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




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BMC Pediatrics

, 15:176

First Online: 11 November 2015Received: 18 April 2015Accepted: 23 October 2015

Abstract

BackgroundIn primary health care centres, upper respiratory tract infections URTIs in children are commonly encountered by physicians. Viruses cause most URTIs, but parents’ attitudes often represent an important reason for antibiotic abuse, which leads to the development and spread of antimicrobial resistance. The goal of this study was to examine parents’ knowledge, attitudes, and practices KAP about antibiotic use for children with URTIs in Palestine.

MethodsA cross-sectional study was performed in primary health care centres in Nablus city from 1 June to 31 October 2012. A questionnaire was developed and administered to determine parents’ KAP regarding antibiotic use for their children with URTIs.

ResultsThree hundred and eighty-five parents completed the questionnaire. A total of 79.7 % of the parents were attentive to the truth that antibiotic misuse is responsible for bacterial resistance. Only 18.9 % of parents thought that antibiotics did not have any harmful side effects. Fifty nine per cent of parents did not agree that URTIs are mostly viral in origin and are self-limited. Almost 73 % of parents choose antibiotics as a treatment for URTIs, while earache 68 % and fever 64 % were the most common reasons for which parents expected antibiotics. However, more than 38 % of the parents never asked the paediatrician to prescribe antibiotics, and only 6 % congratulated their paediatricians for not prescribing antibiotics.

ConclusionsAlthough there is a trusted relationship between parents and paediatricians, Palestinian parents have insufficient knowledge related to antibiotic use for URTIs in children, which results in inappropriate attitudes and practices. Educational interventions for both parents and physicians will reduce unnecessary antibiotic use and resistance.

KeywordsUpper respiratory tract infections Parents Children Antibiotic AbbreviationsURTIsUpper respiratory tract infections

KAPKnowledge, attitudes, and practices

PHCPrimary health care

SDStandard deviation

IRBInstitutional review board

Electronic supplementary materialThe online version of this article doi:10.1186-s12887-015-0494-5 contains supplementary material, which is available to authorized users.

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Author: Sa’ed H. Zyoud - Adham Abu Taha - Khulood F. Araj - Islam A. Abahri - Ansam F. Sawalha - Waleed M. Sweileh - Rahmat 

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