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Parental Knowledge, Attitudes and Practices Regarding Antibiotic Use for Upper Respiratory Tract Infections in
Asma S Al Hashmi1, Abir S Al Shuhumi2, Rahma M Al Kindi3
1Department of Family Medicine, Ministry of Health, Muscat, Oman.
Insights
Parental knowledge about antibiotic use for children with upper respiratory tract infections (URTIs) is limited, despite confidence in healthcare providers. Educational initiatives are needed to promote rational antibiotic use in Oman.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- Antibiotic resistance is a growing global health concern.
- Upper respiratory tract infections (URTIs) are common in children and often viral, not requiring antibiotics.
Purpose of the Study:
- To assess parental knowledge, attitudes, and practices regarding antibiotic use for children with URTIs in Oman.
Main Methods:
- A multi-centre cross-sectional study was conducted in Muscat, Oman.
- 384 parents of children under 12 years old were recruited using a validated questionnaire.
Main Results:
- Nearly half of parents believed antibiotics were the best treatment for URTIs.
- Many parents thought antibiotics improved influenza symptoms or prevented complications.
- Most parents did not misuse antibiotics (e.g., without prescription or using leftovers).
Conclusions:
- Parents exhibit a lack of knowledge regarding appropriate antibiotic use for pediatric URTIs.
- Educational initiatives for the public and healthcare professionals are crucial for promoting rational antibiotic use in Oman.
Objectives:
This study aimed to assess parental knowledge, attitudes and practices regarding antibiotic use for children with upper respiratory tract infections (URTIs).
Methods:
A multi-centre cross-sectional study was conducted from September 2018 to April 2019 at 15 randomly selected primary health centres in Muscat, Oman. A total of 384 parents with children under 12 years old were recruited. A validated questionnaire was utilised to determine knowledge, attitudes and practices regarding antibiotic use for children with URTIs.
Results:
All 384 parents participated in the study (response rate: 100%). Almost half of the participants (n = 173; 45.1%) agreed that antibiotics were the first and best treatment for URTIs in children, with 184 parents (47.9%) reporting that influenza symptoms in children improved more rapidly after the administration of antibiotics and 203 (52.9%) believing that antibiotics prevented complications. The majority (n = 219; 57.0%) of parents never gave their children antibiotics without a prescription, and 291 (75.8%) never used leftover antibiotics. Most participants (n = 233; 60.7%) stated that it was the doctor's decision to prescribe antibiotics, 192 (50.0%) had never asked a physician to prescribe antibiotics for their child and 256 (66.7%) had never changed doctors because they did not prescribe antibiotics.
Conclusion:
This study found that parents had confidence in their healthcare providers; however, it also showed the extent of their lack of knowledge regarding the use of antibiotics for children with URTIs. There is a need for both public- and healthcare professional-oriented educational initiatives to promote rational antibiotic usage in Oman.
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