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FACTORS ASSOCIATED, KNOWLEDGE AND ATTITUDES REGARDING ANTIBIOTIC SELF-MEDICATION IN CAREGIVERS
Self-medication with antibiotics is frequent and it comes to 35% in low-income countries with limited resources and thus represents a public health problem.
The objective was to measure the factors associated with antibiotic self-medication as well as the knowledge and attitudes of caregivers in pediatric emergency department.
Case-control study of patients with a infectious diagnosis who came to emergency room in two hospitals in Bogota, Colombia. A case was a patient that reported self-medication who was matched to 3 controls who went to the emergency room at the same time and didn't report this behavior on a survey. The results were compared using logistic regression analysis with an odds ratio(OR) and 95% confidence intervals.
A total of 729 patients, 182 cases, and 547 controls were included. If the mother OR=0.56[0.40-0.79] and father OR=0.62[0.43-0.89] have a high level of education, the probability of self-medication is lower. Requesting antibiotics from the physician OR=3.92[1.59-9.66], buying antibiotics without a prescription OR=23.66[11.76-47.59], and recommending antibiotics among family members OR=2.90[1.75-4.82] resulted in an increased likelihood of self-medication. There was a higher probability of self-medication among older children OR=1.13[1.09-1.17] and those with a greater number of siblings OR=1.25[1.09-1.43]. Having received antibiotics within the last 3 months increased the probability of self-medication OR=6.27[4.35-9.04].
An increase in self-medication was identified as connected to an older age in years, previous use of antibiotics, presence of siblings, and parents with lower levels of education. The attitudes and knowledge of the caregivers suggested improper use of antibiotics on the Colombian pediatric population.