Parental knowledge, attitudes and practices on the use ofantibiotics in children: a cross-sectional study in UAE

Main Article Content

Doaa Kamal AlKhalidi https://orcid.org/0000-0003-0550-0007
Semira A. Beshir https://orcid.org/0000-0003-4990-4783
Amina Mahdy https://orcid.org/0000-0001-7635-9624
Eiman Shamseldin Al Gailani https://orcid.org/0000-0003-3237-7147
Maryam Hassan Alyasi https://orcid.org/0009-0002-2378-8892
Moumena Muwaffak Tlelat https://orcid.org/0009-0002-8684-1232
Fatoum Taha Alward https://orcid.org/0009-0005-1216-1228
Hawraa Mohammed Ahmed https://orcid.org/0009-0001-2718-3631

Keywords

antibiotics, parents, upper respiratory infections, Knowledge, attitude, practice

Abstract

Background: Lack of parental education and a poor attitude are major factors in the emergence of antibiotic resistance. Our goal was to compile information on parents’ knowledge, attitudes, and practices (KAP) on the usage of antibiotics. Finding the variables connected to parent KAP scores and Practice was our secondary goal. Methods: A KAP questionnaire was distributed virtually in the UAE. A 28-item questionnaire was devised for this cross-sectional survey based on a comprehensive review of the subject. Questionnaires were scored on 18 items regarding parent antibiotic-related KAP, with one point for every correct response and a possible range of 0–10 for knowledge, 0–6 for attitudes, and 0–3 for practices. Higher scores indicated better KAP. Chi-squared tests and logistic regression were used to identify factors associated with practices and combined KAP scores. Results: Four Hundred parents from all over the UAE participated in the study with majority of the participants from Dubai (65%). Around 80% of the participants were mothers of 3-4 children. The mean knowledge score was 8.61 out of 10, the average attitude score was 15.13 out of 18 and the practice average score was 8.34 out of 9. Approximately 25% of the participants misbelieve that antibiotics can cure all types of infections (bacterial or viral). More than 10% believe it is ok to reuse antibiotics if symptoms are similar among the siblings. There was a statistically significant association between parental antibiotic-related knowledge or attitude and practice. Conclusions: In general, findings have shown a high level of parental knowledge, attitudes, and practice regarding the use of antibiotics among their children in the UAE. However, parents have shown some misconceptions and negative attitudes in this regard. Easy access of the public to antibiotics should be highly restricted and excess prescriptions of antibiotics should be limited.

