016/j.ijid.2016.12.004
Jamison DT. Disease control priorities: improving health and reducing poverty. Lancet 2018; 391(10125): e11-e14.
https://doi.org/10.1016/s0140-6736(15)60097-6
Singh M, Singh M, Jaiswal N, Chauhan A. Heated, humidified air for the common cold. Cochrane Database Syst Rev 2017: 1728.
https://doi.org/10.1002/14651858.CD001728.pub6
Kwiyolecha E, Groendahl B, Okamo B, Kayange N, Manyama F, Kidenya BR, et al. Patterns of viral pathogens causing upper respiratory tract infections among symptomatic children in Mwanza, Tanzania. Sci Rep 2020; 10(1): 1-8.
https://doi.org/10.1038/s41598-020-74555-2
Rasheed MK, Alqasoumi A, Hasan SS, Babar Z. The community pharmacy practice change towards patient-centered care in Saudi Arabia: a qualitative perspective. J Pharm Policy Pract 2020; 13(1): 1-9. https://doi.org/10.1186/s40545-020-00267-7
Ekakoro JE, Okafor CC. Antimicrobial use practices of veterinary clinicians at a veterinary teaching hospital in the United States. Vet. Anim. Sci 2019; 7: 100038.
https://doi.org/10.1016/j.vas.2018.09.002
Alumran A, Hou X-Y, Hurst C. Assessing the overuse of antibiotics in children with URTIs in Saudi Arabia: development of the parental perception on antibiotics scale (PAPA scale). J Epidemiol Glob Health 2013; 3(1): 3-10.
https://doi.org/10.1016/j.jegh.2012.11.005
Alrafiaah AS, Alqarny MH, Alkubedan HY, AlQueflie S, Omair A. Are the Saudi parents aware of antibiotic role in upper respiratory tract infections in children? J Infec Public Health 2017; 10(5): 579-585. https://doi.org/10.1016/j.jiph.2017.01.023
Albayrak A, Karakaş NM, Karahalil B. Evaluation of parental knowledge, attitudes and practices regarding antibiotic use in acute upper respiratory tract infections in children under 18 years of age: a cross-sectional study in Turkey. BMC Pediatrics 2021; 21(1): 1-10. https://doi.org/10.1186/s12887-021-03020-4
Ma W, Huang C, Wang C, Liu Q, Zhao Q, Ren Y. A Study regarding Parental Knowledge, Attitude and Practice (KAP) among Antibiotic Use in Children in Henan Province of China. Res Sq 2022. https://doi.org/10.21203/rs.3.rs-1947203/v1
Treesirichod A, Chaithirayanon S, Chansakulporn S. Self-Medication for Dermatologic Diseases among Children Treated at the HRH Princess Maha Chakri Sirindhorn Medical Center. J Med Assoc Thai 2015; 98: S135-139.
Prigitano A, Romanò L, Auxilia F, Castaldi S, Tortorano AM. Antibiotic resistance: Italian awareness survey 2016. J Infect Public Health 2018; 11(1): 30-34.
https://doi.org/10.1016/j.jiph.2017.02.010
Wang J, Sheng Y, Ni J, Zhu J, Zhou Z, Liu T, et al. Shanghai parents’ perception and attitude towards the use of antibiotics on children: A cross-sectional study. Infect Drug Resist 2019; 12: 3259. http://doi.org/10.2147/IDR.S219287
Teck KC, Ghazi HF, bin Ahmad MI, Abdul Samad NB, Ee Yu KL, Binti-Ismail NF, et al. Knowledge, attitude, and practice of parents regarding antibiotic usage in treating children’s upper respiratory tract infection at primary health clinic in Kuala Lumpur, Malaysia: pilot study. Health Serv. Res. Manag. Epidemiol 2016; 3: 2333392816643720.
https://doi.org/10.1177/2333392816643720
Patel SV, Vergnano S. The impact of paediatric antimicrobial stewardship programmes on patient outcomes. Curr Opin Infect Dis 2018; 31(3): 216-223.
https://doi.org/10.1097/QCO.0000000000000449
Frost I, Van Boeckel TP, Pires J, Craig J, Laxminarayan R. Global geographic trends in antimicrobial resistance: the role of international travel. J Travel Med 2019; 26(8): taz036.
https://doi.org/10.1093/jtm/taz036
Morehead MS, Scarbrough C. Emergence of global antibiotic resistance. Prim Care Clin Off Pract 2018; 45(3): 467-484.
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