Parental experience of prophylactic antibiotics
Simon Jonathan Hardman1, Fiona Shackley2, Alison Condliffe3
1Sheffield Children's Hospital NHS Foundation Trust, Sheffield, UK simonhardman@doctors.net.uk.
Archives of Disease in Childhood
|October 22, 2020
Summary
Parents prioritize their child's immediate well-being when deciding on prophylactic antibiotics, despite concerns about future antibiotic resistance. Addressing parental experiences can improve adherence and reduce anxiety.
Area of Science:
- Pediatric pharmacology
- Qualitative health research
- Antibiotic stewardship
Background:
- Long-term prophylactic antibiotics are common but lack robust evidence.
- Parental involvement is crucial for medication optimization.
- Parental concerns significantly impact adherence to medication.
Purpose of the Study:
- To explore parental experiences with prophylactic antibiotics for children.
- To understand how these experiences influence antibiotic use behavior.
- To identify factors affecting parental decisions and adherence.
Main Methods:
- Prospective, single-center, qualitative study.
- 15 interviews with 18 participants at Sheffield Children's Hospital.
- Thematic analysis of parental experiences with azithromycin prophylaxis.
Main Results:
- Parents prioritize immediate child health over long-term antibiotic resistance concerns.
- Adequate preparation and normalization of prophylaxis reduce practical difficulties and anxiety.
- Minimizing disruption to family life promotes adherence and eases activity restrictions.
Conclusions:
- A behavioral model of parental phases with prophylactic antibiotics is proposed.
- Addressing parental experiences holistically improves adherence and doctor-parent relationships.
- Awareness of parental challenges is key to effective antibiotic management.
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