Parents' Perspective of Antibiotic Usage in Children: A Nationwide Survey in Italy.

Autor:	Pierantoni L; From the Pediatric Emergency Department, IRCSS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy., Lo Vecchio A; Department of Translational Medical Sciences-Section of Pediatrics, University of Naples Federico II, Napoli, Italy., Lenzi J; Dipartimento di Scienze Biomediche e Neuromotorie, Alma Mater Studiorum-Università di Bologna, Bologna, Italy., Corsi V; Department of Pediatrics, PO San Francesco Nuoro, Nuoro, Italy., Campana L; Department of Pediatrics, A. Cardarelli Hospital, Campobasso, Italy., Luca Trobia G; Pediatric and Pediatric Emergency Room Unit, 'Cannizzaro' Emergency Hospital Catania, Catania, Italy., Amendolea A; Pediatric Unit, Azienda Toscana Nord Ovest, Cecina, Italy., Di Felice B; Family Pediatrician, Terni, Italy., Alighieri G; Family Pediatrician, Unità di Pediatria e TIN, Azienda Ospedaliera Cardinale Giovanni Panico, Tricase, Italy., Fabrizio GC; Unità Operativa Complessa Pediatria e Neonatologia Ospedale Madonna delle Grazie, ASM Matera, Matera, Italy., Bisceglia M; Neonatal Intensive Care Unit, San Giovanni di Dio Hospital, Crotone, Calabria., Peia F; Neonatal Intensive Care Unit and Paediatric Department, ASST Lecco, Lecco, Italy., Chiale F; Regina Margherita Children's Hospital, Postgraduation School of Pediatrics, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy., Bartolomei B; Division of Neonatology, Salesi Children's Hospital, Ancona, Italy., Siciliano C; Family Pediatrician, Genova, Liguria., Di Battista C; Department of Paediatrics, 'G. d'Annunzio' University, Chieti, Italy., Passone E; Department of Pediatrics, Azienda Ospedaliero-Universitaria 'Santa Maria della Misericordia' di Udine, Friuli Venezia Giulia, Italy., di Giovanni C; Pediatric Unit, Tappeiner Hospital, Merano, Trentino Alto Adige, Italy., Piergentili E; Asl Valle d'Aosta, Valle d'Aosta, Italy., Donà D; Division of Pediatric Infectious Diseases, Department of Women's and Children's Health, University Hospital of Padua, Padua, Italy., Buonsenso D; Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Ge-melli IRCCS, Rome, Italy.; Dipartimento di Scienze Biotecnologiche di Base, Cliniche Intensivologiche e Perioperatorie, Università Cattolica del Sacro Cuore, Rome, Italy.; Global Health Research Institute, Istituto di Igiene, Università Cattolica del Sacro Cuore, Roma, Italy.
Jazyk:	angličtina
Zdroj:	The Pediatric infectious disease journal [Pediatr Infect Dis J] 2021 Oct 01; Vol. 40 (10), pp. 906-911.
DOI:	10.1097/INF.0000000000003221
Abstrakt:	Background: Antibiotics represent the most widely prescribed drugs in children worldwide, both in hospital and community settings. A comprehensive approach to understanding the reasons and determinants of antibiotic prescription in the pediatric age is needed. This study aimed to assess parents' attitudes and perspectives about antibiotic use. Methods: Prospective observational study was conducted in all Italian Regions between February 1 and April 30, 2020, using a standardized questionnaire. Results: Six thousand six hundred twenty-five parents from all Italian regions completed the survey. Seventy-six percent of parents were aware that only bacteria are the target of antibiotics, but 92.9% knew that the antibiotic has no direct effect on fever. Antibiotic self-prescription (10.4%) or by remote consultation by phone call (19.9%) or message (9.6%) were relatively common. Ninety-three percent of parents were aware that excessive use of antibiotics could select resistant bacteria and 84.7% of them knew that they could actively fight antibiotic resistance. About two thirds of participants (66.1%) received information on antibiotic resistance from their family pediatrician. Parents born of Italy or those with lower income had a higher probability of having less information from pediatricians or knowledge of proper antibiotic use. Discussion: Our study suggests that parents' knowledge and attitudes toward antibiotic use and prescription are improving compared with previous studies, while there is still a gap regarding antibiotic resistance, particularly on practices that can reduce its burden. Our study's negative finding is that families from low-income settings or those born abroad have significantly more misconceptions about important antibiotic practices. (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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