Family self-medication and antibiotics abuse for children and juveniles in a Chinese city

Bi, Peng; Tong, Shilu; Parton, Kevin A.

doi:10.1016/s0277-9536(99)00304-4

Cited by 135 publications

(156 citation statements)

References 5 publications

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“…This is also consistent with a French study which stated that parents generally preferred self-medication for mild pathologies in their children (Escourrou et al, 2010). A study in China showed that children had received self-medication by 51% of the parents (Bi et al, 2000). Many studies in developing countries presented that antibiotics are used most commonly in everyday practice, whereas the most common symptom of the use of antibiotics was fever.…”

Section: Discussionmentioning

confidence: 99%

A cross-sectional study on knowledge, attitude and practices of medical doctors towards antibiotic prescribing patterns and resistance in Khyber Pakhtun Khawah, Pakistan

2017

J App Pharm Sci

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Irrational prescribing and resistance to antibiotics are major health concerns globally. The aim of this study was to assess the physicians' knowledge, attitude and practice about antibiotic prescribing and resistance in Khyber Pakhtun Khawah (KPK), Pakistan. A cross-sectional, descriptive study was conducted using a pre-validated self-administered questionnaire. Statistical Package for Social Sciences (SPSS ® ) version 23 was employed to analyze the data. A total of 320 medical practitioners participated with a response rate of 61.5%. Participants generally had a good knowledge about antibiotic use. However, some flaws were observed in their practice. The Internet (96%), antibiotic guidelines (92%) and medical representatives (85.9%) were reported to be the most useful sources of information. More than 70% of the respondents cited patient demand as one of the major reasons for antibiotic overuse. Antibiotic resistance was reported to be due to the failure to complete the antibiotic course by 94.1% of the respondents. The majority of the participants never had a training on the rational use of antibiotics and were in a favour of attending such training if offered. The study concluded that there is a dynamic need of training initiatives for improving antibiotics prescribing behaviour of general practitioners through the development of local guidelines and continuous education of general practitioners to promote rational antibiotic prescribing.

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Section: Discussionmentioning

confidence: 99%

A cross-sectional study on knowledge, attitude and practices of medical doctors towards antibiotic prescribing patterns and resistance in Khyber Pakhtun Khawah, Pakistan

2017

J App Pharm Sci

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“…Of the nonprescription antimicrobials, 76% were purchased at a pharmacy and 24% were from friends, family, or home (one study enrolled participants at a pharmacy, potentially increasing the proportion of non-prescription antimicrobials purchased at a pharmacy). 42 Nine surveys from Asia were identified, of which seven were studies of the general population, 8,[43][44][45][46][47][48] one was of sex workers, 49 and one was based on a review of pharmacy records. 50 Frequency of antimicrobial use varied from 4-75%, 4 weeks before each survey.…”

Section: Frequency Of Non-prescription Usementioning

confidence: 99%

Non-prescription antimicrobial use worldwide: a systematic review

Morgan

Okeke

Laxminarayan

et al. 2011

The Lancet Infectious Diseases

783

670

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In much of the world antimicrobial drugs are sold without prescription or oversight by health-care professionals. The scale and effect of this practice is unknown. We systematically reviewed published works about non-prescription antimicrobials from 1970-2009, identifying 117 relevant articles. 35 community surveys from five continents showed that non-prescription use occurred worldwide and accounted for 19-100% of antimicrobial use outside of northern Europe and North America. Safety issues associated with non-prescription use included adverse drug reactions and masking of underlying infectious processes. Non-prescription use was common for non-bacterial disease, and antituberculosis drugs were available in many areas. Antimicrobial-resistant bacteria are common in communities with frequent non-prescription use. In a few settings, control efforts that included regulation decreased antimicrobial use and resistance. Non-prescription antimicrobial and antituberculosis use is common outside of North America and northern Europe and must be accounted for in public health efforts to reduce antimicrobial resistance.

