Antibiotic use for upper respiratory tract infections in children: a cross-sectional survey of knowledge, attitudes, and practices (KAP) of parents in Greece.
Antibiotic use for upper respiratory tract infections in children: a cross-sectional survey of knowledge, attitudes, and practices (KAP) of parents in Greece.
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DOI：
10.1186/1471-2431-11-60
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发表时间：
2011-07-05
期刊：
影响因子：
2.4
通讯作者：
Hadjichristodoulou CS
中科院分区：
文献类型：
--
作者：
Panagakou SG;Spyridis N;Papaevangelou V;Theodoridou KM;Goutziana GP;Theodoridou MN;Syrogiannopoulos GA;Hadjichristodoulou CS
上呼吸道感染(URTI)在儿童中很常见。尿路感染的原因通常是病毒性的，但父母的态度往往会导致抗生素处方不当，从而促进抗生素耐药性。这项研究的目的是记录和分析希腊父母对尿路感染儿童使用抗生素的看法，希腊是一个抗生素使用率和抗生素耐药性很高的国家。在同一学年的1月至7月期间，编制了一份知识-态度-行为问卷，并分发给照顾5-6岁儿童的希腊父母。这项研究的样本包括来自希腊所有地理区域的父母。大多数希腊父母(80%)认为尿路感染大多是自我限制的，尽管其中74%的人预计在做出这样的诊断时会接受抗生素治疗。耳痛是父母期望使用抗生素的最常见原因(45%)。希腊父母很少在没有医生建议的情况下给孩子使用抗生素(10%)，大多数人(88%)认为不必要的抗生素使用会导致抗生素耐药性，如果医生的指导，他们很乐意接受对症治疗。近70%的父母将抗生素与其他对症治疗URTI的药物混淆。希腊父母与他们的儿科医生关系信任，很少在没有医疗建议的情况下给他们抗生素，这表明父母对抗生素滥用的贡献低于预期。家长们也欣赏大多数尿路感染的良性过程，以及不必要的抗生素使用是有害的。需要投入更多的时间来教育主要是医生，让他们了解减少对URTI儿童开抗生素处方的潜在好处。
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 document and analyse parental beliefs on antibiotic use for children with URTIs in Greece, a country with high levels of antibiotic use and antibiotic resistance. A knowledge-attitude-practice 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. The sample of the study contained parents from all geographic areas of Greece. The majority of Greek parents (80%) believed that UTRIs are mostly self-limited, although 74% of them expected to receive antibiotics when such a diagnosis was given. Earache was the most common reason for which parents expected antibiotics (45%). Greek parents rarely gave antibiotics to their children without medical advice (10%) and most (88%) believed that unnecessary antibiotic use drives antibiotic resistance and they were happy to receive symptomatic therapy if instructed by their physician. Almost 70% of parents confused antibiotics with other medicines used for symptomatic therapy for a child with URTI. Greek parents have a trusted relationship with their paediatrician and rarely give antibiotics without medical advice, indicating that parents contribute less than expected to antibiotic misuse. Parents also appreciate the benign course of most URTIs and the fact that unnecessary antibiotic use is harmful. More time needs to be invested in educating mostly physicians on the potential benefit from reducing antibiotic prescribing for children with URTI.
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DOI：
10.1136/bmj.b2242
发表时间：
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期刊：
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