Zaniboni D, Ceretti E, Gelatti U, Pezzotti M, Covolo L
Post-graduate School of Public Health, University of Brescia, Italy.
Department of Medical and Surgical Specialties, Radiological Sciences and Public Health. Section of Public Health and Human Sciences. University of Brescia, Italy.
Ann Ig. 2021 Jan-Feb;33(1):21-30. doi: 10.7416/ai.2021.2405.
The fight against antibiotic resistance (AR) is nowadays a world priority. Antibiotic resistance is largely associated with the overuse of antibiotics and a lack of awareness of the problem. Considering the large use of antibiotics in the paediatric age, the aim of this study was to investigate the knowledge and perception of antibiotic resistance in a sample of parents.
A cross-sectional study was conducted on a sample of parents of children aged 0-14. Data on antibiotic use and awareness of antibiotic resistance were collected by a self-administrated questionnaire. The potential predictors of the antibiotic resistance awareness were evaluated using a multivariate logistic regression model.
The questionnaire was completed by 610 parents of which 91% (n=553) used antibiotics for their children. Summarizing the answers related to antibiotic resistance knowledge and perception, 36% of parents gave a correct answers to at least 9 of 12 questions. Fever seemed to represent a reason of anxiety in parents. Using a 10-point scale, the perceived anxiety by parents was measured based on a situation when the child wakes up in the morning with a fever at 38°C and the doctor suggests to wait at least 48 hours before administering the antibiotic. Almost half of parents (49%) indicated a low degree of anxiety (1-4), 31% medium (5-6), and 20% high (7-10). Multivariate analysis showed that a good level of education, healthcare occupation and low grade of anxiety are associated with antibiotic resistance awareness.
The awareness of antibiotic resistance is not strong. The study highlights the need to put effort on tailored education programs aimed to improve knowledge of antibiotic resistance and guide mainly anxious parents to appropriate management of disease of their children.
如今，对抗抗生素耐药性是全球的一项优先任务。抗生素耐药性在很大程度上与抗生素的过度使用以及对该问题缺乏认识有关。鉴于儿科年龄段抗生素的大量使用，本研究旨在调查一组家长对抗生素耐药性的了解和认知情况。
对0至14岁儿童的家长样本进行了一项横断面研究。通过自行填写问卷收集抗生素使用情况和抗生素耐药性认知的数据。使用多因素逻辑回归模型评估抗生素耐药性认知的潜在预测因素。
610名家长完成了问卷，其中91%（n = 553）曾给孩子使用过抗生素。总结与抗生素耐药性知识和认知相关的答案，36%的家长在12个问题中至少答对了9个。发热似乎是家长焦虑的一个原因。使用10分制，根据孩子早上体温38°C醒来且医生建议至少等待48小时再使用抗生素的情况来衡量家长的感知焦虑程度。近一半的家长（49%）表示焦虑程度较低（1 - 4分），31%为中等（5 - 6分），20%为高（7 - 10分）。多因素分析表明，良好的教育水平、医疗保健职业以及低焦虑程度与抗生素耐药性认知相关。
对抗生素耐药性的认知并不强烈。该研究强调需要努力开展针对性的教育项目，以提高对抗生素耐药性的认识，并主要引导焦虑的家长对其孩子的疾病进行恰当处理。
