Childhood infections, antibiotics, and resistance: what are parents saying now?

Childhood infections, antibiotics, and resistance: what are parents saying now?
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DOI:
10.1177/0009922813505902
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发表时间:
2014-02
影响因子:
1.6
通讯作者:
Goldman R
Goldman R
中科院分区:
医学4区
文献类型:
--
作者:
Finkelstein JA;Dutta-Linn M;Meyer R;Goldman R

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父母的误解,甚至是对不必要的抗生素的“需求”,以前被认为是过度使用这些药物的原因。我们进行了焦点小组,以探讨在当前更明智的处方时代,围绕常见感染和抗生素使用的知识和态度。在不同的父母群体中,我们发现家庭疗法的广泛使用和对抗生素耐药性的相当大的关注。家长们普遍表示只在必要时使用抗生素。人们认识到在诊断常见感染时存在固有的错误,大多数人信任与父母有长期关系的提供者。虽然一些家长有过“警惕等待”中耳炎的经验,但对这种方法没有什么热情。虽然仍有进一步教育的空间,但家长似乎对抗生素的适当使用更加了解和成熟。这可能是导致其使用在全国范围内下降的原因。
Parental misconceptions and even “demand” for unnecessary antibiotics were previously viewed as contributors to overuse of these agents. We conducted focus groups to explore the knowledge and attitudes surrounding common infections and antibiotic use in the current era of more judicious prescribing. Among diverse groups of parents, we found widespread use of home remedies and considerable concern regarding antibiotic resistance. Parents generally expressed the desire to use antibiotics only when necessary. There was appreciation of inherent error in the diagnosis of common infections, with most trust placed in providers with whom parents had longstanding relationships. While some parents had experience with “watchful waiting” for otitis media, there was little enthusiasm for this approach. While there may still be room for further education, it appears that parents have become more informed and sophisticated regarding appropriate uses of antibiotics. This has likely contributed to the declines seen in their use nationally.
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