Kumar Shishir, Agrawal Shivani, Yasmin Tajwar, Sinha Setu
Department of Community Medicine, IGIMS, Patna, India.
Porto Biomed J. 2025 Mar 18;10(2):e286. doi: 10.1097/j.pbj.0000000000000286. eCollection 2025 Mar-Apr.
The increasing practice of antibiotic use in children without proper guidance, driven by easy availability of medications and limited understanding of the risks, is a significant health concern. The aim of this study was to understand the knowledge and consequences of parental misuse of antibiotics for children.
This is a community-based cross-sectional study served by the Urban Health Training Center of Indira Gandhi Institute of Medical Sciences, Patna, involving 173 parents of children younger than 12 years over a 12-month period. Participants were selected through simple random sampling and were interviewed using a questionnaire. Data analysis was performed using logistic regression and expressed in terms of both counts and percentages along with odd ratios and confidence intervals.
Of the total, 70 parents (40.46%) were aware of the consequences of antibiotic misuse. Mothers, parents aged 40 years and older, and those having secondary/higher secondary education normally stopped giving antibiotics when their child started feeling better, whereas parents younger than 30 years, doing service, and having a family member working in medical field were seen keeping antibiotic stock at home for later use. Participants were confused whether antibiotic effectiveness is reduced if a full course of antibiotics is not completed. Allergic reaction was the consequence known by most of the parents. Cough/cold was the major reason for antibiotic use in children without medical supervision. Most parents typically wait 1-2 days before beginning antibiotics. Minor illness was the leading reason for improper antibiotic use.
It is crucial to launch extensive campaigns to inform parents about the dangers of antibiotic misuse, including the risks of resistance and potential side effects, especially for those who practice over-the-counter antibiotic use in children.
由于药物易于获取且对风险的认识有限,在没有适当指导的情况下儿童使用抗生素的现象日益普遍,这是一个重大的健康问题。本研究的目的是了解父母滥用儿童抗生素的相关知识及后果。
这是一项基于社区的横断面研究,由位于巴特那的英迪拉·甘地医学科学研究所城市健康培训中心开展,在12个月的时间里纳入了173名12岁以下儿童的父母。参与者通过简单随机抽样选取,并使用问卷进行访谈。数据分析采用逻辑回归,以计数和百分比形式呈现,同时给出比值比和置信区间。
总体而言,70名父母(40.46%)知晓抗生素滥用的后果。母亲、年龄在40岁及以上的父母以及接受过中学/高中教育的父母,通常会在孩子感觉好转时停止使用抗生素,而30岁以下、从事服务业且有家庭成员在医疗领域工作的父母,则会在家中储备抗生素以备后用。参与者对于未完成抗生素全程疗程是否会降低其有效性感到困惑。过敏反应是大多数父母知晓的后果。咳嗽/感冒是儿童在无医疗监督情况下使用抗生素的主要原因。大多数父母通常会等待1 - 2天再开始使用抗生素。小病是抗生素使用不当的主要原因。
开展广泛的宣传活动,告知父母抗生素滥用的危害,包括耐药风险和潜在副作用,这至关重要,尤其是对于那些在儿童中自行使用非处方抗生素的父母。