Nuffield Department of Primary Health Care Sciences, University of Oxford, Oxford, UK.
J Antimicrob Chemother. 2019 Jun 1;74(6):1741-1747. doi: 10.1093/jac/dkz091.
There remains public misconception about antibiotic use and resistance. Preschool children are at particular risk of receiving unnecessary antibiotics because they commonly present in primary care and many childhood infections are self-limiting.
The aim of our study was to explore parents' perceptions and understanding of antibiotic use and resistance in the context of their young child with an acute respiratory tract infection (RTI) and to explore strategies parents would find acceptable to minimize antibiotic resistance for their families.
Semi-structured interviews were conducted with 23 parents of preschool children who recently had an acute RTI across greater Oxfordshire, UK (2016-17 winter). We explored their beliefs about antibiotics, understanding of antibiotic resistance and views on current public antibiotic awareness campaigns at the time. Thematic analysis was used to analyse the data.
Parents had a sense of optimism and considered their families to be at low risk of antibiotic resistance because their families were 'low users' of antibiotics. Very few parents considered antibiotic resistance as a possible harm of antibiotics. Parents thought they were acting morally responsibly by following campaign messages. They wanted future campaigns to have a relevant, accessible message for families about the impact of antibiotic resistance.
Future communication about the potential impact of unnecessary antibiotic use and antibiotic resistance needs to focus on outcomes that parents of young children can relate to (e.g. infection recurrence) and in a format that parents will engage with (e.g. face-to-face dissemination at playgroups and parent/child community events) to make a more informed decision about the risks and benefits of antibiotics for their child.
公众对抗生素使用和耐药性仍存在误解。学龄前儿童因常在初级保健机构就诊，且许多儿童感染具有自限性，故特别有接受不必要抗生素治疗的风险。
本研究旨在探讨父母在其年幼子女急性呼吸道感染（RTI）时对抗生素使用和耐药性的看法和理解，并探讨父母认为可接受的减少家庭抗生素耐药性的策略。
2016-17 年冬季，在英国牛津郡更大范围内，对 23 名最近患有急性 RTI 的学龄前儿童的父母进行了半结构式访谈。我们探讨了他们对抗生素的看法、对抗生素耐药性的理解，以及对当时公众抗生素意识宣传活动的看法。采用主题分析法对数据进行分析。
父母较为乐观，认为他们的家庭抗生素耐药风险较低，因为他们的家庭是“低抗生素使用者”。很少有父母认为抗生素耐药是抗生素可能带来的危害。父母认为，他们遵循宣传活动的信息，是在道德上负责任的行为。他们希望未来的宣传活动能为家庭提供有关抗生素耐药影响的相关、易懂的信息。
未来有关不必要抗生素使用和抗生素耐药潜在影响的沟通，需要关注年幼子女的父母能理解的结果（例如感染复发），并采用父母会参与的方式（例如在游乐小组和父母/儿童社区活动中面对面传播），以便他们能更明智地决定抗生素对子女的风险和益处。
