Parental Knowledge, Attitudes, and Practices Regarding Antibiotic Use: A Cross-Sectional Study in Bangladesh

Background: Antibiotics play a vital role in reducing the morbidity and mortality associated with common infectious among children aged <5 years. Objective: We assessed the parental knowledge, attitudes, and practices regarding antibiotic use among a low-income urban population in Bangladesh. Methods: A cross-sectional study was conducted among the parents of 516 low-income urban children aged <5 years in Bangladesh from February 2018 to April 2019. A semi-structured questionnaire was developed and administrated to explore parental knowledge, attitudes, and practice regarding antibiotic use. A logistic regression analysis and Spearman rank-order correlation was used to compare and evaluate possible associations regarding parental KAP on antibiotic use. Results: The mean age of the participants was 26.65 years (SD, 6.38) and average monthly income was US$195.00. Most respondents (437 of 516) were women. One-third of the participants had no formal education, and 64% had only 5 years of education. We categorized the knowledge, attitudes, and practice regarding antibiotic use into 3 categories: poor, moderate, and good. More than half (52%) of these parents had poor knowledge of antibiotic use, and 32% had moderate knowledge of antibiotic use. Overall, 55% of parental attitudes were moderate and 70% of antibiotic practices were moderate. However, only 16% respondents had good knowledge, 14% had good attitudes, and 14% had good practices regarding antibiotic use for their children. The study revealed that 41% of parents thought that their child could be treated with antibiotics without advice from a qualified doctor, and 71% of parents thought that a child with flu-like symptoms got better faster if antibiotics were used. Also, 54% thought that the antibiotics could be stopped as soon as the symptoms disappeared. In this study, only 40% of parents completed the full dose of antibiotics. Monthly family income (P = .005), father’s profession (P = .003), and parents’ education were significantly associated with antibiotic use to treat the child. Conclusions: Most participants’ knowledge, attitude, and practices regarding rational antibiotic usage was very poor. Awareness campaigns and implementation of education on how to purchase, use, and sell antibiotics is crucial to optimum the use of antibiotics in Bangladesh.Funding: NoneDisclosures: None

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Antibiotics stewardship in Ghana: a cross-sectional study of public knowledge, attitudes, and practices

10.21203/rs.2.19809/v1 ◽

2020 ◽

Author(s):

Tamara Jimah ◽

Ama P. Fenny ◽

Oladele Ogunseitan

Keyword(s):

Antibiotic Resistance ◽

Inappropriate Medication ◽

Antibiotic Use ◽

Antibiotic Consumption ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Attitudes And Practices ◽

Individual Knowledge ◽

Knowledge Attitudes And Practices

Abstract Background Antibiotic resistance is a major contributing factor to global morbidity and mortality and is associated with inappropriate medication use. However, the level of antibiotic consumption and knowledge about antibiotic resistance in Ghana is inadequately quantified. Our study identifies strategies for improved stewardship of antibiotics to prevent the proliferation of resistant pathogens by assessing the level of antibiotic knowledge, attitudes, and consumption behaviors by region, gender, age, and education in rural and urban Ghana. Methods A cross-sectional study was conducted in 12 communities in the urban Greater Accra and rural Upper West regions of Ghana. A questionnaire survey was administered to 400 individuals aged 18 years and older in selected locations during September-October 2018 to gather data on individual knowledge, attitudes, and practices concerning antibiotics and antibiotic resistance. Multivariate analysis was used to investigate the association between demographic characteristics and knowledge, attitudes, and related behaviors. Results Over 30% (125/400) had not received a doctor’s prescription during their last illness. Seventy percent (278/400) had taken at least one antibiotic in the year prior to the survey. The top five frequently used antibiotics were Amoxicillin , Amoxicillin-clavulanic acid , Ampicillin , Ciprofloxacin , and Metronidazole . Women and older adults had higher knowledge compared to their respective counterparts (p<0.01). Furthermore, prudent antibiotic use was significantly more prevalent in women than men (p<0.05). Although no regional differences were found in overall knowledge, compared to urban residents, individuals residing in rural settings exhibited higher knowledge about the ineffectiveness of antibiotics for viruses like the cold and HIV/AIDS (p<0.001). Two hundred and fifty-two (63%) respondents were unaware of antibiotic resistance. There was generally a low level of self-efficacy among participants regarding their role in preserving the effectiveness of antibiotics. Conclusion Antibiotic knowledge, attitudes, and use varied significantly across demographics, suggesting a context-specific approach to developing effective community interventions.

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Antibiotics stewardship in Ghana: a cross-sectional study of public knowledge, attitudes, and practices among communities.