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References

1. Sadoh W, Sadoh A, Eki-Udoko F. Parental contribution to over prescription of antibiotics for sore throat in children. Nigerian Journal of Paediatrics. 1970;42(2).
2. Saleh Faidah H, Haseeb A, Yousuf Lamfon M, et al. Parents’ self-directed practices towards the use of antibiotics for upper respiratory tract infections in Makkah, Saudi Arabia. BMC Pediatrics. 2019;19(1):46. https://doi.org/10.1186/s12887-019-1391-0
3. Alrafiaah AS, Alqarny MH, Alkubedan HY, et al. Are the Saudi parents aware of antibiotic role in upper respiratory tract infections in children? Journal of Infection and Public Health. 2017;10(5):575-89. https://doi.org/10.1016/j.jiph.2017.01.023
4. Al-Ayed MZ. Parents’ knowledge, attitudes and practices on antibiotic use by children. Saudi Journal of Medicine and Medical Sciences. 2019;7(2):93-99. https://doi.org/10.4103/sjmms.sjmms_171_17
5. Nasimfar A, Sadeghi E, AmuzMehr A. Evaluation of knowledge, attitude, and practice of parents on the use of antibiotics for acute upper respiratory tract infections in children admitted to Motahari Hospital of Urmia in 2017–2018. Asian Journal of Pharmaceutics. 2018;12(2).
6. Zyoud SH, Shtaya RM, Hamadneh DQ, et al. Parental knowledge, attitudes, and practices towards self-medication for their children: A cross-sectional study from Palestine. Asia Pacific Family Medicine. 2020;18(1).
7. Hammour KA, Jalil MA, Hammour WA. An exploration of parents’ knowledge, attitudes and practices towards the use of antibiotics in childhood upper respiratory tract infections in a tertiary Jordanian Hospital. Saudi Pharmaceutical Journal. 2018;26(6):780-85. https://doi.org/10.1016/j.jsps.2018.04.006
8. Abu Hammour K, Abu Farha R, Alsous M, et al. Evaluation of risk factors affecting parental knowledge and attitude toward antibiotic use in children with upper respiratory tract infections. European Journal of Integrative Medicine. 2018;17.
9. Oikonomou ME, Gkentzi D, Karatza A, et al. Parental knowledge, attitude, and practices on antibiotic use for childhood upper respiratory tract infections during covid-19 pandemic in greece. Antibiotics. 2021;10(7):802. https://doi.org/10.3390/antibiotics10070802
10. Dunn-Navarra AM, Stockwell MS, Meyer D, et al. Parental health literacy, knowledge and beliefs regarding upper respiratory infections (uri) in an urban latino immigrant population. Journal of Urban Health. 2012;89(5):848-60. https://doi.org/10.1007/s11524-012-9692-8
11. Salama RAA, Bader KN, Rahman AS, et al. Parents knowledge, attitudes and practice of use of antibiotics for upper respiratory tract infections in children: A cross-sectional study in ras al khaimah, United Arab Emirates. Epidemiology Biostatistics and Public Health. 2018;15(4).
12. Al-Saleh S, Abu Hammour K, Abu Hammour W. Influencing factors of knowledge, attitude, and practice regarding antibiotic use in children with upper respiratory tract infections in Dubai. Journal of Evaluation in Clinical Practice. 2020;26(1):197-202. https://doi.org/10.1111/jep.13188
13. Abu Hammour K, Al-Saleh S, Abu Hammour W. Parental views of antibiotic use in children with upper respiratory tract infections in Dubai. European Journal of Integrative Medicine. 2019;29.
14. 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. International Journal of Environmental Research and Public Health. 2011;8(8):3246-62. https://doi.org/10.3390/ijerph8083246
15. Abu Hammour K, Al-Saleh S, Abu Hammour W. Parental views of antibiotic use in children with upper respiratory tract infections in Dubai. European Journal of Integrative Medicine. 2019;29.
16. Zyoud SH, Abu Taha A, Araj KF, et al. Parental knowledge, attitudes and practices regarding antibiotic use for acute upper respiratory tract infections in children: a cross-sectional study in Palestine. BMC Pediatrics. 2015;15(1):176. https://doi.org/10.1186/s12887-015-0494-5
17. Mukattash TL, Jarab AS, Gharaibeh WH, et al. Pharmaceutical care in children, an exploratory study of parental experiences in Jordan. International Journal of Clinical Pharmacy. 2020;42(4):1145-52. https://doi.org/10.1007/s11096-020-01095-0 
18. 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 Pediatrics. 2021;21(1):554. https://doi.org/10.1186/s12887-021-03020-4
19. Abu Hammour K, Al-Saleh S, Abu Hammour W. Parental views of antibiotic use in children with upper respiratory tract infections in Dubai. European Journal of Integrative Medicine. 2019;29.
20. Jönsson B, Ernstson L, Erntell M. How to improve parental knowledge and awareness about antibiotics? A unique Swedish Strama educational programme in child health centres. Clinical Microbiology and Infection. 2011;17.
21. Salimi NT, Ezbarami ZT, Tabari-Khomeiran R, et al. Comparing the effects of mobile-based education and booklet-based education on Iranian mothers’ perception on antibiotics: a quasi-experimental study. Journal of Pediatric Nursing. 2021;61:122-129. https://doi.org/10.1016/j.pedn.2021.04.034
22. Ivanovska V, Angelovska B, Van Dijk L, et al. Change in parental knowledge, attitudes and practice of antibiotic use after a national intervention programme. European Journal of Public Health. 2018;28(4):724-29. https://doi.org/10.1093/eurpub/ckx240