Misconceptions and Behavioral Risks in Parental Antibiotic Use on Romanian Children: A Cross-Sectional Study on Knowledge, Attitudes, and Practices.

IF 4.3 2区 医学 Q1 INFECTIOUS DISEASES
Alin Iuhas, Radu Galiș, Marius Rus, Andreea Balmoș, Cristian Marinău, Larisa Niulaș, Zsolt Futaki, Dorina Matioc, Cristian Sava
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Abstract

Background: Antimicrobial resistance is a growing global health threat, with antibiotic misuse in pediatric populations being a significant contributing factor. In Romania, antibiotic consumption and resistance rates are among the highest in Europe.

Objective: To assess Romanian parents' knowledge, attitudes, and practices regarding antibiotic use in children, and to identify key misconceptions and behavioral risks contributing to inappropriate antibiotic use.

Methods: A cross-sectional survey was conducted among 400 parents of hospitalized children in a pediatric department in Romania. Participants completed a 15 item structured questionnaire. Data were analyzed using descriptive statistics, chi-square tests, and binary logistic regression to examine associations and control for potential confounding effects between education level, residential environment, and parental misconceptions regarding antibiotic use.

Results: Among the 400 surveyed caregivers, 86% (n = 344) held at least one misconception regarding antibiotic use. Additionally, 42.5% (n = 170) of participants reported that they had never heard of the concept of antibiotic resistance. Misconceptions were significantly more prevalent among individuals with lower levels of education and those residing in rural areas (p < 0.001). While 89.8% (n = 359) stated that they had never administered antibiotics to their children without a physician's recommendation, a separate subset of 28% (n = 112) acknowledged that they had asked a doctor to prescribe antibiotics for their child. Moreover, 23.3% (n = 93) reported seeking a second medical opinion when antibiotics were not initially prescribed.

Conclusions: Despite high adherence to medical advice, widespread misconceptions persist. These findings highlight the need for targeted, population-specific educational interventions to promote rational antibiotic use and address AMR in high-burden settings like Romania.

罗马尼亚儿童父母抗生素使用的误解和行为风险:知识、态度和实践的横断面研究。
背景:抗菌素耐药性是日益严重的全球健康威胁,儿科人群中抗生素滥用是一个重要因素。罗马尼亚的抗生素消费量和耐药性是欧洲最高的国家之一。目的:评估罗马尼亚父母对儿童抗生素使用的知识、态度和做法,并确定导致抗生素不当使用的关键误解和行为风险。方法:对罗马尼亚某儿科住院儿童的400名家长进行横断面调查。参与者完成了一份包含15个项目的结构化问卷。使用描述性统计、卡方检验和二元逻辑回归分析数据,以检查教育水平、居住环境和父母对抗生素使用的误解之间的关联和潜在混淆效应的控制。结果:在400名接受调查的护理人员中,86% (n = 344)对抗生素使用至少有一种误解。此外,42.5% (n = 170)的参与者报告说他们从未听说过抗生素耐药性的概念。误解在教育水平较低的个体和居住在农村地区的个体中更为普遍(p < 0.001)。89.8% (n = 359)的家长表示,在没有医生建议的情况下,他们从未给孩子开过抗生素;另有28% (n = 112)的家长承认,他们曾要求医生给孩子开过抗生素。此外,23.3% (n = 93)报告说,当最初没有开抗生素时,他们会寻求第二医学意见。结论:尽管高度遵守医疗建议,普遍的误解仍然存在。这些发现强调需要有针对性的针对人群的教育干预措施,以促进抗生素的合理使用,并在罗马尼亚等高负担环境中解决抗生素耐药性问题。
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来源期刊
Antibiotics-Basel
Antibiotics-Basel Pharmacology, Toxicology and Pharmaceutics-General Pharmacology, Toxicology and Pharmaceutics
CiteScore
7.30
自引率
14.60%
发文量
1547
审稿时长
11 weeks
期刊介绍: Antibiotics (ISSN 2079-6382) is an open access, peer reviewed journal on all aspects of antibiotics. Antibiotics is a multi-disciplinary journal encompassing the general fields of biochemistry, chemistry, genetics, microbiology and pharmacology. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. Therefore, there is no restriction on the length of papers.
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