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Antibiotics and paediatric acute respiratory infections in rural Vietnam: health-care providers' knowledge, practical competence and reported practice.
Trop Med Int Health. 2009 May; 14(5):546-55.TM

Abstract

OBJECTIVE

To assess knowledge, practical competence and reported practices among health-care providers about antibiotics to treat acute respiratory infections in children under five in rural Vietnam.

METHOD

Health-care providers prescribing or dispensing western drugs for children self-completed a structured questionnaire. Recommendations concerning antibiotic use from WHO and national guidelines were used to assess the appropriateness of reported treatment of acute respiratory infections.

RESULTS

Ninety-six per cent of 409 eligible health care providers participated. Only 27% demonstrated correct knowledge regarding the consequences of resistance. Seventy-nine per cent would use antibiotics for common colds with fever, and 21% in cases with no fever. Nineteen per cent had overall knowledge compliant with recommended guidelines. Stated antibiotic use in written scenarios for common colds (81%) was not significantly different from that for non-referral cases of pneumonia (87%). The proportion of antibiotic use in the common cold scenario was significantly lower among health-care providers who had the correct overall knowledge. According to reported symptoms from the most recent encounter with a sick child, the diseases seen were 62% mild acute respiratory infections, 19% severe, and 19% non-respiratory infections. Among those, antibiotics, most commonly beta-lactams, were used in 90%, 87% and 78% of cases, respectively.

CONCLUSIONS

Antibiotics are often prescribed or dispensed to treat common colds. Interventions to change prescribing and dispensing practices should be developed and implemented in collaboration with local and national paediatricians. Continuous training of health-care providers, particularly drug sellers, is important.

Authors+Show Affiliations

Karolinska Institutet, Stockholm, Sweden. quynhhoa29@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19320870

Citation

Hoa, Nguyen Quynh, et al. "Antibiotics and Paediatric Acute Respiratory Infections in Rural Vietnam: Health-care Providers' Knowledge, Practical Competence and Reported Practice." Tropical Medicine & International Health : TM & IH, vol. 14, no. 5, 2009, pp. 546-55.
Hoa NQ, Larson M, Kim Chuc NT, et al. Antibiotics and paediatric acute respiratory infections in rural Vietnam: health-care providers' knowledge, practical competence and reported practice. Trop Med Int Health. 2009;14(5):546-55.
Hoa, N. Q., Larson, M., Kim Chuc, N. T., Eriksson, B., Trung, N. V., & Stålsby, C. L. (2009). Antibiotics and paediatric acute respiratory infections in rural Vietnam: health-care providers' knowledge, practical competence and reported practice. Tropical Medicine & International Health : TM & IH, 14(5), 546-55. https://doi.org/10.1111/j.1365-3156.2009.02267.x
Hoa NQ, et al. Antibiotics and Paediatric Acute Respiratory Infections in Rural Vietnam: Health-care Providers' Knowledge, Practical Competence and Reported Practice. Trop Med Int Health. 2009;14(5):546-55. PubMed PMID: 19320870.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Antibiotics and paediatric acute respiratory infections in rural Vietnam: health-care providers' knowledge, practical competence and reported practice. AU - Hoa,Nguyen Quynh, AU - Larson,Mattias, AU - Kim Chuc,Nguyen Thi, AU - Eriksson,Bo, AU - Trung,Nguyen Vu, AU - Stålsby,Cecilia Lundborg, Y1 - 2009/03/19/ PY - 2009/3/27/entrez PY - 2009/3/27/pubmed PY - 2009/9/11/medline SP - 546 EP - 55 JF - Tropical medicine & international health : TM & IH JO - Trop Med Int Health VL - 14 IS - 5 N2 - OBJECTIVE: To assess knowledge, practical competence and reported practices among health-care providers about antibiotics to treat acute respiratory infections in children under five in rural Vietnam. METHOD: Health-care providers prescribing or dispensing western drugs for children self-completed a structured questionnaire. Recommendations concerning antibiotic use from WHO and national guidelines were used to assess the appropriateness of reported treatment of acute respiratory infections. RESULTS: Ninety-six per cent of 409 eligible health care providers participated. Only 27% demonstrated correct knowledge regarding the consequences of resistance. Seventy-nine per cent would use antibiotics for common colds with fever, and 21% in cases with no fever. Nineteen per cent had overall knowledge compliant with recommended guidelines. Stated antibiotic use in written scenarios for common colds (81%) was not significantly different from that for non-referral cases of pneumonia (87%). The proportion of antibiotic use in the common cold scenario was significantly lower among health-care providers who had the correct overall knowledge. According to reported symptoms from the most recent encounter with a sick child, the diseases seen were 62% mild acute respiratory infections, 19% severe, and 19% non-respiratory infections. Among those, antibiotics, most commonly beta-lactams, were used in 90%, 87% and 78% of cases, respectively. CONCLUSIONS: Antibiotics are often prescribed or dispensed to treat common colds. Interventions to change prescribing and dispensing practices should be developed and implemented in collaboration with local and national paediatricians. Continuous training of health-care providers, particularly drug sellers, is important. SN - 1365-3156 UR - https://www.unboundmedicine.com/medline/citation/19320870/Antibiotics_and_paediatric_acute_respiratory_infections_in_rural_Vietnam:_health_care_providers'_knowledge_practical_competence_and_reported_practice_ L2 - https://doi.org/10.1111/j.1365-3156.2009.02267.x DB - PRIME DP - Unbound Medicine ER -