The knowledge and expectations of parents about the role of antibiotic treatment in upper respiratory tract infection – a survey among parents attending the primary physician with their sick child

Vinker, Shlomo; Ron, Adi; Kitai, Eliezer

doi:10.1186/1471-2296-4-20

Cited by 48 publications

(37 citation statements)

References 12 publications

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“…30 These results are in agreement with internationally published studies 42–44 and lower than those of other studies 44,45 in Hong Kong and Boston, where the proportion who requested antimicrobials ranged from 36 to 39%, respectively.…”

Section: Discussionsupporting

confidence: 89%

Knowledge, attitude, perception and practice regarding antimicrobial use in upper respiratory tract infections in Qatar: a systematic review

2018

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SummaryObjectiveTo explore the knowledge, attitude, perception and practice towards antimicrobial use in upper respiratory tract infections in patients visiting healthcare settings in Qatar.DesignSystematic review was performed using a predetermined protocol and in accordance with standardized reporting guidelines. MEDLINE, PubMed, EMBASE, Global Health and PsycINFO were searched for relevant published studies using relevant MESH terms and keywords.SettingAll healthcare settings in Qatar including both inpatient and ambulatory care.ParticipantsAll published articles exploring the antimicrobial use in upper respiratory tract infections at any health setting in Qatar were considered for inclusion in the study. No age, gender or population were excluded.Main Outcome Measure(s)The outcome of interest was antimicrobial use in upper respiratory tract infections in Qatar. We included all related studies to explore the knowledge, attitude, perception and practice for patients visiting all health care settings.ResultsThree articles were included, one in a primary care setting, one in a secondary care setting and one in the private sector. Overprescribing was noted in all settings. Our findings demonstrate low expectations to receive antibiotics, among the Qatari population, in primary care (28.1%). In fact, the majority of patients would be satisfied with reassurance rather than receiving antimicrobials. Many patients were satisfied with explanation from physicians and counselling. Private sector registered high prevalence of antimicrobial misuse for respiratory tract infections in which 85% deemed inappropriate. This finding was also noted at a medical intensive care unit which showed high antimicrobial use (76%) and respiratory tract infections accounted for 57% of prescriptions.ConclusionStudies are needed to determine factors and population-based rates of antimicrobial use in all healthcare settings. There is also a need for interventional programs for both physicians and public on appropriate use of antimicrobials to combat global antimicrobial resistance.

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Section: Discussionsupporting

confidence: 89%

Knowledge, attitude, perception and practice regarding antimicrobial use in upper respiratory tract infections in Qatar: a systematic review

2018

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“…Thus, families in dispensaries will not receive adequate support and information regarding antibiotics prescriptions for viral infections. Unlike other studies, the prescribing rates did not vary significantly with maternal age [5,22,31], the parity of the mother [13], or day care attendance [32]. Also, antibiotics misuse did not differ among pediatricians who worked in non academic compared to academic institutions [10].…”

Section: Discussionmentioning

confidence: 66%

“…Lower maternal education was found to be associated with increased antibiotics prescriptions for viral illnesses. Published studies have also identified parental knowledge as an independent predictor of antibiotics overuse among children [5,9,22,31]. Randomized controlled trials also indicate that educational interventions are effective in modifying parental attitudes about antibiotics usage in children [35,38,41].…”

Section: Discussionmentioning

confidence: 99%

“…A possible explanation for this finding is that infants in dispensaries are more likely to originate from lower socioeconomic status families, which may increase the parent demand for antibiotics and may contribute to inappropriate prescribing [5,31]. Another reason might be that pediatricians with a larger number of patients in their care and a shorter period of examination time tend to prescribe antibiotics more often than in private clinics [2,20].…”

Section: Discussionmentioning

confidence: 99%

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Prospective study on antibiotics misuse among infants with upper respiratory infections

et al. 2008

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“…Parents with high educational level were reluctant to receive antibiotics for acute URTIs. Another study found that there was a lower expectation rate for antibiotics among younger and highly educated parents as compared to older and lower educated parents [21].…”

Section: Socio-demographic Factors That Influence Parental Knowledge mentioning

confidence: 96%

PARENTAL KNOWLEDGE, ATTITUDES AND PRACTICES (KAPs) ON THE USE OF ANTIBIOTICS IN CHILDREN FOR UPPER RESPIRATORY TRACT INFECTIONS (URTIs)

Shah

Rahim

2017

Int J Pharm Pharm Sci

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Objective: This study aimed to assess the knowledge, attitudes and practices (KAPs) of parents on the use of antibiotics among children for upper respiratory tract infections (URTIs). Methods:This cross-sectional study was conducted from September to November 2014 at kindergartens around Kuala Lumpur. Data were collected using questionnaires which were distributed to parents with children aged ≤ 6 y.Results: A total of 169 parents participated in this study. Parental knowledge on the use of antibiotics in children for URTI was poor with a mean score of 1.99+1.27 (total score = 5). The overall attitude was positive with a mean score of 23.01+6.17 (total score = 60). Gender, educational level, personal and household monthly incomes were significantly associated with both knowledge and attitudes (a total score of p<0.05). A moderate, significant negative correlation was found between knowledge score and attitude score (rs =-0.498, p<0.001). Conclusion:This study provides an insight towards parental KAPs on the use of antibiotics among children for URTIs. Improving parental KAPs may reduce the inappropriate use of antibiotics among children.

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The knowledge and expectations of parents about the role of antibiotic treatment in upper respiratory tract infection – a survey among parents attending the primary physician with their sick child

Abstract: Background: Upper respiratory tract infections (URTI) are common. The etiologic factor is usually viral, but many physicians prescribe antibiotics. We aimed to evaluate parents' expectations of and knowledge about the role of antibiotics in childhood URTI.

Cited by 48 publications

References 12 publications

Knowledge, attitude, perception and practice regarding antimicrobial use in upper respiratory tract infections in Qatar: a systematic review

Knowledge, attitude, perception and practice regarding antimicrobial use in upper respiratory tract infections in Qatar: a systematic review

Prospective study on antibiotics misuse among infants with upper respiratory infections

PARENTAL KNOWLEDGE, ATTITUDES AND PRACTICES (KAPs) ON THE USE OF ANTIBIOTICS IN CHILDREN FOR UPPER RESPIRATORY TRACT INFECTIONS (URTIs)

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