Risk factors of antibiotic misuse for upper respiratory tract infections in children: results from a cross-sectional knowledge-attitude-practice study in Greece.

Risk factors of antibiotic misuse for upper respiratory tract infections in children: results from a cross-sectional knowledge-attitude-practice study in Greece.
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DOI:
10.5402/2012/685302
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发表时间:
2012-01-01
期刊:
ISRN pediatrics
影响因子:
--
通讯作者:
Hadjichristodoulou, Christos S
Hadjichristodoulou, Christos S
中科院分区:
其他
文献类型:
--
作者:
Panagakou, Sotiria G;Papaevangelou, Vassiliki;Hadjichristodoulou, Christos S

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背景。上呼吸道感染(URTIs)在儿童中很常见。尿路感染的病因通常是病毒,但家长的态度往往导致抗生素处方不当,促进抗生素耐药性。本研究的目的是确定希腊可能与抗生素滥用相关的风险因素,希腊是一个抗生素使用和抗生素耐药性高的国家。方法。一份知识-态度-实践(KAP)调查问卷在同一学年的1月至7月期间分发给照顾5-6岁儿童的希腊父母。结果。该研究的样本包括来自希腊所有地理区域的5312名父母。父亲、受教育程度低、移民身份、单亲、收入低、有3个孩子、居住在岛屿、没有复发性尿路感染经验的危险因素与知识不足、态度不当和错误做法显著相关。结论。这项研究已经确定了在未来的干预计划中应该针对的主要父母群体。
Background. Upper respiratory tract infections (URTIs) are common in children. The cause of URTIs is usually viral, but parents' attitudes often contribute to inappropriate prescription of antibiotics, promoting antibiotic resistance. The objective of this study was to identify possible risk factors associated with antibiotic misuse in Greece, a country with high levels of antibiotic use and antibiotic resistance. Methods. A knowledge-attitude-practice (KAP) questionnaire was developed and distributed to Greek parents caring for children who were 5-6 years old, between January and July of the same school year. Results. The sample of the study contained 5312 parents from all geographic areas of Greece. The risk factors of being a father, having low education, having immigrant status, being a single parent, having low income, having 3 children, living in the islands, and being without experience in recurrent URTIs were significantly associated to inadequate knowledge, inappropriate attitudes, and wrong practices. Conclusions. This study has identified the main groups of parents that should be targeted in future intervention programs.