Akılcı Antibiyotik Kullanımına Yönelik Ebeveyn Bilgi ve Tutumlarının İncelenmesi

Yıl 2022, Cilt: 32 Sayı: 3, 287 - 292, 01.08.2022

Metin Yiğit , Cüneyt Karagöl

https://doi.org/10.54005/geneltip.1096837

Öz

Amaç: Pediatrik yaş grubu antibiyotik kullanımın en sık olduğu dönemlerdendir. Çalışmamızda pediatri polikliniğine başvuran hastaların ebeveynlerinin akılcı antibiyotik kullanımı ile ilgili bilgi ve tutumlarının değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntem: Kesitsel olan çalışmamızda Ankara Şehir Hastanesi Çocuk Sağlığı ve Hastalıkları Kliniğinde Kasım ve Aralık 2021 aylarında hastanemiz Genel Pediatri polikliniklerine başvurmuş olan 0-18 yaş çocukların ile yüz yüze görüşülerek ölçek ve anket formları doldurulmuştur.
Bulgular: Ebeveynlerin akılcı antibiyotik kullanımına yönelik ortalama bilgi düzeyleri 55.33±7.77, tutum düzeyleri 66.37±10.02 olarak bulundu. Eğitim düzeyi arttıkça bilgi düzeyi ve tutumun arttığı, yaş arttıkça ise bilgi düzeyi etkilenmeksizin tutumun azaldığı gösterildi. Ebeveynlerin %15.2’sinin evde yedek antibiyotik bulundurduğu, %7.2’sinin antibiyotiklerin reçetesiz satılmasını istediği, %5.5’inin çocuklarına reçetesiz antibiyotik verdiği saptandı. Ek olarak akılcı antibiyotik kullanımına yönelik tutumda erkek cinsiyette 2.6 kat ve evde yedek antibiyotik bulunduran ebeveynlerde 5.6 kat düşüklük saptandı.
Sonuç: Katılımcıların akılcı antibiyotik kullanımına yönelik ortalama bilgi ve tutum düzeylerinin yüksek olması önemli bir bulgu ve olumlu bir gelişmedir. Ancak %15.2 gibi bir katılımcının evde yedek antibiyotik bulunduruyor olması dikkat çekicidir. Ailelerin, özellikle düşük eğitim seviyesine sahip olanların, babaların ve yaşlıların bu konuda daha fazla bilgilendirilmeye ihtiyacı olduğu görülmektedir. Çok merkezli, değişik sosyoekonomik durumları temsil edebilecek, daha fazla katılımcının dâhil edildiği düzenli kontrol çalışmalarına devam edilmelidir.

Anahtar Kelimeler

Ebeveyn, Akılcı Antibiyotik Kullanımı, Çocuk

Destekleyen Kurum

yok

An Examination of Parental Knowledge and Attitudes About the Rational Use of Antibiotics

Öz

Aim: Our study aimed to assess the knowledge and attitudes of parents of pediatric patients presenting at our pediatrics outpatient clinic about the rational use of antibiotics.
Materials and Methods: In this cross-sectional study, we had face-to-face interviews with parents of children. Scale forms and questionnaires were filled out after the interviews.
Results: The mean level of knowledge of the parents about the rational use of antibiotics was found to be 55.33±7.77; their attitude level was 66.37±10.02. The more parents were educated, it was seen that knowledge and attitudes improved, but it was also observed that attitude levels fell and knowledge levels were not affected the older the parents were. Of the parents, 15.2% were found to keep antibiotics on hand in the house, 7.2% wished to have antibiotics sold without prescription, and 5.5% gave their children antibiotics without a prescription. Additionally, the level of attitudes toward the rational use of antibiotics were 2.6-fold lower in males and 5.6-fold lower among parents who kept a stock of antibiotics at home.
Conclusion: The high levels of knowledge and attitudes of the participants regarding the rational use of antibiotics constitutes an important finding and is a promising outcome. It is clear that families, especially those parents who are lesser educated, fathers, and the elderly need to be more informed on this subject. Multiple-site studies with more participants and controls that can represent a range of different socioeconomic circumstances should continue to be regularly conducted.

