Knowledge, Attitude and Practice Survey towards Antibiotic Misuse among Egyptian Parents

Abstract Background The burden of antimicrobial resistance (AMR) is significantly high in low- and middle-income countries. A multitude of factors contributes to the development of AMR such as antibiotic misuse and overuse through self-medication combined with lack of awareness. Therefore, evaluation of patients' knowledge, attitude, and practice are indicators for antibiotic misuse. Objectives To assess knowledge, attitude, and practice (KAP) of antimicrobial self- medication among Egyptian parents and Methods This cross-sectional study used a 55-item questionnaire that was previously developed in English language. An Arabic validated version was used after ensuring its accuracy by translating the questionnaire to Arabic and then back translating it to English version by 2 bilingual experts in Faculty of Al-Alsun (Languages), Ain Shams University. The questionnaire was also face-validated by four experts, two in the field of Pediatrics, one in the field of Pediatric Neurology and one in in the field of Public Health. The questionnaire included: demographic data, knowledge and attitudes on antibiotic use, experiences of interactions with physicians, and practices of purchasing antibiotics. Results We have included 210 parents from the General outpatients’ clinic, where 49.52% of them showed inadequate knowledge, 52.38% of parents exhibited negative attitude and 53.81% of parents had poor practice. This was significantly influenced by sociodemographic characteristics including age, sex, educational level, medical insurance, and monthly income. We also found a significant positive correlation between the total knowledge score and total scores of attitudes and practice (r = 0.174, 0.264 and p = 0.011, 0.0001, respectively). Conclusion Lack of knowledge and misconceptions exist about the use and indications of antibiotics. Efforts is required to improve parents’ knowledge about antibiotics and promote healthier attitudes.