DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20194555

Knowledge, attitude and practice of parents regarding antibiotic use in children

Rasheena Shamshu, Shyam Sudhir, Haleema Nuwera

Abstract


Background: Antibiotic resistance has become an emerging issue worldwide due to the rampant and excessive use of antibiotics for any and every condition. At present, antibiotics are the most commonly sold drugs in the developing countries which have been the cause for escalation of antibiotic resistance. Lack of knowledge, awareness and practice among parents regarding antibiotics use is the most important cause for antibiotic misuse.

Methods: Cross sectional hospital based questionnaire study conducted among 200 parents of children attending the outpatient or inpatient department at Yenepoya Medical College Hospital, Mangalore; using personal interview method. Parents were asked to answer the statements on a 5-point Likert scale (“strongly agree”, “agree”, “uncertain”, “disagree”, “strongly disagree” or “never”, “sometimes”, “often”, “most of the time”, “always”). Statistical Package of social science (SPSS) software was used for analysis of data.

Results: Out of the 200 parent’s majority of the respondents (69%) were mothers. There was very little difference in percentage of respondents that disagreed with notion that antibiotics must be administered in any case of fever (43.3%). 42.3% mentioned that antibiotics were always necessary in ARI. Most common symptoms to visit pediatrician included cough (23.4%), followed by ear pain (18.1%) and nasal discharge (12.9%). 17.5% of parents never questioned the pediatricians if antibiotic administration was necessary and more than 2/3rd of the parents declared that pediatricians provided sufficient information regarding diagnosis and therapy.

Conclusions: Majority of parents admitted to self-administration of antibiotics. There is a need of intervention to increase awareness regarding judicious use of antibiotics and to check un-prescribed dispensing of antibiotics. Strategies for effective communication with patients and prudent prescription of antibiotics should be included in physician education to ensure patients’ adherence to advice and consequently to reduce self-medication with antibiotics.


Keywords


Antibiotic misuse, Antibiotic resistance, Attitude, Knowledge, Practice

Full Text:

PDF

References


Kotwani A, Holloway K. Trends in antibiotic use among outpatients in New Delhi, India. BMC infectious diseases. 2011 Dec;11(1):99.

Davey P, Pagliari C, Hayes A. The patient's role in the spread and control of bacterial resistance to antibiotics. Clinical Microbiology and Infection. 2002 Sep;8:43-68.

World Health Organization Report on Infectious Diseases. Overcoming Antimicrobial Resistance 2000. Available at: https://apps.who.int/iris/handle/10665/66672.

Cals JW, Boumans D, Lardinois RJ, Gonzales R, Hopstaken RM, Butler CC, et al. Public beliefs on antibiotics and respiratory tract infections: an internet-based questionnaire study. Br J Gen Pract. 2007 Dec 1;57(545):942-7.

Kunin CM. Resistance to antimicrobial drugs—a worldwide calamity. Annals of internal medicine. 1993 Apr 1;118(7):557-61.

Ghafur AK. An obituary—on the death of antibiotics. J Assoc Physician India. 2010 Mar;58(3):143-4.

Kumarasamy KK, Toleman MA, Walsh TR, Bagaria J, Butt F, Balakrishnan R, et al. Emergence of a new antibiotic resistance mechanism in India, Pakistan, and the UK: a molecular, biological, and epidemiological study. The Lancet infectious diseases. 2010 Sep 1;10(9):597-602.

Qazi SA, Rehman GN, Khan MA. Standard management of acute respiratory infections in a children's hospital in Pakistan: impact on antibiotic use and case fatality. Bulletin of the World Health Organization. 1996;74(5):501.

Palmer DA, Bauchner H. Parents’ and physicians’ views on antibiotics. Pediatrics. 1997 Jun 1;99(6):e6.

Paluck E, Katzenstein D, Frankish CJ, Herbert CP, Milner R, Speert D, et al. Prescribing practices and attitudes toward giving children antibiotics. Canadian Family Physician. 2001 Mar 1;47(3):521-7.

Huang Y, Gu J, Zhang M, Ren Z, Yang W, Chen Y, et al. Knowledge, attitude and practice of antibiotics: a questionnaire study among 2500 Chinese students. BMC medical education. 2013 Dec;13(1):163.

Bauchner H, Pelton SI, Klein JO. Parents, physicians, and antibiotic use. Pediatrics. 1999 Feb 1;103(2):395-401.

Hafeez A, Kiani AG, Din SU, Muhammad W, Butt K, Shah Z, et al. Prescription and dispensing practices in public sector health facilities in Pakistan-Survey report. J Pak Med Assoc. 2004 Apr 1;54(4):187-91.

Panagakou SG, Spyridis Ν, Papaevangelou V, Theodoridou KM, Goutziana GP, Theodoridou MN, et al. Antibiotic use for upper respiratory tract infections in children: a cross-sectional survey of knowledge, attitudes, and practices (KAP) of parents in Greece. BMC pediatrics. 2011 Dec;11(1):60.

Agarwal S, Yewale VN, Dharmapalan D. Antibiotics use and misuse in children: a knowledge, attitude and practice survey of parents in India. Journal of clinical and diagnostic research: JCDR. 2015 Nov;9(11):SC21.

Chinnasami B, Sadasivam K, Ramraj B, Pasupathy S. Knowledge, attitude and practice of parents towards antibiotic usage and its resistance. Internat J Contem Pediatr. 2016 Jan;1:256-61.