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“…siz antibiyotik kullanımının oldukça yaygın olmasının antibiyotiklere karşı direnç gelişimine yol aç-tığı bilinmektedir. 1,5,[7][8][9][10] Uskun ve ark. 2 tarafından Isparta ilinde yapılan bir çalışmada, sağlık ocağına başvuru öncesinde ilaç kullanan ailelerin %11,5'inin antibiyotik kullandığı, en sık ilaç verilen grubun (%53,3) 0-4 yaş arası çocuklar olduğu bildirilmektedir.…”

Section: Gereç Ve Yöntemlerunclassified

“…Son bir yıl içinde çocuklarda reçetesiz antibiyotik kullanım sıklığı Birleşik Arap Emirlikleri'nde %34, Çin'de %59,4, Yunanistan'da ise iki farklı çalışmada %10 ile %22,7 olarak bulunmuş-tur. 6,9,11,12 Amerika, Asya, ve Avrupa ülkelerinde anne-babaların çoğunluğunun antibiyotikler hakkında yanlış bilgiye sahip olduğu çocuklarına sık-lıkla reçetesiz antibiyotik kullandıkları bilinmektedir. 8,13,14 Palmer ve Bauchner 15 anne-babaların %71'inin pediatristlerden viral üst solunum yolu enfeksiyonu (ÜSYE), nonspesifik diyare ve boğaz ağrısı gibi yakınmalar için en az 3-4 kez antibiyotik yazılmasını istediğini bildirmişlerdir.…”

Section: Gereç Ve Yöntemlerunclassified

Investigation of Outpatient Use of Unprescribed Antibiotics in Children at the Department of Pediatric Emergency Medicine

Araz¹

2013

Turkiye Klinikleri J Med Sci

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Ö ÖZ ZE ET T A Am ma aç ç: : Bu çalışmanın amacı, çocuk acil polikliniğine başvuran çocuklarda daha önce reçete-siz antibiyotik kullanımının ve bununla ilişkili etkenlerin belirlenmesidir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Çalışma, çocuklarında süreğen bir hastalık olmayan 400 aile ile gerçekleştirildi. Ailelere, son bir yıl içinde, çocukları için reçetesiz antibiyotik kullanıp kullanmadıklarını belirlemeye yönelik bir anket formu uygulandı. Veriler "Statistical Package for the Social Science for Windows" paket programı kullanılarak değerlendirildi. p<0,05 değerleri istatistiksel olarak anlamlı kabul edildi. B Bu ul lg gu ul la ar r: : Ço-cukların %80,0'inin (320 olgu) son bir yıl içinde en az bir defa antibiyotik kullanıldığı, bunların %17,2'sinde (55 olgu) doktor tavsiyesi ve kontrolü olmadığı saptandı. Antibiyotik kullanımına yol açan başlıca bulgular, %75,6'sında (242 olgu) boğaz ağrısı, %65,6'sında (210 olgu) soğuk algınlığı, %57,2'sinde ise (183 olgu) yüksek ateş olarak bildirildi. Reçetesiz kullanılan antibiyotiklerin %14,6'sı (N=8) amoksisilin/klavulanat, %5,4'ü (n=3) sefuroksim aksetil, %1,8'i (n=1) trimetoprim/sulfametoksazol idi; 43 (%78,2) aile kullandıkları ilaçların adını hatırlamadılar. Reçetesiz antibiyotik kullanımında etkili olan en önemli etkenin çocuğun yaşı olduğu belirlendi (p=0,010). S So on nu uç ç: : Acil servise başvuran çocuklar arasında son bir yıl içinde antibiyotik kullanımı oldukça yaygın bulundu; bu antibiyotiklerin yaklaşık 1/5'i reçetesiz kullanılmaktaydı. Çocuğun yaşı, reçetesiz antibiyotik kullanımını etkileyen en önemli etkendi. Gereksiz ve uygun olmayan antibiyotik kullanımına bağlı direnç gelişmesindeki artış ve ülke ekonomisine getirdiği ek yük dikkate alınarak, bu tutumun zararlı etkileri konusunda aileler bilgilendirilmelidir.

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Family self-medication and antibiotics abuse for children and juveniles in a Chinese city

Cited by 135 publications

References 5 publications

A cross-sectional study on knowledge, attitude and practices of medical doctors towards antibiotic prescribing patterns and resistance in Khyber Pakhtun Khawah, Pakistan

A cross-sectional study on knowledge, attitude and practices of medical doctors towards antibiotic prescribing patterns and resistance in Khyber Pakhtun Khawah, Pakistan

Non-prescription antimicrobial use worldwide: a systematic review

Investigation of Outpatient Use of Unprescribed Antibiotics in Children at the Department of Pediatric Emergency Medicine

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