Anahtar Kelimeler

Parent, Rational Use of Antibiotics, Child

Kaynakça

• 1. Alumran A, Hou XY, Hurst C. Assessing the overuse of antibiotics in children in Saudi Arabia: validation of the parental perception on antibiotics scale (PAPA scale). Health Qual Life Outcomes 2013;11:39.
• 2. Mora Y, Avila-Agüero ML, Umaa MA, et al. Epidemiological observations of the judicious use of antibiotics in a pediatric teaching hospital. Int J Infect Dis 2002;6:74–77.
• 3. Mitsi G, Jelastopulu E, Basiaris H, et al. Patterns of antibiotic use among adults and parents in the community: a questionnaire-based survey in a Greek urban population. Int J Antimicrob Agents 2005;25:439–43.
• 4. Cantarero-Arévalo L, Hallas MP, Kaae S. Parental knowledge of antibiotic use in children with respiratory infections: a systematic review. Int J Pharm Pract 2017;25:31–49.
• 5. Harnden A, Perera R, Brueggemann AB, et al. Respiratory infections for which general practitioners consider prescribing an antibiotic: a prospective study. Arch Dis Child 2007;92:594.
• 6. World Health Organization. Communicable Diseases Cluster. (‎2001)‎. Interventions and strategies to improve the use of antimicrobials in developing countries : a review. World Health Organization. https://apps.who.int/iris/handle/10665/66839. Accessed March 2, 2022.
• 7. Isler B, Keske, Aksoy M, et al. Antibiotic overconsumption and resistance in Turkey. Clin. Microbiol. Infect. 2019;25:651–3.
• 8. Panagakou SG, Spyridis N, Papaevangelou V, et al. Antibiotic use for upper respiratory tract infections in children: a cross-sectional survey of knowledge, attitudes, and practices (KAP) of parents in Greece. BMC Pediatr 2011;11:60.
• 9. Yang L, Liu C, Wang L, et al. Public reporting improves antibiotic prescribing for upper respiratory tract infections in primary care: a matched-pair cluster-randomized trial in China. Heal Res policy Syst 2014;12:61.
• 10. Vinker S, Ron A, Kitai E. The knowledge and expectations of parents about the role of antibiotic treatment in upper respiratory tract infection--a survey among parents attending the primary physician with their sick child. BMC Fam Pract 2003;4:1–6.
• 11. Cabral C, Ingram J, Lucas PJ, et al. Influence of Clinical Communication on Parents’ Antibiotic Expectations for Children With Respiratory Tract Infections. Ann Fam Med 2016;14:141–7.
• 12. Van Hecke O, Butler CC, Wang K, et al. Parents’ perceptions of antibiotic use and antibiotic resistance (PAUSE): a qualitative interview study. J Antimicrob Chemother 2019;74:1741–7.
• 13. Ong S, Nakase J, Moran GJ, et al. Antibiotic use for emergency department patients with upper respiratory infections: prescribing practices, patient expectations, and patient satisfaction. Ann Emerg Med 2007;50:213–20.
• 14. Pan DST, Huang JH, Lee MHM, et al. Knowledge, attitudes and practices towards antibiotic use in upper respiratory tract infections among patients seeking primary health care in Singapore. BMC Fam Pract 2016;17:1–9.
• 15. Çelebi İ, Gün İ. Akılcı antibiyotik kullanımı bilgi-tutum ölçeğinin geliştirilmesi. In: Antalya; 2019. Available at: https://2019.uhsk.org/ocs236/index.php/UHSK21/UHSK/paper/view/358. Accessed March 2, 2022.
• 16. You JHS, Yau B, Choi KC, et al. Public knowledge, attitudes and behavior on antibiotic use: a telephone survey in Hong Kong. Infection 2008;36:153–7.
• 17. Korkut Y, Emre A, Ayada C. Evaluation of the Knowledge, Attitudes, and Behaviors of Antibiotics Usage at the Parents Living in the Aegean Part of Turkey. Konuralp Tıp Derg 2019;11:350–5.
• 18. Wang J, Sheng Y, Ni J, et al. Shanghai Parents’ Perception And Attitude Towards The Use Of Antibiotics On Children: A Cross-Sectional Study. Infect Drug Resist 2019;12:3259–67.
• 19. Albayrak A, Karakaş NM, Karahalil B. Evaluation of parental knowledge, attitudes and practices regarding antibiotic use in acute upper respiratory tract infections in children under 18 years of age: a cross-sectional study in Turkey. BMC Pediatr 2021;21:554.
• 20. Al Hashmi AS, Al Shuhumi AS, Al Kindi RM. Parental Knowledge, Attitudes and Practices Regarding Antibiotic Use for Upper Respiratory Tract Infections in Children. Sultan Qaboos Univ Med J 2021;21:e289–96.
• 21. Zeru T, Berihu H, Buruh G, et al. Parental knowledge and practice on antibiotic use for upper respiratory tract infections in children, in Aksum town health institutions, Northern Ethiopia: a cross-sectional study. Pan Afr Med J 2020;35:142.
• 22. Cantarero-Arévalo L, Hallas MP, Kaae S. Parental knowledge of antibiotic use in children with respiratory infections: a systematic review. Int J Pharm Pract 2017;25:31–49.
• 23. Rouusounides A, Papaevangelou V, Hadjipanayis A, et al. Descriptive study on parents’ knowledge, attitudes and practices on antibiotic use and misuse in children with upper respiratory tract infections in Cyprus. Int J Environ Res Public Health 2011;8:3246–62.
• 24. Kuloğlu Ç, Ekici E. Investigation of Rational Drug Usage Attitudes of Parents. Turkish J Pediatr Dis 2022:16:107-16.
• 25. Alrafiaah AS, Alqarny MH, Alkubedan HY, et al. Are the Saudi parents aware of antibiotic role in upper respiratory tract infections in children? J Infect Public Health 2017;10:579–85.
• 26. Chan GC, Tang SF. Parental knowledge, attitudes and antibiotic use for acute upper respiratory tract infection in children attending a primary healthcare clinic in Malaysia. Singapore Med J 2006;47:266–70.
• 27. Güngör A, Çuhacı Çakır B, Yalçın H, et al. Evaluation of Parents’ Attitudes and Behaviors Related to the Use of Antibiotics in Children. Turkish J Pediatr Dis 2019;13:203–207.
• 28. Karaman Kenesarı C, Özçakar N. Mothers’ approach on the use of antibiotics in children: How effective is short information? Türk Aile Hek Derg 2016;20:16–22.
• 29. González J, Orero A, Prieto J. Storage of antibiotics in Spanish households. Rev Esp Quim 2006;19:275–85.
• 30. Wang X, Lin L, Xuan Z, et al. Keeping Antibiotics at Home Promotes Self-Medication with Antibiotics among Chinese University Students. Int J Environ Res Public Health 2018;15:687.
• 31. Yapıcı G, Balıkcı S, Uğur O, et al. Attitudes and behavior of drug usage in applicants to primary health care center. Dicle Med J 2011;38:458–65.