Abstract
Amaç: Antibiyotiklerin uygun olmayan kullanımları birçok soruna sebep olabilmektedir. Antibiyotiklerin fazla kullanılmasının nedenlerinden birisi de anne babaların talepleri ve daha önceki deneyimlerine bağlı olarak antibiyotik kullanma istekleridir. Anne babaların çocukları için antibiyotik kullanma durumları; sosyoekonomik durumlarına, eğitim düzeylerine, daha önceki hastalık deneyimlerine ve antibiyotiklerle ilgili bilgi durumlarına göre değişiklik gösterebilmektedir. Bu çalışmada çocuk polikliniğine başvuran hastaların anne babalarının antibiyotik kullanımı ile ilgili bilgi ve tutumlarının değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntemler: Çalışma 200 çocuğun ebeveyni ile yüz yüze görüşülerek gerçekleştirildi. Ailelerden sosyodemografik özellikleri ve antibiyotik kullanımı ile ilgili bilgi ve tutumları içeren 26 sorudan oluşan anketi cevaplamaları istendi.
Bulgular: Çalışmamıza katılan 200 ebeveynin %78’i anne iken, %22’si babaydı. Katılımcıların 119’u (%59.5) çocuğu hastalandığında doktora götürürken, 81’i (%40.5) öncelikle kendileri ilaç (antibiyotik, ateş düşürücü, öksürük şurubu) başladıklarını belirtmiştir. Annelerde doktora gitmeden ilaç başlama oranı (%42.9) babalara göre (%31.8) daha yüksek saptandı. Eğitim süresi >8 yıl olanlarda doktora gitmeden ilaç başlama oranı eğitim süresi ≤8 yıl olanlara göre istatistiksel olarak anlamlı düşük saptandı (p=0.07). Katılımcıların %4.5’i doktor önerisi dışında antibiyotik kullanırken, %95.5’i evde yedek antibiyotik bulundurmuyordu.
Sonuç: Katılımcı grubunun doktor önerisi dışında antibiyotik kullanma oranının ve evde yedek antibiyotik bulundurma oranının düşük olması önemli bir olumluluktur.
Keywords
References
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Abstract
References
- 1. Graft-Aikins A, Chalker J, Lee D, Miralles M. Interventions and strategies to improve the use of antimicrobials in developing countries: A review. Management Sciences for Health. Arlington: VA, World Health Organization, 2001.
- 2. Mora Y, Avila-Agtiero M, Umafia M, Jimenez A, Paris M, Faingezicht I. Epidemiologic observations of the judicious use of antibiotics in a pediatric teaching hospital. Int J Infect Dis 2002;6:74–7.
- 3. 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.
- 4. Harnden A, Perera R, Brueggemann AB, Mayon-White R, Crook DW, Thomson A, et al. Respiratory infections for which general practitioners consider prescribing an antibiotic: A prospective study. Arch Dis Child 2007;92:594–7.
- 5. Shlomo V, Adi R, Eliezer K. 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;4:20.
- 6. Zyoud SH, Abu Taha A, Araj KF, Abahri IA, Sawalha AF, Sweileh WM, 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 Pediatr 2015;15:176.
- 7. Barden LS, Dowell SF, Schwartz B, Lackey C. Current attitudes regarding use of antimicrobial agents: Results from physician’s and parents’ focus group discussions. Clin Pediatr (Phila) 1998;37:665- 71.
- 8. 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.
- 9. Widayati A, Suryawati S, de Crespigny C, Hiller JE. Self medication with antibiotics in Yogyakarta City Indonesia: A cross sectional population-basedsurvey. BMC Res Notes 2011;4:491.
- 10. Braun B, Fowles J. Characteristics and experiences of parents and adults who want antibiotics for cold symptoms. Arch Fam Med 2000;9:589-95.
- 11. Teng C, Leong K, Aljunid S, Cheah M. Antibiotic prescription in upper respiratory tract infections. Asia Pacific Family Medicine 2004; 3:38-45.
- 12. Kozyrskyj A, Dahl M, Chateau D, Mazowita G, Klassen T, Law B. Evidencebased prescribing of antibiotics foe children: Role of socioeconomic status and physician characteristics. CMAJ 2004; 171:139-45.
- 13. Bayram N, Günay İ, Apa H, Gülfidan G, Yamacı S, Kutlu A, v ark. Çocuklarda antibiyotik kullanımı ile ilgili ailelerin tutumlarını etkileyen faktörlerin değerlendirilmesi. Çocuk Enfeksiyon Dergisi 2013;7: 57- 60.
- 14. Braun BL, Fowles JB, Solberg L, Kind E, Healey M, Anderson R. Patient beliefs about the characteristics, causes, and care of the common cold: An update. J Fam Pract 2000;49:153-6.
- 15. 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.
- 16. Al-Dossari K. Parental knowledge, attitude and practice on antibiotic use for upper respiratory tract infections in children. Majmaah J Health Sci 2013;1:39-51.
- 17. Panagakou SG, Spyridis N, Papaevangelou V, Theodoridou KM, Goutziana GP, Theodoridou MN, Syrogiannopoulos GA, Hadjichristodoulou CS. 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.
- 18. Rouusounides A, Papaevangelou V, Hadjipanayis A, Panagakou S, Theodoridou M, Syrogiannopoulos G, 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.
- 19. Kenesarı CK, Özçakar N. Annelerin çocuklarında antibiyotik kullanımına ilişkin yaklaşımları: Kısa bilgilendirme ne kadar etkili? Türk Aile Hek Derg 2016;20:16-22.
- 20. González J, Orero A, Prieto J. Storage of antibiotics in Spanish households. Rev Esp Quimioter 2006;19:275-85.
- 21. Yapıcı G, Balıkçı S, Uğur Ö. Birinci basamak sağlık kuruluşuna başvuranların ilaç kullanımı konusundaki tutum ve davranışları. Dicle Tıp Dergisi 2011; 38: 458-65.
- 22. Dinç AB, Bireller ES, Şahin E, Ergen A, Çakmakoğlu B. Antibiyotiklerin akılcı kullanımının ebeveynler üzerinde araştırılması. Deneysel Tıp Dergisi 2016;12: 33-44.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | ORIGINAL ARTICLES |
| Authors | |
| Publication Date | May 24, 2019 |
| Submission Date | March 19, 2018 |
| Published in Issue | Year 2019 Volume: 13 Issue: 3 |
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