Measurement of Knowledge, attitudes and practices of parents on misuse of antibiotics in children with acute upper respiratory tract infections in Sohag district

Document Type : Original Article

Authors

Department of public health and community medicine , Faculty of medicine, Sohag University, sohag, egypt.

Abstract

Background: Upper respiratory tract infections (URTIs) are considered to be the most common reason for children’s visits to outpatient clinics. The emergence and spread of resistance related to the irrational use of antibiotics is a major global public health problem.
Aim of the work: This study aimed to assess parents’ knowledge, attitude, and practice (KAP) regarding the use of antibiotics in URTIs in children.
 Methodology: A cross-sectional study wascarried out among parents(N=800) of children who were attending the maternal and child health center in Sohag city and the family medicine unit in Elmahamdaelbahria village in the period from 1st July 2016 till 31th May 2017
.Results:Our results revealed that females were about 62.6%, those not sharing in labor force were 55.9 %, and urban parents were about58.8%. The mean age of parents was 33 years old.There is a statistically highly significant difference between mother & father in mean scoresof knowledge, attitude, practice; they were lower in fathers. Also, there is statistically significant difference between parents with different ages in practice score. There are highly statistically significant differences between mothers who were sharing and not sharing in labor force in Attitude, Practice scores.
Conclusion:Parents with loweducational level, rural residence, low income and with two children or less have lack of knowledge ,inappropriate beliefs andpractices so they are vulnerable for misusing antibiotics for their children.                                                                                                 

1-       Kisuule F, Wright S, Barreto J, Zenilman J. Improving antibiotic utilization among hospitalists: a pilot academic detailing project with a public health approach. Journal of hospital medicine. 2008 Jan 1; 3 (1):64-70
2-      Kotwani A, Wattal C, Katewa S, Joshi PC, Holloway K. Factors influencing primary care physicians to prescribe antibiotics in Delhi India. Family practice. 2010 Jul 26; 27 (6):684-90.
3-      Finkelstein JA, Metlay JP, Davis RL, Rifas-Shiman SL, Dowell SF, Platt R. Antimicrobial use in defined populations of infants and young children.Archives of pediatrics & adolescent medicine. 2000 Apr 1; 154 (4):395-400.
4-Kardas P, Devine S, Golembesky A, Roberts C. A systematic review and meta-analysis of misuse of antibiotic therapies in the community. International journal of
antimicrobial agents. 2005 Aug 31; 26 (2):106-13.
5-Cully M. The politics of antibiotics: policy-makers and medical experts need to think globally if we are to prevent an antibiotic' tragedy of the commons'. Nature. 2014 May 1; 509 (7498 SI):516-8.
6-Albrich WC, Monnet DL, Harbarth S. Antibiotic selection pressure and resistance in Streptococcus pneumoniae and Streptococcus pyogenes.Emerging infectious diseases. 2004 Mar; 10 (3):514.
7- Sarahroodi S, Arzi A, Sawalha AF, Ashtarinezhad A. Antibiotics self-medication among southern iranian university students. IJP-International Journal of Pharmacology. 2010;6 (1):48-52.
8- Van De Sande-Bruinsma N, Grundmann H, Verloo D, Tiemersma E, Monen J, Goossens H, Ferech M. European Antimicrobial Resistance Surveillance System. Antimicrobial drug use and resistance in Europe.Emerging infectious diseases. 2008 Nov; 14(11):1722.
9-Al-Dossari K. Parental knowledge, attitude and practice on antibiotic use for upper respiratory tract infections in children. Majmaah Journal of Health Sciences. 2013 Apr; 1 (1):33-45
10-Saed HZ, Taha AA, Araj KF, Abahri IA, Sawalha AF, Sweileh WM, Awang R, Al-Jabi SW. Parental knowledge, attitudes and practices regarding antibiotic use for
acute upper respiratory tract infections in children: a cross-sectional study in Palestine. BMC pediatrics. 2015 Nov 11; 15 (1):176.
11-Bi P, Tong S, Parton KA.Family self-medication and antibiotics abuse for
children and juveniles in a Chinese city.Social science & medicine. 2000 May 16; 50 (10):1445-50.
12-Edwards DJ, Richman PB, Bradley K,.Parental use and misuse of antibiotics: are there differences in urban vs. suburban settings? Academic emergency medicine. 2002 Jan 1; 9 (1):22-6.
13-Mitsi G, Jelastopulu E, Basiaris H, Skoutelis A, Gogos C. Patterns of antibiotic use among adults and parents in the community: a questionnaire-based survey in a Greek urban population. International journal of antimicrobial agents. 2005 May 31; 25(5):439-43.
14-Islahudin F, TameziAM, Shah NM. Knowledge, attitudes and practices about antibiotic use among the general public in Malaysia. Southeast Asian Journal of Tropical Medicine and Public Health. 2014 Nov 1; 45(6):1474.
15- Chan GC, Tang SF. Parental knowledge, attitudes and antibiotic use for acute upper respiratory tract infection in children attending a primary healthcare clinic inMalaysia.Malaysian Family Physician. 2012 Mar 31; 2 (1):5.