More physician consultations and antibiotic prescriptions in families with high concern about infectious illness-adequate response to infection-prone child or self-fulfilling prophecy?

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More physician consultations and antibiotic prescriptions in families with high concern about infectious illness-adequate response to infection-prone child or self-fulfilling prophecy?

André, Malin (author): Uppsala universitet,Centrum för klinisk forskning Dalarna,André, M., Centre for Clinical Research, Dalarna, Nissers väg 3, 791 82 Falun, Sweden

Hedin, Katarina (author): Lund University,Lunds universitet,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups,Unit of RandD, Kronoberg County Council, Växjö, Sweden, Department of Clinical Science in Malmö - General Practice/Family Medicine, Lund University, Malmö, Sweden

Håkansson, Anders (author): Lund University,Lunds universitet,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups,Håkansson, A., Department of Clinical Science in Malmö - General Practice/Family Medicine, Lund University, Malmö, Sweden

Mölstad, Sigvard (author): Linköpings universitet,Hälsouniversitetet,Allmänmedicin

Rodhe, Nils (author): Uppsala universitet,Centrum för klinisk forskning Dalarna,Centre for Clinical Research, Dalarna, Nissers väg 3, 791 82 Falun, Sweden

Petersson, Christer (author): Unit of RandD, Kronoberg County Council, Växjö, Sweden

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2007-08-28
2007
English.
In: Family Practice. - : Oxford University Press (OUP). - 0263-2136 .- 1460-2229. ; 24:4, s. 302-307

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Journal article (peer-reviewed)

Abstract Subject headings

Background. Respiratory tract infections (RTI) in children is the most common cause of prescription of antibiotics. It is important to describe and analyse non-medical factors in order to develop more rational use of antibiotics. Objectives. To compare families with high and low concern about infectious illness with regard to social variables, perception of infection proneness and beliefs in antibiotics and to relate the concern for infectious illness to reported morbidity, physician consultations and antibiotic prescriptions for the 18-month-old child in the family. Methods. A prospective, population-based survey was performed. During 1 month, all infectious symptoms, physician consultations and antibiotic treatments for 18-month-old children were noted. The 818 families also answered questions about their socio-economic situation, illness perception and concern about infectious illness. Results. High concern about infectious illness was associated with more frequent physicians consultations and more prescriptions of antibiotics. There was no significant difference in reported days with symptoms of RTI, but the parents more often experienced their children with RTI without fever as being ill. The variables of infection proneness in the child, inadequate beliefs in antibiotics and the factor of being the only child were important explanatory factors for concern about infectious illness. Conclusions. High concern about infectious illness is an important determining factor for physician consultations and antibiotic prescription for small children. An adequate consultation, where the doctor deals with the parents' worries and gives appropriate information about symptoms and disease, might contribute to less antibiotic prescribing with preserved parental satisfaction.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Allmänmedicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- General Practice (hsv//eng)

Keyword

Anti-bacterial agents
attitudes to health
child
parents
preschool
respiratory tract infections
MEDICINE
MEDICIN
attitudes to health
anti-bacterial agents
child
preschool
parents
respiratory tract infections

Publication and Content Type

ref (subject category)
art (subject category)

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By the author/editor: André, Malin; Hedin, Katarina; Håkansson, Ander ...; Mölstad, Sigvard; Rodhe, Nils; Petersson, Chris ...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and General Practice

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