Open AccessParental knowledge of antibiotic use in children with respiratory infections: a systematic review
Author(s) -
CantareroArévalo Lourdes,
Hallas Mia Pavelics,
Kaae Susanne
Publication year - 2017
Publication title -
international journal of pharmacy practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.42
H-Index - 37
eISSN - 2042-7174
pISSN - 0961-7671
DOI - 10.1111/ijpp.12337
Subject(s) - medicine , socioeconomic status , focus group , respiratory tract infections , affect (linguistics) , family medicine , population , medline , pediatrics , environmental health , psychiatry , psychology , communication , marketing , political science , respiratory system , law , business
Abstract Objective Antimicrobial resistance ( AMR ) is an increasing global problem. AMR threatens the effective prevention and treatment of an ever‐increasing range of infections caused by bacteria, parasites, viruses and fungi. The misuse and overuse of antibiotics ( AB ) is the major contributor to the emergence of resistant bacteria in humans. To present and describe characteristics in parents’ knowledge about when and how to use AB for an upper respiratory tract infection ( URTI ), their attitudes towards doctors and AB use in general, and their behaviour when their child suffers from an URTI . Key Findings The database search was conducted in EMBASE and PubMed for articles published in English, French, Spanish and Scandinavian languages from the inception until May 2016. Qualitative and quantitative studies with focus on parent’ knowledge, attitude and behaviour concerning treatment with AB for URTI s among children and adolescents were included. Extracted information included date of study, design, focus, location and population, parental knowledge, attitudes and behaviours regarding paediatric AB use and parental socioeconomic and sociodemographic characteristics. Parental knowledge about the causes of URTI s and when to use AB , education and parental and children's age affect attitudes and behaviours. However, good level of knowledge about AB (when and how to use it), often correlated with living in a Western country and belonging to high socioeconomic position, does not always imply judicious use of AB for URTI s among children. Providing parents with a contingency plan and clarifications on why an AB is not needed for common colds improves parental satisfaction with their physicians. Summary Evidence gathered from 20 countries from studies published in the last 20 years shows that parental knowledge still plays a major role in when and how to use AB for URTI s among children. However, parents are not disappointed if the physician does not prescribe AB , provided that proper explanations and a contingency plan are given.