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针对5岁以下儿童母亲开展的控制抗生素滥用及相关耐药性的宣传项目。

Awareness program for controlling the misuse of antibiotics and related resistance among mothers of children under 5 years.

作者信息

Abdallah Zainab Attia, Hamid Tanazor Hemdan Abdel, Zaghlool Sameh S, Hendy Abdelaziz, Al-Mugheed Khalid, Abdelaliem Sally Mohammed Farghaly, Alabdullah Amany Anwar Saeed, Sayed Salwa, Hendy Ahmed, Farag Ayiat Allah Wagdy

机构信息

Community Health Nursing Faculty of Nursing Modern University for Technology and Information (MTI), Cairo, Egypt.

Pediatric Nursing Faculty of Nursing Modern University for Technology and Information (MTI), Cairo, Egypt.

出版信息

J Health Popul Nutr. 2025 Apr 12;44(1):115. doi: 10.1186/s41043-025-00823-4.

Abstract

BACKGROUND

Antibiotics are pharmacological agents synthesized in laboratories or derived from microorganisms to inhibit the growth of other living microorganisms. Antibiotics resistance represents a serious problem described by WHO as "a global public health concern" especially in children.

AIM

To assess the impact of an antibiotic awareness program on the knowledge, attitude, and reported practices of mothers of children less than 5 years old Methods A quasi-experimental pre-post-test design was conducted at immunization and primary health care centers on 375 mothers. The intervention included a structured awareness program employing lectures, group discussions, and audiovisual materials. Researchers used tools to assess socio-demographic characteristics, knowledge, attitudes, and reported practices, aiming to improve mothers' understanding and behavior regarding antibiotic use.

RESULTS

The mothers' knowledge exhibited a substantial increase, as reflected in the total mean score rising from 6.25 ± 1.72 in the pre-test to 10.85 ± 2.49 in the post-test. Furthermore, the participants' attitudes witnessed a noteworthy shift, with the pre-test total mean score of 28.19 ± 10.12 experiencing a considerable improvement post-program to reach 59.60 ± 12.40. Additionally, the reported practices of the mothers displayed positive changes, as evidenced by an improvement in the total mean score from 6.36 ± 1.97 in the post-test.

CONCLUSION

The well-designed awareness programs can play a crucial role in empowering mothers to make informed decisions and adopt responsible practices, contributing to the overall effort in controlling antibiotic misuse and combating resistance in the context of child healthcare.

摘要

背景

抗生素是在实验室合成或从微生物中提取的药理学药物,用于抑制其他活微生物的生长。抗生素耐药性是一个严重问题,世界卫生组织将其描述为“全球公共卫生问题”,尤其是在儿童中。

目的

评估抗生素意识项目对5岁以下儿童母亲的知识、态度和报告的行为的影响。方法:在免疫和初级卫生保健中心对375名母亲进行了一项准实验前后测试设计。干预措施包括一个结构化的意识项目,采用讲座、小组讨论和视听材料。研究人员使用工具评估社会人口学特征、知识、态度和报告的行为,旨在提高母亲对抗生素使用的理解和行为。

结果

母亲们的知识有了显著增加,预测试的总平均分从6.25±1.72提高到了后测试的10.85±2.49。此外,参与者的态度发生了显著转变,预测试的总平均分28.19±10.12在项目后有了显著改善,达到了59.60±12.40。此外,母亲们报告的行为也有积极变化,后测试的总平均分从6.36±1.97有所提高。

结论

精心设计的意识项目可以在使母亲能够做出明智决策并采取负责任的行为方面发挥关键作用,有助于在儿童医疗保健背景下控制抗生素滥用和对抗耐药性的总体努力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b952/11992840/6660a1ab562a/41043_2025_823_Fig1_HTML.jpg

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