Knowledge, Attitudes and Practices of Parents and Pediatricians Regarding Antibiotic Use among Children: Differences in Relation to the Level of Education of the Parents in the Republic of Srpska Bosnia and Herzegovina.

Biljana Mijović, Jela Aćimović, Jelena Đaković Dević, Julija Kralj, Vesna Lučić Samardžija, Mirjana Djermanović, Marija Milić, Vesna Vujić-Aleksić, Snežana Perić Simić, Bojan Joksimović
Author Information
  1. Biljana Mijović: Faculty of Medicine Foča, University of East Sarajevo, 73 300 Foča, The Republic of Srpska, Bosnia and Herzegovina.
  2. Jela Aćimović: Public Health Institute of The Republic of Srpska, 78 000 Banja Luka, The Republic of Srpska, Bosnia and Herzegovina.
  3. Jelena Đaković Dević: Public Health Institute of The Republic of Srpska, 78 000 Banja Luka, The Republic of Srpska, Bosnia and Herzegovina.
  4. Julija Kralj: Public Health Institute of The Republic of Srpska, 78 000 Banja Luka, The Republic of Srpska, Bosnia and Herzegovina.
  5. Vesna Lučić Samardžija: Primary Healthcare Centre, 78 000 Banja Luka, The Republic of Srpska, Bosnia and Herzegovina.
  6. Mirjana Djermanović: Public Health Institute of The Republic of Srpska, 78 000 Banja Luka, The Republic of Srpska, Bosnia and Herzegovina.
  7. Marija Milić: Department of Epidemiology, Faculty of Medicine, University of Pristina Temporarily Settled in Kosovska Mitrovica, 38 220 Kosovska Mitrovica, Serbia.
  8. Vesna Vujić-Aleksić: Faculty of Medicine, University of Banja Luka, 78 000 Banja Luka, The Republic of Srpska, Bosnia and Herzegovina.
  9. Snežana Perić Simić: Primary Healthcare Centre, 76 300 Bijeljina, The Republic of Srpska, Bosnia and Herzegovina.
  10. Bojan Joksimović: Faculty of Medicine Foča, University of East Sarajevo, 73 300 Foča, The Republic of Srpska, Bosnia and Herzegovina. ORCID

Abstract

Antibiotics are often misused, especially for the treatment of upper respiratory tract infections (URTIs) in children, where their use is unnecessary and leads to antimicrobial resistance. This study sought to explore the knowledge, attitudes and practices (KAP) of parents and pediatricians on the use of antibiotics among children and whether the level of education of parents has an impact on their KAP. The research was carried out among 1459 parents of children under 6 years of age and among 18 pediatricians. Sixty percent of pediatricians (61.1%) were prescribed antibiotics daily in their practice. Most of the surveyed parents (98.4%) state that doctors are their main source of information when deciding on the use of antibiotics in the treatment of their children. Parents with a higher level of education use television less often as a source of information when making this decision compared to parents with a lower level of education (p = 0.039, i.e., p = 0.003). The majority of parents (80.7%) knew that Panklav (amoxicillin/clavulanic acid) is an antibiotic, while 52.5% identified Pancef (cefixime) as an antibiotic. Parents with a higher level of education correctly identified antibiotics significantly more often (p < 0.001). This study shows that in the Republic of Srpska, parents have adequate knowledge about antibiotics, especially those with a higher level of education, who show better KAP when it comes to antibiotic use.

