Abobotain Abdulaziz H, Sheerah Haytham A, Alotaibi Faiza N, Joury Abdulaziz U, Mishiddi Rowayda M, Siddiqui Amna R, Bin Saeed Abdulaziz
College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Kingdom of Saudi Arabia.
Saudi Med J. 2013 Aug;34(8):832-40.
To investigate knowledge, beliefs, and practices associated with parental antibiotic misuse.
This cross-sectional study included parents visiting 4 malls in Riyadh, Saudi Arabia. The study took place at the College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia between June and December 2010. Self-prescription of antibiotic for a child in the past year was defined as antibiotic misuse.
From 610 parents (60.5% mothers and 39.5% fathers), 11.6% reported self-prescription. Responding parents differed by age, education, number of children, and profession. Overall, parents responded that antibiotics are required in children with runny nose or cough or sore throat or fever (50%); to reduce symptom severity and duration (57.7%), are effective against viruses (68.6%), can be stopped on clinical improvement (28.7%), and it used by another family member can be used in children (20.1%). Determinants of misuse in a multivariable model were income, number of children, type of infection treated last year, knowledge of illness requiring antibiotic or being unsure, using antibiotics used by an other family member in children, unsure of such use, and adjusting for the type of responding parent.
Parents with low income, more than 2 children, lack of knowledge, inappropriate beliefs and practices are vulnerable for misusing antibiotics in children.
调查与家长抗生素滥用相关的知识、观念及行为。
这项横断面研究纳入了在沙特阿拉伯利雅得4个商场购物的家长。该研究于2010年6月至12月在沙特阿拉伯王国利雅得的沙特国王大学医学院开展。过去一年中为孩子自行开具抗生素被定义为抗生素滥用。
在610名家长（60.5%为母亲，39.5%为父亲）中，11.6%报告有自行开具抗生素的行为。参与调查的家长在年龄、教育程度、孩子数量及职业方面存在差异。总体而言，家长们认为流鼻涕、咳嗽、喉咙痛或发烧的孩子需要使用抗生素（50%）；使用抗生素是为了减轻症状的严重程度和缩短病程（57.7%），抗生素对病毒有效（68.6%），症状改善后可以停用抗生素（28.7%），其他家庭成员用过的抗生素孩子也可以用（20.1%）。多变量模型中滥用抗生素的决定因素包括收入、孩子数量、去年治疗的感染类型、对需要使用抗生素疾病的了解情况或不确定、让孩子使用其他家庭成员用过的抗生素、对这种使用方式不确定以及考虑到参与调查家长的类型。
低收入、孩子数量超过2个、知识欠缺、观念及行为不当的家长，其孩子有抗生素滥用的风险。
