6세 이하 아동 어머니의 항생제 사용인식
Mothers’ Perception on Antibiotic Use for Their Children Under Six Years Old
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: The objective of this study was to investigate mothers’ perception of antibiotic use for their children. Methods: A cross-sectional survey was conducted of a convenient sample of 210 mothers who visited the two pediatric hospitals in D city. Descriptive statistics, t-test, analysis of variance, Kruskal–Wallis test, Mann–Whitney U test, and Pearson correlation coefficients with SPSS WIN 24.0 were used to analyze the data. Results: The perception of mothers on antibiotic use for their children was relatively low (3.28/5) and showed a statistically significant difference based on the mothers’ educational background (χ2=15.30, p<.001). About 57–77% of participants discontinued or reduced the dosage of the antibiotics if their children’s symptoms were relieved, and about 60% of them perceived that antibiotics treat viral infections. Mothers’ adherence to specific doses of antibiotics in their children was positively correlated with their knowledge and beliefs (r=.17, p=.014) and their attitude regarding the use of antibiotics (r=.17, p=.014). Only 1.4% of the participants had educational experience regarding the correct use of antibiotics. Conclusion: Based on the results, it can be concluded that an educational program for mothers should be developed and to verify its effects in order to induce proper use of antibiotics among mothers.
Abstract
Purpose: The objective of this study was to investigate mothers’ perception of antibiotic use for their children. Methods: A cross-sectional survey was conducted of a convenient sample of 210 mothers who visited the two pediatric hospitals in D city. Descriptive statistics, t-test, analysis of variance, Kruskal–Wallis test, Mann–Whitney U test, and Pearson correlation coefficients with SPSS WIN 24.0 were used to analyze the data. Results: The perception of mothers on antibiotic use for their children was relatively low (3.28/5) and showed a statistically significant difference based on the mothers’ educational background (χ2=15.30, p<.001). About 57–77% of participants discontinued or reduced the dosage of the antibiotics if their children’s symptoms were relieved, and about 60% of them perceived that antibiotics treat viral infections. Mothers’ adherence to specific doses of antibiotics in their children was positively correlated with their knowledge and beliefs (r=.17, p=.014) and their attitude regarding the use of antibiotics (r=.17, p=.014). Only 1.4% of the participants had educational experience regarding the correct use of antibiotics. Conclusion: Based on the results, it can be concluded that an educational program for mothers should be developed and to verify its effects in order to induce proper use of antibiotics among mothers.
참고문헌 (30)
- Johnson CL, "The human microbiome and its potential importance to pediatrics", Pediatrics, 129(5), pp.950~960 (2012)[DOI]
- Ventola CL, "The antibiotic resistance crisis : Part 1 : Causes and threats", Pharmacy and Therapeutics, 40, pp.277~283 (2015)
- "Antimicrobial resistance: Policy insights" (2016)[URL]
- "Press release 2016" (2016)[URL]
- "Vancomycin -resistant enterococci infection" (2015)[URL]
- Bert F, "Knowledge and attitudes towards the use of antibiotics in the paediatric age group: A multicenter survey in Italy", The European Journal of Public Health, 27(3), pp.506~512 (2016)
- "Guidelines for the antibiotic use in children with acute upper respiratory tract infections" (2016)[URL]
- "Antimicrobial resistance: Global report on surveillance" (2014)[URL]
- Rogawski ET, "Use of antibiotics in children younger than two years in eight countries: A prospective cohort study", Bulletin of the World Health Organization, 95(1), pp.49~ (2017)
- 고해영, "초등학생 이하 자녀의 항생제 복용에 대한 보호자 인식조사", 한국임상약학회지, 20(1), pp.72~77 (2010), 한국임상약학회
- Pavlinac PB, "Failure of syndrome-based diarrhea management guidelines to detect Shigella infections in Kenyan children", Journal of the Pediatric Infectious Diseases Society, 5(4), pp.366~374 (2015)
- 김예지, "소아 호흡기감염 외래환자에 대한 항생제 처방양상", 보건행정학회지, 25(4), pp.323~333 (2015), 한국보건행정학회
- Francesco Napolitano, "Public Knowledge, Attitudes, and Experience Regarding the Use of Antibiotics in Italy", PLoS ONE, 8(12), pp.e84177~ (2013), Public Library of Science (PLoS)[DOI]
- Yu M, "Knowledge, attitudes, and practices of parents in rural China on the use of antibiotics in children : A cross-sectional study", BMC Infectious Diseases, 14(1), pp.112~ (2014)
- Lauren Havens, "Identification of Parents’ Perceptions of Antibiotic Use for Individualized Community Education", Global Pediatric Health, 3, pp.2333794X1665406~ (2016), SAGE Publications[DOI]
- McCullough AR, "A systematic review of the public's knowledge and beliefs about antibiotic resistance", Journal of Antimicrobial Chemotherapy, 71(1), pp.27~33 (2016)[DOI]
- "Guidelines for the antibiotic use in children with lower respiratory tract infections" (2017)[URL]
- "National action plan on antimicrobial resistance (2016-2020)" (2016)[URL]
- 채수미, "항생제 내성에 대한 소비자의 지식 및 태도", 보건행정학회지, 21(3), pp.365~380 (2011), 한국보건행정학회
- Samuel Coenen, "Are Patient Views about Antibiotics Related to Clinician Perceptions, Management and Outcome? A Multi-Country Study in Outpatients with Acute Cough", PLoS ONE, 8(10), pp.e76691~ (2013), Public Library of Science (PLoS)[DOI]
- Maria L. Salazar, "Caregivers’ Baseline Understanding and Expectations of Antibiotic Use for Their Children", Clinical Pediatrics, 51(7), pp.632~637 (2012), SAGE Publications[DOI]
- 김소선, "청소년의 항생제 사용에 대한 지식과 태도", 기본간호학회지, 16(4), pp.421~429 (2009), 기본간호학회
- Tammy C. Hoffmann, "The Connection Between Evidence-Based Medicine and Shared Decision Making", JAMA, 312(13), pp.1295~1296 (2014), American Medical Association (AMA)[DOI]
- Yoo JY, "Perception of mothers of multicultural families on antibiotics use on their children", master’s, pp.2018
- Nguyen T. K. Phuong, "Encouraging rational antibiotic use in childhood pneumonia: a focus on Vietnam and the Western Pacific Region", Pneumonia, 9(1), pp.7~ (2017), Springer Science and Business Media LLC[DOI]
- Huang SS, "Parental knowledge about antibiotic use : results of a cluster-randomized, multicommunity intervention", Pediatrics, 119, pp.698~706 (2007)
- Benedikt Huttner, "Characteristics and outcomes of public campaigns aimed at improving the use of antibiotics in outpatients in high-income countries", The Lancet Infectious Diseases, 10(1), pp.17~31 (2010), Elsevier BV[DOI]
- "Report on the appropriateness evaluation result of drug payment in the first half of 2016" (2016)[URL]
- Alumran A, "Assessing the construct validity and reliability of the parental perception on antibiotics (PAPA) scales", BMC Public Health, 14(1), pp.73~ (2014)[DOI]
- Korea Institute for Health and Social Affairs, "Antimicrobial resistance", Global Social Policy Brief, 20, pp.1~4 (2016)