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Descriptive Study on Parents’ Knowledge, Attitudes and Practices on Antibiotic Use and Misuse in Children with Upper Respiratory Tract Infections in Cyprus

Bibliographic Data

ID15515869
AuthorsAndreas Rouusounides (University of Thessaly, corresponding author), Vassiliki Papaevangelou (0000-0001-6075-3002, Panagiotis & Aglaia Kyriakou Children's Hospital), Adamos Hadjipanayis (0000-0003-4337-3176, Larnaca College), Sotiria G Panagakou (University of Thessaly), Sotiria Panagakou (University of Thessaly), Maria Theodoridou (Children's Hospital Agia Sophia), George A Syrogiannopoulos (0000-0002-2390-3603, University of Thessaly), George Syrogiannopoulos (Department of Pediatrics, Faculty of Medicine, University of Thessaly, General University Hospital, Larisa 41222, Greece), Christos Hadjichristodoulou (0000-0002-4769-8376, University of Thessaly)
Year2011
Volume8
Issue8
Pages3246-3262
Publication date2011-08-05
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph8083246
PMID21909304
PMCIDPMC3166740
OpenAlexW2020103969
LanguageEN
Citations received8
References cited25

Upper respiratory tract infections (URTIs) are common in children and represent a significant cause of antibiotic abuse which contributes to the development of antibiotic resistance. A survey was conducted in Cyprus in 2006 to assess parents' and pediatricians' Knowledge, Attitude and Practices (KAP) concerning the role of antibiotics in children with URTIs. A school-based stratified geographic clustering sampling was used and a pre-tested KAP questionnaire was distributed. A different questionnaire was distributed to paediatricians. Demographic factors associated with antibiotic misuse were identified by backward logistic regression analysis. The parental overall response rate was 69.3%. Parents (N = 1,462) follow pediatricians advice and rarely administer antibiotics acquired over the counter. Although a third expects an antibiotic prescription for URTI symptoms, most deny pressuring their doctors. Low parental education was the most important independent risk factor positively related to antibiotic misuse (OR = 2.88, 95%CI 2.02 to 4.12, p < 0.001). Pediatricians (N = 33) denied prescribing antibiotics after parental pressure but admit that parents ask for antibiotics and believe they expect antibiotic prescriptions even when not needed. In conclusion, Cypriotic parents trust their primary care providers. Although it appears that antibiotic misuse is not driven by parental pressure, the pediatricians' view differs

Antibiotics · Biology · Environmental health · Family medicine · Psychiatry · Respiratory system · Respiratory tract infections · Antibiotic Use and Resistance · Medicine · Pneumonia and Respiratory Infections · Psychology · Respiratory and Cough-Related Research · Microbiology · Pediatrics

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Citations per year0.67
Citation span2014 - 2021 (8)
Highly citedNo

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