Prevalence of Parental Misconceptions About Antibiotic Use

Vaz, Louise Elaine; Kleinman, Ken; Lakoma, Matthew D.; Dutta-Linn, M. Maya; Nahill, Chelsea; Hellinger, James; Finkelstein, Jonathan A.

doi:10.1542/peds.2015-0883

Cited by 57 publications

(50 citation statements)

References 48 publications

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“…Ancak bizim sonuçlarımızdan farklı olarak bu çalışmalarda katılımcıların antibiyotik kullanımıyla ilgili bilgi düzeyleri annelerin yaş, eğitim durumu, sosyoekonomik durum ve yaşadığı bölgeyle ilişkili bulunmuştur. [13][14][15][16] Parimi ve ark. 'nın çalışmasında özel sağlık güvencesine sahip olmak, bilgi düzeyinin yüksek olması ile ilişkili bulunmuştur.…”

Section: Discussionunclassified

Mothers’ approach on the use of antibiotics in children: how effective is short information?

Kenesarı¹,

Özçakar²

2016

tahd

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Bulgular: Çalışmamıza katılan 223 annenin yaş ortalaması 32,2±5,5 idi. Annelerin %41,3'ü (s=92) 12 yıldan daha fazla eğitimli, %92,4'ü (s=206) evli ve %87,0'si (s=194) anne-baba ve çocuklardan oluşan çekirdek aile ortamında yaşamaktaydı. Antibiyotik kullanımıyla ilgili olarak annelerin en önemli bilgi kaynağı doktorlardı. Bilgilendirme öncesi %64,1 anne (s=143) sahip oldukları bilginin kaynağını doktorlar olarak belirtirken, bilgilendirme sonrası bu oran %77,6 (s=173) oldu (p=0,002). Katılımcıların %75,3'ü (s=168) antibiyotik olduğunu düşündüğü en az bir isim söyledi. Bilgilendirmeden bir ay sonra ise antibiyotik ismi söyleyen anne sayısı 203'e (%91,1) yükseldi (p=0,00). Bilgilendirme öncesi katılımcılardan %81,2'si (s=181) antibiyotik kullanım amacını doğru bilirken; bilgilendirme sonrası bu sayı (%89,7; s=200) anlamlı ölçüde artmıştı (p=0,019). Annelerin %91,9'u (s=205) reçetesiz antibiyotik kullanmadığını belirtti. Çalışmaya katılan annelerin 125'i (%56,1) antibiyotiği doktorun önerdiği süre kadar ve 212'si (%95,1) önerilen dozda kullandığını ifade etmişti. Bilgilendirme sonrasında bu oranlarda anlamlı bir değişiklik olmadı (p>0,05). Sonuç:Annelerin çocuklarında antibiyotik kullanma üzerine bilgi ve uygulamaları genellikle yeterli görünmekle birlikte kısa bilgilendirme girişimi özellikle uygulamalar üzerinde etkili değildir. Aile hekimlerinin bu konuda duyarlı davranmaları, hastayla görüşme süreçlerinde bilgilendirme fırsatlarını değerlendirmeleri ve doğru eğitim uygulamaları geliştirmeleri gerekmektedir.Anahtar sözcükler: Antibiyotik, çocuklar, anneler, bilgi SummaryObjective: In the use of antibiotics on children, knowledge and attitudes of parents' especially mothers' have great importance. Aim of this study is to investigate the knowledge, attitudes and behaviors of mothers' on the use of antibiotics for children, and to determine the impact of short information.Methods: Study data were collected at November 2013 through questionnaires completed by 223 mothers with at least one child in pre-school age face to face. After using the questionnaire consist of sociodemographic characteristics, knowledge of antibiotics, the mothers' behavior and attitudes, brief information was given about the rational use of antibiotics. A month after the mothers surveyed over the same survey was conducted by telephone. SPSS 15.0 statistical program was used for evaluation of the data and frequency, chi-square and McNemar tests were performed. p <0.05 was considered statistically significant. Results:The mean age of the 223 mothers participated in our study was 32.17±5.54. 41.3% of mothers (n=92) trained more than 12 years, 92.4% (n=206) were married and 87.0% (n=194) have nuclear family consisting of parents and children. The most important source of information about the use of antibiotics was doctors. Before giving information 64.1% (n=143) mother stated that doctors were source of knowledge, after information this number was 77.6% (n=173); the difference was statistically significant (p=0.002). When asked to mention the na...

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Section: Discussionunclassified

Mothers’ approach on the use of antibiotics in children: how effective is short information?

Kenesarı¹,

Özçakar²

2016

tahd

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“…The questionnaire was developed in Arabic after reviewing related studies. Most of the questions were extracted from previously published articles with similar research questions and objectives …”

Section: Methodsmentioning

confidence: 99%

Parental self‐medication of antibiotics for children in Jordan

Mukattash

Alkhatatbeh

Andrawos

et al. 2019

J Pharm Health Serv Res

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Objectives This study aims to describe the prevalence and predictors for parental antibiotics self‐medication of their children and to characterize their knowledge, practice and attitude within this area. Methods This is a cross‐sectional study which targeted parents of children between the ages of 1–12 years. Parents were asked to fill out an online validated questionnaire that aimed to assess their knowledge, practice and attitude to self‐medication of children with antibiotics. Key findings In this study, 332/855 (39.2%) participants had previously self‐medicated their child(ren) with antibiotics. The overall score in the knowledge section was satisfactory (mean = 3.48 out of five); however, the majority of participants (72.1%) did not have the knowledge that antibiotics are solely indicated for bacterial infections. Parents with older age, lower education, not working in a medical field, families with low‐income and lived away from the capital were found to have higher rates of self‐medication (P‐value <0.05). Conclusion The findings of this study show that there is a high prevalence of parental self‐medication practice of antibiotics in Jordan that should be considered as alarming problem. The lack of adequate parental knowledge about the use of antibiotics may be a major cause of the increased self‐medication among them.

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“…3,4 These data seem to defy rational logic; why is this problem so recalcitrant? Vaz et al, 5 in this issue of Pediatrics, address this important question by recognizing that antibiotic prescribing decisions take place within the context of the physician-patient relationship, where the perspectives of individual families and physicians often take precedence over potential future risks of resistance for society at large.…”

mentioning

confidence: 99%

“…It is interesting that Vaz et al 5 found that parents of children covered by Medicaid were more likely to expect antibiotics. Perhaps these parents do not communicate this expectation, or perhaps their physicians are less easily persuaded, but previous studies have revealed that children of color and those from socioeconomically disadvantaged backgrounds are less likely to receive antibiotics.…”

mentioning

confidence: 99%