Mijović Biljana, Aćimović Jela, Đaković Dević Jelena, Kralj Julija, Lučić Samardžija Vesna, Djermanović Mirjana, Milić Marija, Vujić-Aleksić Vesna, Perić Simić Snežana, Joksimović Bojan
Faculty of Medicine Foča, University of East Sarajevo, 73 300 Foča, The Republic of Srpska, Bosnia and Herzegovina.
Public Health Institute of The Republic of Srpska, 78 000 Banja Luka, The Republic of Srpska, Bosnia and Herzegovina.
Antibiotics (Basel). 2022 Sep 28;11(10):1325. doi: 10.3390/antibiotics11101325.
Antibiotics are often misused, especially for the treatment of upper respiratory tract infections (URTIs) in children, where their use is unnecessary and leads to antimicrobial resistance. This study sought to explore the knowledge, attitudes and practices (KAP) of parents and pediatricians on the use of antibiotics among children and whether the level of education of parents has an impact on their KAP. The research was carried out among 1459 parents of children under 6 years of age and among 18 pediatricians. Sixty percent of pediatricians (61.1%) were prescribed antibiotics daily in their practice. Most of the surveyed parents (98.4%) state that doctors are their main source of information when deciding on the use of antibiotics in the treatment of their children. Parents with a higher level of education use television less often as a source of information when making this decision compared to parents with a lower level of education (p = 0.039, i.e., p = 0.003). The majority of parents (80.7%) knew that Panklav (amoxicillin/clavulanic acid) is an antibiotic, while 52.5% identified Pancef (cefixime) as an antibiotic. Parents with a higher level of education correctly identified antibiotics significantly more often (p < 0.001). This study shows that in the Republic of Srpska, parents have adequate knowledge about antibiotics, especially those with a higher level of education, who show better KAP when it comes to antibiotic use.
抗生素经常被滥用，尤其是在治疗儿童上呼吸道感染（URTIs）时，此时使用抗生素并无必要，还会导致抗菌药物耐药性。本研究旨在探讨家长和儿科医生关于儿童使用抗生素的知识、态度和行为（KAP），以及家长的教育水平是否会对其KAP产生影响。该研究在1459名6岁以下儿童的家长和18名儿科医生中开展。60%的儿科医生（61.1%）在其日常诊疗中每天都会开具抗生素。大多数接受调查的家长（98.4%）表示，在决定给孩子使用抗生素进行治疗时，医生是他们主要的信息来源。与教育水平较低的家长相比，教育水平较高的家长在做此决定时较少将电视作为信息来源（p = 0.039，即p = 0.003）。大多数家长（80.7%）知道潘克拉维（阿莫西林/克拉维酸）是一种抗生素，而52.5%的家长认为潘司克（头孢克肟）是一种抗生素。教育水平较高的家长正确识别抗生素的比例明显更高（p < 0.001）。本研究表明，在塞族共和国，家长对抗生素有足够的了解，尤其是那些教育水平较高的家长，他们在抗生素使用方面表现出更好的知识、态度和行为。
