PARENTAL KNOWLEDGE, ATTITUDES AND PRACTICES (KAPs) ON THE USE OF ANTIBIOTICS IN CHILDREN FOR UPPER RESPIRATORY TRACT INFECTIONS (URTIs)
DOI:
https://doi.org/10.22159/ijpps.2017v9i3.15674Keywords:
Knowledge, Attitudes, Practices, Children, Upper Respiratory Tract InfectionsAbstract
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.
Downloads
References
Couriel J. Assessment of the child with recurrent chest infections. Oxford J Br Med Bull 2002;61:115-32.
Hersh AL, Jackson MA, Hicks LA. American academy of paediatrics committee on infectious diseases. Principles of judicious antibiotic prescribing for upper respiratory tract infections in paediatrics. Pediatrics 2013;132:1146-54.
Thompson M, Vodicka TA, Blair PS, Buckley DI, Heneghan C, Hay AD, et al. Duration of symptoms of respiratory tract infections in children: a systematic review. Br Med J 2013;347:1-19.
Van de Sande-Bruinsma N, Grundmann H, Verloo D, Tiemersma E, Monen J, Goossens H, et al. The European antimicrobial resistance surveillance system and european surveillance of antimicrobial consumption project groups. Antimicrobial drug use and resistance in Europe. Emerging Infect Dis 2008; 14:1722-30.
Salonga MJC. Beliefs and practices of parents on the use of antibiotics for their children with upper respiratory tract infection. Pediatric Infectious Disease Soc Philippines J 2009;10:1-6.
Zoorob R, Sidani MA, Fremont RD, Kihlberg C. Antibiotic use in acute upper respiratory tract infections. Am Fam Physician 2012;86:817-22.
Barden LS, Dowell SF, Schwartz B, Lackey C. Current attitudes regarding use of antimicrobial agents: results from physicians’ and parents’ focus group discussion. Clin Pediatr 1998;37:665.
Chan GC, Tang SF. Parental knowledge, attitudes and antibiotic use for acute upper respiratory tract infection in children attending a primary health care clinic in Malaysia. Singapore Med J 2006;47:266-70.
Kindergarten Malaysia. Malaysia directory listing of kindergarten/nursery and daycare. Available from: http:// www.kindergartenmalaysia.com/en/Default.asp?Page86. [Last accessed on 27 Aug 2013]
Panagakou SG, Papaevangelou V, Chadjipanayis A, Syrogiannopoulos GA, Theodoridou M, Hadjichristodoulou CS. Risk factors of antibiotic misuse for upper respiratory tract infections in children: results from a cross-sectional knowledge-attitude-practice study in Greece. Int Scholarly Res Not 2012;1-8. http://dx.doi.org/10.5402/2012/685302
Dowell SF, Marcy SM, Phillips WR, Gerber MA, Schwartz B. Otitis media principles of judicious use of antimicrobial agents. Pediatrics 1998;101:165-71.
Friedman BC, Warf DS, Goldman R. Reducing inappropriate antibiotic use among children with influenza infection. Can Fam Physician 2011;57:42-4.
Ecker L, Ochoa TJ, Vargas M, Del Valle LJ, Ruiz J. Factors affecting caregivers’ use of antibiotics available without a prescription in Peru. Pediatrics 2013;131:1771-9.
Bbosa GS, Wong G, Kyeqombe DB, Okeng JO. Effects of intervention measures on irrational antibiotics/antibacterial drug use in developing countries: a systematic review. Health 2014;6:171-87.
Bhanwra S. A study of the non‑prescription usage of antibiotics in the upper respiratory tract infections in the urban population. J Pharmacol Pharmacother 2013;4:61-4.
Zolaly MA, Hanafi MI. Factors affecting antibiotics' prescription in general paediatric clinics. J Taibah University Med Sci 2011;6:33-41.
McNulty CAM, Boyle P, Nichols T, Clappison P, Davey P. The public’s attitudes to and compliance with antibiotics. J Antimicrob Chemother 2007;60:63-8.
Smith RM, Stivers T, Elliott M, McDonald L, Heritage J. Online commentary during the physical examination: a communication tool for avoiding inappropriate antibiotic prescribing? Soc Sci Med 2003;56:313-20.
Mohan S, Dharamraj K, Dindial R, Mathur D, Parmasad V, Ramdhanie J, et al. Physician behaviour for antimicrobial prescribing for paediatric upper respiratory tract infections: a survey in general practice in Trinidad, West Indies. Ann Clin Microbiol Antimicrob 2004;3:11.
Rouusounides A, Papaevangelou V, Hadjipanayis A, Panagakou S, Theodoridou M, Syrogiannopoulos G, et al. Descriptive study on parents’ knowledge, attitudes and practices on antibiotic use and misuse in children with upper respiratory tract infections in Cyprus. Int J Environ Res Public Health 2011;8:3246-62.
Vinker S, Ron A, Kitai E. 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. BMC Fam Pract 2003;4:20.
Lowman N, Bowden RG. Predictors of injudicious antibiotic seeking behaviour. Open Public Health J 2012;5:74-9.
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. Int J Antimicrob Agents 2005;25:439-43.
Belongia EA, Naimi TS, Gale CM, Besser RE. Antibiotic use and upper respiratory infections: a survey of knowledge, attitudes, and experience in Wisconsin and Minnesota. Prev Med 2002;34:346-52.