Alili-Idrizi Edita, Dauti Merita, Malaj Ledjan
Department of Pharmacy, Faculty of Medicine, State University of Tetovo . Tetovo ( Republic of Macedonia ).
Faculty of Pharmacy, University of Medicine, Tirana . Tirana ( Albania ).
Pharm Pract (Granada). 2014 Oct;12(4):467. doi: 10.4321/s1886-36552014000400003. Epub 2014 Mar 15.
This study sought to explore the knowledge and attitudes of parents on the use of antibiotics among children that could serve as baseline data and provide further insight in planning and developing strategies for local health education purposes.
A cross-sectional survey involving 500 parents who attended community pharmacies in Tetovo, Republic of Macedonia, was conducted using a self-administered questionnaire from October 2013 to January 2014. The questionnaire included demographics, knowledge and attitude statements of parents towards antibiotics. The data collected were analyzed using SPSS program, version 19.0. Descriptive statistics was used to summarize the data. In all statistical analyses, a p-value of <0.05 was considered statistically significant.
Nearly 40% of the parents demonstrated a moderate level of knowledge. The highest correct response in the knowledge part was the awareness of parents in using antibiotics to treat a bacterial infection (61.2%). However, most of the parents did not know that antibiotics cannot cure viral infections (59.6%). About 48.2% of the parents were aware of the antibiotic resistance as s result of the overuse. Concerning attitudes, 60.8% reported keeping any leftover antibiotics, 77.0% agreed that taking antibiotics when having cold symptoms could help their children recover faster, while, 74.6% wrongly agreed with the statement of appropriate use of antibiotics for prophylaxis' measure.
This study has documented the main areas that merit attention when parental knowledge on antibiotic use for their children is the concern, reflecting in some inappropriate attitudes as well. The findings highlight the need to devise effective interventions to decrease misconceptions regarding antibiotic use and to increase parents' awareness for the risks of inappropriate use of antibiotics in children specifically and in the community at large.
本研究旨在探索家长对儿童使用抗生素的知识和态度，这些知识和态度可作为基线数据，并为当地健康教育目的的规划和制定策略提供进一步的见解。
2013年10月至2014年1月，采用自填式问卷对500名前往马其顿共和国泰托沃社区药房的家长进行了横断面调查。问卷包括人口统计学信息、家长对抗生素的知识和态度陈述。收集的数据使用SPSS 19.0版程序进行分析。描述性统计用于汇总数据。在所有统计分析中，p值<0.05被认为具有统计学意义。
近40%的家长表现出中等水平的知识。知识部分最高的正确回答是家长对使用抗生素治疗细菌感染的认识（61.2%）。然而，大多数家长不知道抗生素不能治愈病毒感染（59.6%）。约48.2%的家长意识到过度使用会导致抗生素耐药性。关于态度，60.8%的家长报告保留剩余的抗生素，77.0%的家长同意感冒症状时服用抗生素可以帮助孩子更快康复，而74.6%的家长错误地同意关于预防性使用抗生素措施的适当性的说法。
本研究记录了在家长对儿童使用抗生素的知识受到关注时值得注意的主要领域，这也反映在一些不恰当的态度上。研究结果强调需要设计有效的干预措施，以减少对抗生素使用的误解，并提高家长对儿童尤其是社区中不当使用抗生素风险的认识。
