Validity of maternal self-reported antibiotic consumption in children: A population-based study

Q2 Nursing

International Journal of Africa Nursing Sciences Pub Date : 2025-01-01 DOI:10.1016/j.ijans.2025.100853

Javad Nazari , Nahid Chezani-Sharahi , Yeganeh Karimi , Mobin Naghshbandi , Rahmatollah Moradzadeh

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Abstract

Background

Validity of the self-reported data is very important. The primary objective of this study is to evaluate the accuracy of maternal self-reported antibiotic use in children aged 0–6 years in Iran by comparing it with prescription data from insurance records.

Methods

A total of 1483 children aged between 0 and 6 years were recruited in this study. We used stratified random sampling to determine recruitment criteria. Self-reported data of consumption of antibiotics was collected by interviewing with mothers. The prescribing data gathered through using the information registered in the insurance records as gold standard. Statistical parameters which were calculated included Sensitivity, Specificity, PPV and NPV. The confidence interval of 95 % was computed for these indices.

Results

Mean age of the children was 2.1 ± 1.5 years, and 52 % were girls. Maternal self-reported consumption of antibiotic among children estimated 62 %. Consumption of antibiotic based on the insurance records was seen in 3 % of the participants. The Sensitivity of maternal self-reported consumption of antibiotic among children was 72 % (95 % CI 57.5–83.8) and the PPV was 3.89 % (95 % CI 2.74–5.34). Specificity and NPV were calculated to be 37.9 % (95 % CI 35.4–40.5) and 97.5 % (95 % CI 95.8–98.6) in total population. In the parameters including suffering from chronic diseases, Self-reported awareness of antibiotic resistance, Mother as housekeeper, Specificity and NPV varied between 18.7 % and 97.5 % and the Sensitivity and PPV of were obtained between 2.86 % and 81.3 %.

Conclusion

The validity of self-reported antibiotic consumption in this population was low. Thence, self-reported antibiotic consumption should be given with discretion.

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母亲自我报告儿童抗生素使用的有效性：一项基于人群的研究

自我报告数据的有效性非常重要。本研究的主要目的是通过与保险记录中的处方数据进行比较，评估伊朗0-6岁儿童中母亲自我报告的抗生素使用情况的准确性。方法本研究共招募0 ~ 6岁儿童1483例。我们采用分层随机抽样来确定招聘标准。通过对母亲的访谈收集抗生素使用的自我报告数据。以保险记录中登记的信息为金标准收集的处方数据。计算的统计参数包括敏感性、特异性、PPV和NPV。对这些指标计算了95%的置信区间。结果患儿平均年龄2.1±1.5岁，女童占52%。据估计，62%的儿童服用了母亲自我报告的抗生素。根据保险记录，3%的参与者使用抗生素。母亲自我报告的儿童抗生素消费敏感性为72% (95% CI 57.5-83.8)， PPV为3.89% （95% CI 2.74-5.34）。特异性和净pv在总人口中分别为37.9% （95% CI 35.4-40.5）和97.5% （95% CI 95.8-98.6）。在慢性疾病患者、自我报告的抗生素耐药意识、母亲作为管家、特异性和NPV在18.7% ~ 97.5%之间，敏感性和PPV在2.86% ~ 81.3%之间。结论该人群自报抗菌药物使用的效度较低。因此，自我报告的抗生素用量应该谨慎。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Africa Nursing Sciences Nursing-Nursing (all)

CiteScore

2.40

自引率

0.00%

发文量

114

审稿时长

21 weeks

期刊介绍： International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.