10.21203/rs.2.19809/v2 ◽

2020 ◽

Author(s):

Tamara Jimah ◽

Ama P. Fenny ◽

Oladele Ogunseitan

Keyword(s):

Antibiotic Resistance ◽

Inappropriate Medication ◽

Antibiotic Use ◽

Antibiotic Consumption ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Attitudes And Practices ◽

Individual Knowledge ◽

Knowledge Attitudes And Practices

Abstract Background Antibiotic resistance is a major contributing factor to global morbidity and mortality and is associated with inappropriate medication use. However, the level of antibiotic consumption and knowledge about antibiotic resistance in Ghana is inadequately quantified. Our study identifies strategies for improved stewardship of antibiotics to prevent the proliferation of resistant pathogens by assessing the level of antibiotic knowledge, attitudes, and consumption behaviors by region, gender, age, and education in rural and urban Ghana. Methods A cross-sectional study was conducted in 12 communities in the urban Greater Accra and rural Upper West regions of Ghana. A questionnaire survey was administered to 400 individuals aged 18 years and older in selected locations during September-October 2018 to collect data on individual knowledge, attitudes, and practices concerning antibiotics and antibiotic resistance. Multivariate analysis was used to investigate the association between demographic characteristics and knowledge, attitudes, and related behaviors. Results Over 30% (125/400) had not received a doctor’s prescription during their last illness. Seventy percent (278/400) had taken at least one antibiotic in the year prior to the survey. The top five frequently used antibiotics were Amoxicillin, Amoxicillin-clavulanic acid, Ampicillin, Ciprofloxacin, and Metronidazole. Women and older adults had higher knowledge compared to their respective counterparts (p<0.01). Furthermore, prudent antibiotic use was significantly more prevalent in women than men (p<0.05). Although no regional differences were found in overall knowledge, compared to urban residents, individuals residing in rural settings exhibited higher knowledge about the ineffectiveness of antibiotics for viruses like the cold and HIV/AIDS (p<0.001). Two hundred and fifty-two (63%) respondents were unaware of antibiotic resistance. There was generally a low level of self-efficacy among participants regarding their role in preserving the effectiveness of antibiotics. Conclusion Antibiotic knowledge, attitudes, and use varied significantly across demographics, suggesting a context-specific approach to developing effective community interventions.

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Parental Knowledge, Attitudes and Practices Towards Burn First Aid and Prevention of Pediatric Burns in Jeddah, Saudi Arabia: A Cross-Sectional Study

International Journal of Surgery and Medicine ◽

10.5455/ijsm.burn-first-aid-prevention ◽

2020 ◽

Vol 6 (3) ◽

pp. 17

Author(s):

Hatan Mortada ◽

Mona Saeed ◽

Nouf Alturki ◽

Moayad Alturkstani ◽

Mohammed Alkahtani

Keyword(s):

Saudi Arabia ◽

Parental Knowledge ◽

First Aid ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Attitudes And Practices ◽

Pediatric Burns ◽

Knowledge Attitudes And Practices

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Parental Antibiotic Use in Urban and Peri-Urban Health Care Centers in Lima: A Cross-Sectional Study of Knowledge, Attitudes, and Practices

Clinical Medicine Insights Pediatrics ◽

10.1177/1179556519869338 ◽

2019 ◽

Vol 13 ◽

pp. 117955651986933 ◽

Cited By ~ 1

Author(s):

Jose L Paredes ◽

Rafaella Navarro ◽

Maribel Riveros ◽

Veronica Picon ◽

Francisco Conde ◽

...

Keyword(s):

Health Care ◽

Urban Health ◽

Antibiotic Use ◽

Urban Health Care ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Attitudes And Practices ◽

Health Care Centers ◽

Knowledge Attitudes And Practices

In pediatric patients, the antibiotic use is affected by parental beliefs and practices; especially in countries where it is possible to acquire them without prescription. This study aims to describe the knowledge, attitudes, and practices on antibiotic use among parents of children from urban and peri-urban health care centers in Lima. A cross-sectional study was performed at 1 urban and 2 peri-urban health care centers selected in Lima, Perú. Parents of children below the age of 3 years answered a knowledge-attitudes-practices-validated questionnaire about antibiotic use and were categorized as high, moderate, and low knowledge regarding antibiotics. We analyzed potential determinants for low knowledge and having medicated their children with unprescribed antibiotics using bivariate and multivariate analyses. A total of 224 parents were enrolled, and 8% were categorized as low knowledge. Half of the parents could not recognize that antibiotics cannot cure viral infections, 59.4% disagreed with “antibiotics speed up recovery from a cold,” and 53.2% stored antibiotics at home. Remarkably 23.5% of parents reported having medicated their children with antibiotics without prescription, which was associated with belonging to the peri-urban health care center, use of antibiotics by their children in the last 12 months, and having purchased antibiotics without physicians’ prescription. An alarming overuse of antibiotics without prescription was described among children below the age of 3 years. Educational interventions, addressing parental attitudes and practices, and health policies should be developed to limit inappropriate antibiotic use especially in peri-urban communities.

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Parental knowledge, attitudes and practices regarding antibiotic use for acute upper respiratory tract infections in children: a cross-sectional study in Palestine

BMC Pediatrics ◽

10.1186/s12887-015-0494-5 ◽

2015 ◽

Vol 15 (1) ◽

Cited By ~ 16

Author(s):

Sa’ed H. Zyoud ◽

Adham Abu Taha ◽

Khulood F. Araj ◽

Islam A. Abahri ◽

Ansam F. Sawalha ◽

...

