Alsuhaibani Mohammed A, AlKheder Renad S, Alwanin Jumanah O, Alharbi Marwa M, Alrasheedi Malak S, Almousa Rania F
Department of Pediatric, College of Medicine, Qassim University, Qassim, Saudi Arabia.
Qassim College of Medicine, Qassim University, Qassim, Saudi Arabia.
J Family Med Prim Care. 2019 Feb;8(2):583-589. doi: 10.4103/jfmpc.jfmpc_368_18.
This study aimed to evaluate parents' awareness toward antibiotics use in upper respiratory tract infection in children.
This cross-sectional study conducted in Al-Qassim using validated and translated questionnaire whish was distributed using what's app. over a period of 3 months, extended from May 2018 to July 2018.
The number of respondents were 405, majority 81% chose physicians as the main source of information about antibiotic use. Forty-four percent of parents agreed that most URTIs are viral in origin and self-limiting without needing antibiotics. However, 19% of parents believed that antibiotics should be given to all children who have a fever. Fifty two percent were aware that inappropriate use of antibiotics reduces antibiotic efficacy and drives bacterial resistance. Sixty percent of participants chose antibiotics as the treatment they anticipated to be recommended. Fever was the dominant symptom among others of URTI, that would make (21.7%) always ask physicians to prescribe antibiotics. Parents who never asked paediatricians to prescribed antibiotics for their children were (36.5%). The attitude and practice of the participants were associated with the number of children they had; parents with five children or more had a lower attitude and practice score.
this study found that majority of the participant were educated but with poor attitude and practice. Although parents are concerned about the use of over counter antibiotics, often demand it. Considering that parents are unaware of indications and subsequent complications of using over counter antibiotics, they often request mentioned drugs, showing concern nonetheless. the need to understand parents' knowledge, attitude and practice regarding the use of antibiotics for URTIs is required in creating suitable interventional educational programs and raise awareness to avoid futile antibiotic use.
本研究旨在评估家长对儿童上呼吸道感染使用抗生素的认知情况。
本横断面研究在卡西姆进行，使用经过验证和翻译的问卷，通过WhatsApp进行分发。研究为期3个月，从2018年5月至2018年7月。
受访者有405人，大多数（81%）选择医生作为抗生素使用信息的主要来源。44%的家长认同大多数上呼吸道感染起源于病毒且具有自限性，无需使用抗生素。然而，19%的家长认为应该给所有发烧的儿童使用抗生素。52%的家长意识到不恰当使用抗生素会降低抗生素疗效并导致细菌耐药。60%的参与者选择抗生素作为他们预期会被推荐的治疗方法。发烧是上呼吸道感染的主要症状，这使得21.7%的家长总是要求医生开抗生素。从未要求儿科医生为其孩子开抗生素的家长占36.5%。参与者的态度和行为与他们孩子的数量有关；有五个或更多孩子的家长态度和行为得分较低。
本研究发现大多数参与者受过教育，但态度和行为较差。尽管家长担心非处方抗生素的使用，但仍经常要求使用。考虑到家长不了解使用非处方抗生素的适应症及后续并发症，他们经常要求使用这类药物，不过也表现出担忧。在制定合适的干预性教育项目并提高认识以避免无效使用抗生素方面，需要了解家长对上呼吸道感染使用抗生素的知识、态度和行为。