Keywords

References

  1. Pediatrics. 1999 Dec;104(6):1384-8 [PMID: 10585992]
  2. Antibiotics (Basel). 2022 May 16;11(5): [PMID: 35625313]
  3. PLoS One. 2017 Feb 17;12(2):e0172146 [PMID: 28212400]
  4. Pediatr Infect Dis J. 2006 Oct;25(10):974-6 [PMID: 17006309]
  5. BMC Pediatr. 2015 Nov 11;15:176 [PMID: 26561029]
  6. Viruses. 2021 Oct 20;13(11): [PMID: 34834917]
  7. Front Public Health. 2015 Sep 10;3:213 [PMID: 26442240]
  8. Br J Gen Pract. 2016 Mar;66(644):e207-13 [PMID: 26852795]
  9. Prev Med. 2002 Mar;34(3):346-52 [PMID: 11902851]
  10. Eur J Public Health. 2018 Aug 1;28(4):724-729 [PMID: 29325065]
  11. Soc Sci Med. 2002 Apr;54(7):1111-30 [PMID: 11999506]
  12. Singapore Med J. 2006 Apr;47(4):266-70 [PMID: 16572235]
  13. J Med Assoc Thai. 2015 Oct;98(10):974-84 [PMID: 26638589]
  14. Front Pharmacol. 2018 May 29;9:442 [PMID: 29896100]
  15. Antimicrob Resist Infect Control. 2018 May 2;7:63 [PMID: 29744044]
  16. J Ayub Med Coll Abbottabad. 2014 Apr-Jun;26(2):170-3 [PMID: 25603670]
  17. J Antimicrob Chemother. 2019 Jun 1;74(6):1741-1747 [PMID: 30879040]
  18. Expert Rev Pharmacoecon Outcomes Res. 2016 Oct;16(5):609-618 [PMID: 26671843]
  19. Infect Control Hosp Epidemiol. 2020 Nov;41(11):1371-1372 [PMID: 32729437]
  20. Antibiotics (Basel). 2018 Nov 01;7(4): [PMID: 30388824]
  21. Expert Rev Pharmacoecon Outcomes Res. 2012 Oct;12(5):661-71 [PMID: 23186404]
  22. Eur J Hosp Pharm. 2016 Jul;23(4):245-247 [PMID: 31156859]
  23. Vet Microbiol. 2014 Jul 16;171(3-4):273-8 [PMID: 24646601]
  24. Antibiotics (Basel). 2021 Jul 01;10(7): [PMID: 34356723]
  25. BMC Pediatr. 2009 Nov 06;9:69 [PMID: 19895678]
  26. Curr Opin Microbiol. 2019 Oct;51:72-80 [PMID: 31733401]
  27. BMC Pediatr. 2011 Jul 05;11:60 [PMID: 21729266]
  28. J Health Econ. 2011 Sep;30(5):933-49 [PMID: 21733587]
  29. Pediatrics. 2007 Apr;119(4):698-706 [PMID: 17403840]
  30. BMC Infect Dis. 2010 Feb 21;10:34 [PMID: 20170542]
  31. BMC Health Serv Res. 2008 Jun 06;8:123 [PMID: 18538009]
  32. Saudi Pharm J. 2018 Sep;26(6):780-785 [PMID: 30202217]
  33. J Glob Antimicrob Resist. 2020 Dec;23:167-173 [PMID: 32971291]
  34. BMJ. 2010 May 18;340:c2096 [PMID: 20483949]
  35. Acta Clin Belg. 2008 Sep-Oct;63(5):296-300 [PMID: 19186561]
  36. Saudi J Med Med Sci. 2019 May-Aug;7(2):93-99 [PMID: 31080389]
  37. Front Pharmacol. 2022 Mar 21;13:844818 [PMID: 35387351]
  38. Emerg Infect Dis. 2006 Mar;12(3):452-9 [PMID: 16704784]
  39. Int J Environ Res Public Health. 2011 Aug;8(8):3246-62 [PMID: 21909304]
  40. BMJ Open. 2015 Nov 03;5(11):e008326 [PMID: 26534731]

Grants

  1. 42/World Health Organization

Word Cloud

Created with Highcharts 10.0.0parentsuseantibioticsleveleducationchildrenamongParentsantibioticoftenKAPpediatricianshigherp0especiallytreatmentantimicrobialstudyknowledgesourceinformation=identifiedRepublicSrpskaAntibioticsmisusedupperrespiratorytractinfectionsURTIsunnecessaryleadsresistancesoughtexploreattitudespracticeswhetherimpactresearchcarried14596yearsage18Sixtypercent611%prescribeddailypracticesurveyed984%statedoctorsmaindecidingtelevisionlessmakingdecisioncomparedlower039ie003majority807%knewPanklavamoxicillin/clavulanicacid525%Pancefcefiximecorrectlysignificantly<001showsadequateshowbettercomesKnowledgeAttitudesPracticesPediatriciansRegardingAntibioticUseChildren:DifferencesRelationLevelEducationBosniaHerzegovinaCOVID-19managementmortalityoutpatientconsumption

Similar Articles

Cited By