Display options
Cite
Paredes JL, Navarro R, Riveros M, et al. Parental Antibiotic Use in Urban and Peri-Urban Health Care Centers in Lima: A Cross-Sectional Study of Knowledge, Attitudes, and Practices. Clin Med Insights Pediatr. 2019;13:1179556519869338doi: 10.1177/1179556519869338.
Paredes, J. L., Navarro, R., Riveros, M., Picon, V., Conde, F., Suito-Ferrand, M., & Ochoa, T. J. (2019). Parental Antibiotic Use in Urban and Peri-Urban Health Care Centers in Lima: A Cross-Sectional Study of Knowledge, Attitudes, and Practices. Clinical medicine insights. Pediatrics, 131179556519869338. https://doi.org/10.1177/1179556519869338
Paredes, Jose L, et al. "Parental Antibiotic Use in Urban and Peri-Urban Health Care Centers in Lima: A Cross-Sectional Study of Knowledge, Attitudes, and Practices." Clinical medicine insights. Pediatrics vol. 13 (2019): 1179556519869338. doi: https://doi.org/10.1177/1179556519869338
Paredes JL, Navarro R, Riveros M, Picon V, Conde F, Suito-Ferrand M, Ochoa TJ. Parental Antibiotic Use in Urban and Peri-Urban Health Care Centers in Lima: A Cross-Sectional Study of Knowledge, Attitudes, and Practices. Clin Med Insights Pediatr. 2019 Aug 21;13:1179556519869338. doi: 10.1177/1179556519869338. eCollection 2019. PMID: 31488956; PMCID: PMC6710707.
Copy Download .nbib Format: NLM
Share it on

Clin Med Insights Pediatr. 2019 Aug 21;13:1179556519869338. doi: 10.1177/1179556519869338. eCollection 2019.

Parental Antibiotic Use in Urban and Peri-Urban Health Care Centers in Lima: A Cross-Sectional Study of Knowledge, Attitudes, and Practices.

Clinical medicine insights. Pediatrics

Jose L Paredes, Rafaella Navarro, Maribel Riveros, Veronica Picon, Francisco Conde, Mario Suito-Ferrand, Theresa J Ochoa

Affiliations

  1. Laboratorio de Enfermedades Entéricas, Nutrición y Resistencia Antimicrobiana, Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Perú.
  2. Facultad de Medicina, Universidad Peruana Cayetano Heredia, Lima, Perú.
  3. School of Public Health, University of Texas, Houston, TX, USA.

PMID: 31488956 PMCID: PMC6710707 DOI: 10.1177/1179556519869338

Abstract

In pediatric patients, the antibiotic use is affected by parental beliefs and practices; especially in countries where it is possible to acquire them without prescription. This study aims to describe the knowledge, attitudes, and practices on antibiotic use among parents of children from urban and peri-urban health care centers in Lima. A cross-sectional study was performed at 1 urban and 2 peri-urban health care centers selected in Lima, Perú. Parents of children below the age of 3 years answered a knowledge-attitudes-practices-validated questionnaire about antibiotic use and were categorized as high, moderate, and low knowledge regarding antibiotics. We analyzed potential determinants for low knowledge and having medicated their children with unprescribed antibiotics using bivariate and multivariate analyses. A total of 224 parents were enrolled, and 8% were categorized as low knowledge. Half of the parents could not recognize that antibiotics cannot cure viral infections, 59.4% disagreed with "antibiotics speed up recovery from a cold," and 53.2% stored antibiotics at home. Remarkably 23.5% of parents reported having medicated their children with antibiotics without prescription, which was associated with belonging to the peri-urban health care center, use of antibiotics by their children in the last 12 months, and having purchased antibiotics without physicians' prescription. An alarming overuse of antibiotics without prescription was described among children below the age of 3 years. Educational interventions, addressing parental attitudes and practices, and health policies should be developed to limit inappropriate antibiotic use especially in peri-urban communities.

Keywords: Drug prescriptions; Drug resistance; Perú; anti-bacterial agents; child

Conflict of interest statement

Declaration of conflicting interest:The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

References

  1. Can Fam Physician. 2001 Mar;47:521-7 - PubMed
  2. Prev Med. 2002 Mar;34(3):346-52 - PubMed
  3. J Trop Pediatr. 2005 Oct;51(5):304-9 - PubMed
  4. Lancet Infect Dis. 2005 Aug;5(8):481-93 - PubMed
  5. Arch Dis Child. 2007 Jul;92(7):594-7 - PubMed
  6. Trop Med Int Health. 2008 Mar;13(3):434-41 - PubMed
  7. Rev Panam Salud Publica. 2010 Mar;27(3):219-25 - PubMed
  8. Bull World Health Organ. 2010 Dec 1;88(12):930-6 - PubMed
  9. Lancet Infect Dis. 2011 Sep;11(9):692-701 - PubMed
  10. Rev Chilena Infectol. 2011 Apr;28(2):107-12 - PubMed
  11. J Health Econ. 2011 Sep;30(5):933-49 - PubMed
  12. Rev Panam Salud Publica. 2011 Dec;30(6):574-9 - PubMed
  13. Rev Panam Salud Publica. 2013 Feb;33(2):131-6, 4 p preceding 131 - PubMed
  14. Epidemiol Infect. 2013 Dec;141(12):2459-72 - PubMed
  15. Braz J Infect Dis. 2013 Nov-Dec;17(6):672-81 - PubMed
  16. Trans R Soc Trop Med Hyg. 2014 Jan;108(1):22-8 - PubMed
  17. BMC Infect Dis. 2014 Feb 27;14:112 - PubMed
  18. Pharm Pract (Granada). 2014 Oct;12(4):467 - PubMed
  19. Int J Environ Res Public Health. 2015 Jun 17;12(6):7002-16 - PubMed
  20. J Clin Diagn Res. 2015 Nov;9(11):SC21-4 - PubMed
  21. J Clin Diagn Res. 2016 May;10(5):OC08-13 - PubMed
  22. Rev Peru Med Exp Salud Publica. 2016 Jun;33(2):215-23 - PubMed
  23. Bull World Health Organ. 2017 Jan 1;95(1):49-61 - PubMed
  24. Biomed Res Int. 2017;2017:5242048 - PubMed

Publication Types