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Published on: November 17, 2018
Antibiotics Self Medication among Children: A Systematic Review
Fabrizio Bert1,2, Christian Previti1, Francesco Calabrese1
1Department of Public Health and Pediatric Sciences, University of Turin, 10126 Turin, Italy.
Antibiotic self-medication in children is common globally, particularly in the Middle East and Africa. Factors like distance to healthcare and family size increase this risk, highlighting the need for better drug sale regulations.
Area of Science:
- Public Health
- Infectious Diseases
- Pharmacology
Background:
- Antimicrobial resistance (AMR) is a critical global health threat.
- Antibiotic overuse and self-prescription significantly contribute to AMR.
- Antibiotic self-medication (ASM) in children is a growing concern.
Purpose of the Study:
- To systematically review the phenomenon of antibiotic self-medication (ASM) in children.
- To analyze parental knowledge, attitudes, and behaviors related to ASM in pediatric populations.
Main Methods:
- Systematic review adhering to PRISMA guidelines.
- Searched PubMed, Scopus, and Web of Science databases until July 2022.
- Included English-language studies on parental factors influencing ASM in children.
Main Results:
- Identified 57 relevant studies from 702 initial articles.
- Prevalence of ASM in children: Middle East (34%), Africa (22%), Asia (20%), South America (17%), Europe (8%).
- Risk factors include distance from hospitals, low income, and larger family size; fever and cough are common triggers.
Conclusions:
- ASM in children is geographically varied, with higher rates in developing regions.
- Parental socioeconomic factors and perceived illness severity influence ASM.
- Stricter regulation of antimicrobial drug sales is crucial to mitigate ASM and combat AMR.
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