Keyword(s):

Respiratory Tract Infections ◽

Parental Knowledge ◽

Antibiotic Use ◽

Cross Sectional Study ◽

Upper Respiratory Tract ◽

Cross Sectional ◽

Attitudes And Practices ◽

Upper Respiratory ◽

Tract Infections ◽

Knowledge Attitudes And Practices

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Parental knowledge, attitudes, and practices towards self-medication for their children: a cross-sectional study from Palestine

Asia Pacific Family Medicine ◽

10.22146/apfm.v18i1.37 ◽

2020 ◽

Vol 18 (1) ◽

Author(s):

Sa'ed Zyoud ◽

Rawan M. Shtaya ◽

Dana Q. Hamadneh ◽

Shyma N. Sawalmeh ◽

Hiba A. Khadrah ◽

...

Keyword(s):

Parental Knowledge ◽

Cross Sectional Study ◽

Sectional Study ◽

Self Medication ◽

Cross Sectional ◽

High Tendency ◽

Face To Face ◽

Attitudes And Practices ◽

Inadequate Knowledge ◽

Knowledge Attitudes And Practices

Abstract Background Self-therapy with various medications is a commonly practised form of children self-care among parents throughout the world, with the prevalence and pattern differing from country to country. Parental knowledge, attitudes, and practices (KAP) regarding self-medication of their children need to be taken into consideration because children are more sensitive to adverse consequences of medication. This study was designed to assess Palestinian parents’ KAP towards self-medication for their children. Methods A descriptive, cross-sectional study was conducted in Palestine from October 2016 to February 2017, using a face-to-face interview questionnaire format, which was adapted from previous studies in this field. Data was collected by convenient sampling. The parents answered a questionnaire covering socio-demographic and economic variables; medication information; knowledge, attitudes, and practices regarding self-medication; and the toxicity of medications used for self-therapy. Results Among the 500 respondents interviewed, the total parents of 357 (73.4%) accepted using medications as self-therapy for their children. The most common reason for using self-medication was previous experience (54.6%). The medications most often used in such self-therapy are antipyretics (95%), followed by skin creams (46%) and anti-cough and anti-influenza medication (44.2%). Parental knowledge about toxicity was found to be inadequate knowledge. For example, around 70% of parents believe that paracetamol and multivitamin are not fatal in cases of overdose. Conclusions Self-medication of children is common among parents in Palestine. There has been a high tendency for parents to self-medicate their children, in particular with antipyretics. Moreover, antibiotics have been used without prescriptions by a large proportion of parents. As such, specific guidelines for appropriate self-therapy should be established. We must encourage pharmacists to educate parents on how to self-medicate medicine in proper doses and at the correct time, as well when the dose reaches a toxic level.

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Fever Among Preschool Aged Children: A Cross-Sectional Study Assessing Lebanese Parents’ Knowledge, Attitudes and Practices on Pediatric Fever Assessment and Management

10.21203/rs.3.rs-1170344/v1 ◽

2021 ◽

Author(s):

Fouad Sakr ◽

Zeina Akiki ◽

Marwan Akel ◽

Diana Malaeb ◽

Mariam Dabbous ◽

...

Keyword(s):

Parental Education ◽

Medical Information ◽

Parental Knowledge ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

International Guidelines ◽

Parental Experiences ◽

Attitudes And Practices ◽

Knowledge Attitudes And Practices

Abstract Background The existing literature demonstrates insufficient parental knowledge around fever, and international guidelines suggest studying parents’ perceptions and practices in treating febrile sickness. This study investigated parental knowledge, attitudes and practices toward fever in preschool children to help address all pointed gaps and provide information with the aim of supporting clinical reports for parental education. Methods A cross-sectional study design was used to explore parental experiences with fever. Participants were recruited randomly from schools all over Lebanon targeting the preschool divisions to include parents of children aged 5 years or less. An electronic self-administered questionnaire was sent to the parents through the schools’ emails and e-learning mobile applications, with a separate message encouraging parents to take time to fill carefully the survey. Results A total of 733 parents were included in the study. Only 44% identified fever correctly according to the recognized definition by international guidelines. A significant association between parents’ knowledge of antibiotics and years of parenting experience was found (ORa = 4.23, 95% CI 1.41-12.68, P=0.01). Other sociodemographic factors that were significantly associated with parents’ knowledge of antibiotics were age (ORa = 3.42, 95% CI 1.09-10.73, P=0.036) and education level (ORa = 7.99, 95% CI 3.71-17.23, P<0.001). Greater than 75% usually give their children antipyretics without consulting a doctor. Approximately one-quarter of parents (26.3%) consulted different doctors at the same time, of which more than half (58.4%) had received different medical information. Conclusions This research determines deficiencies in parents’ knowledge of fever with some malpractices in its management. It provides insight for healthcare providers to empower parental experiences by offering the necessary information to enhance general outcomes of febrile sickness.

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