Caregivers' Experiences Regarding Antibiotic Usage in Treating Children's Upper Respiratory Tract Infections in Southern Tanzania.

The East African health research journal Pub Date : 2023-01-01 Epub Date: 2023-11-30 DOI:10.24248/eahrj.v7i2.731
Zephania Saitabau Abrahama, Paulo Mahegaa, Aveline Aloyce Kahinga
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Abstract

Introduction: Upper respiratory tract infections (URTIs) are common illnesses, especially in children and account globally for a substantial proportion of consultations with family doctors. The objective of this study was to assess knowledge, attitude and practice of caretakers regarding antibiotic usage in treating URTIs in Southern Tanzania.

Methods: A cross-sectional hospital-based study was conducted at Iringa Regional Referral Hospital in Southern Tanzania from March to June 2022 involving 300 caregivers. Data was analyzed using Statistical Package for Social Sciences (SPSS) version 23.

Results: About two-thirds (71.7%) of the caregivers had poor knowledge regarding antibiotic usage in treating children's URTIs. In this study, 96.7% of the caregivers correctly identified amoxicillin as the most prescribed medication for treatment of children's URTIs. However, about two-thirds (65.0 %) of the parents were aware of the antibiotic resistance that could be caused by misuse of antibiotics. In this study 50.7% of the respondents had poor attitude while 49.3% had good attitude regarding antibiotic usage in treating children's URTIs. Similarly, 53% of the respondents thought local medications are better than antibiotics in treatment of URTIs. Regarding practices, 75.3% of the respondents used to complete the dose of antibiotics when prescribed for treatment of URTIs and 69.7% used to treat their children at home when having URTIs. A significant association was found between the majority of the socio-demographic characteristics of the respondents and the level of knowledge. Similarly, there was a statistically significant association between knowledge and attitude of caregivers pertaining to antibiotic usage in treating children's URTIs.

Conclusions: There is lack of knowledge among caregivers regarding antibiotic usage for treating children's URTIs at the regional hospital and also more than half of the caregivers had poor attitude towards antibiotic usage. Therefore, caregiver's educational interventions should be implemented through health promotions and educational campaigns that should be mainly conducted by medical doctors since they were reported by the caregivers to be the commonest source of information.

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坦桑尼亚南部护理人员在治疗儿童上呼吸道感染时使用抗生素的经验。
导言:上呼吸道感染(URTIs)是一种常见疾病,尤其是在儿童中,在全球范围内占家庭医生咨询的很大比例。本研究旨在评估坦桑尼亚南部护理人员在使用抗生素治疗上呼吸道感染方面的知识、态度和做法:2022 年 3 月至 6 月,在坦桑尼亚南部的伊林加地区转诊医院开展了一项以医院为基础的横断面研究,共有 300 名护理人员参与。数据采用社会科学统计软件包(SPSS)23 版进行分析:约有三分之二(71.7%)的护理人员对使用抗生素治疗儿童尿路感染知之甚少。在这项研究中,96.7% 的护理人员正确地指出阿莫西林是治疗儿童尿路感染的最常用药物。然而,约三分之二(65.0%)的家长知道滥用抗生素可能会导致抗生素耐药性。在这项研究中,50.7% 的受访者对使用抗生素治疗儿童尿道炎的态度不佳,49.3% 的受访者态度良好。同样,53% 的受访者认为在治疗尿路感染时,局部用药比抗生素更好。在治疗方法方面,75.3% 的受访者在治疗尿路感染时按处方用完抗生素剂量,69.7% 的受访者在孩子患尿路感染时在家治疗。调查发现,大多数受访者的社会人口学特征与知识水平之间存在明显关联。同样,护理人员在治疗儿童尿路感染时使用抗生素的知识和态度之间也有统计学意义:结论:该地区医院的护理人员对使用抗生素治疗儿童尿路感染缺乏了解,半数以上的护理人员对使用抗生素的态度不佳。因此,护理人员的教育干预措施应通过健康宣传和教育活动来实施,这些活动应主要由医生来开展,因为护理人员称医生是最常见的信息来源。
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