Although there is evidence that oral antibiotic prescriptions for children have decreased since the 1990s, antibiotic resistance continues to be a problem. This study evaluated the caregivers' understanding of antibiotic use for their children and identified demographic characteristics that may contribute to inappropriate antibiotic-seeking behavior. Caregivers were asked how often the child should receive antibiotics for common medical conditions and about factors to improve patient compliance. This study found that caregivers overexpected antibiotic use with upper respiratory infection, ear infection, and pneumonia. Caretakers with lower incomes and on Medicaid comprised the higher percentage of overusers. The most important factors to improve patient compliance were explanation of the name and indication for antibiotic use. This study showed that demographic variables play a role in caregivers' expectations of antibiotic use. Effective communication of physicians with caregivers on antibiotic use can be an important strategy to improve patient compliance.
Children's caregivers must be able to decide upon or solicit accurate information related to the appropriateness of nonprescription medication selection for children. Informed decision making is paramount considering the increasing number of available nonprescription products and patient safety. This 6-month study was conducted to evaluate caregivers' knowledge base regarding nonprescription products for their children. Secondary goals included determining how caregivers' demographics are associated with decision making, identifying sources that caregivers use for product selection, and evaluating caregivers' adherence to labeled dosing recommendations. Our survey found the majority of caregivers selected at least 1 inappropriate nonprescription medication for their child. However, most caregivers did seek information from health care providers and routinely follow product labeling. Health care professionals should be knowledgeable on the appropriate use of medication. There is a significant need to question and to educate caregivers on nonprescription medication use in children.
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