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The influence of children's day care on antibiotic seeking: a mixed methods study

Leila Rooshenas1, Fiona Wood, Lucy Brookes-Howell

  • 1School of Social and Community Medicine, University of Bristol, Bristol; and Institute of Primary Care and Public Health, School of Medicine, Cardiff University, Cardiff.

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
|April 29, 2014
PubMed

Insights

Daycare providers often advise parents to seek antibiotics, influencing consulting behaviors. Their non-evidence-based policies encourage antibiotic use, overriding parental judgment on appropriate treatment.

Area of Science:

  • Pediatrics
  • Public Health
  • Infectious Diseases

Background:

  • Preschoolers are high antibiotic consumers, often for viral infections.
  • Daycare's influence on primary care consulting and antibiotic-seeking is understudied.

Purpose of the Study:

  • Investigate daycare providers' infection exclusion/readmission practices.
  • Examine consequences for parental consulting and antibiotic-seeking behaviors.

Main Methods:

  • Cross-sectional survey of 328 daycare providers in South East Wales.
  • Document analysis of sickness exclusion policies.
  • 52 semi-structured interviews with daycare providers and parents.

Main Results:

  • 41% of daycares advised parents their child might need antibiotics.
  • 93% advised general practice consultations.
  • 24% of policies cited non-evidence-based reasons for antibiotics; parents' perceptions of daycare needs lowered thresholds for consulting and antibiotic seeking.

Conclusions:

  • Daycare providers promote consulting and antibiotic use via non-evidence-based practices.
  • Daycare requirements influence parental decisions, overriding their own judgment on appropriate care.
Abstract

Keywords:
antibioticschildrenday caregeneral practiceinfectionqualitative

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