A Stewardship-Guided Framework for Improving Antibiotics Use among Children with Acute Respiratory Tract Infections
A. Fathalla, A., M. Nouh, F., G. El- Bready, H., Sh. Shehata, H., A. Ghoneim, A. (2023). A Stewardship-Guided Framework for Improving Antibiotics Use among Children with Acute Respiratory Tract Infections. EKB Journal Management System, 14(2), 1211-1230. doi: 10.21608/ejhc.2023.328046
Amal A. Fathalla; Faten M. Nouh; Hanan G. El- Bready; Hanady Sh. Shehata; Azza A. Ghoneim. "A Stewardship-Guided Framework for Improving Antibiotics Use among Children with Acute Respiratory Tract Infections". EKB Journal Management System, 14, 2, 2023, 1211-1230. doi: 10.21608/ejhc.2023.328046
A. Fathalla, A., M. Nouh, F., G. El- Bready, H., Sh. Shehata, H., A. Ghoneim, A. (2023). 'A Stewardship-Guided Framework for Improving Antibiotics Use among Children with Acute Respiratory Tract Infections', EKB Journal Management System, 14(2), pp. 1211-1230. doi: 10.21608/ejhc.2023.328046
A. Fathalla, A., M. Nouh, F., G. El- Bready, H., Sh. Shehata, H., A. Ghoneim, A. A Stewardship-Guided Framework for Improving Antibiotics Use among Children with Acute Respiratory Tract Infections. EKB Journal Management System, 2023; 14(2): 1211-1230. doi: 10.21608/ejhc.2023.328046

A Stewardship-Guided Framework for Improving Antibiotics Use among Children with Acute Respiratory Tract Infections

Egyptian Journal of Health Care
Volume 14, Issue 2, June 2023, Pages 1211-1230    PDF (794.86 K)
Document Type: Original Article
DOI: 10.21608/ejhc.2023.328046
Authors
Amal A. Fathalla1; Faten M. Nouh2; Hanan G. El- Bready3; Hanady Sh. Shehata4; Azza A. Ghoneim1
1Assistant professor of Pediatric Nursing, Faculty of Nursing, Menoufia University, Egypt.
2Lecturer of Pediatric Nursing, Faculty of Nursing, Menoufia University, Egypt
3Lecturer of Family and Community Health Nursing, Faculty of Nursing, Menoufia University, Egypt
4Assistant professor of Family and Community Health Nursing, Faculty of Nursing, Menoufia University, Egypt.
Abstract
Background: Most acute respiratory tract infections (ARTIs) in children are due to viral etiology; however, overprescribing of antibiotics for ARTIs is common. Aim: To develop a Stewardship-guided framework for improving antibiotics use among children with ARTIs. Design: A quasi- experimental design (pre-posttest) was utilized for this study. Setting: The Pediatric ward and the pediatric outpatient clinic in Menoufia University Hospital. Sampling: A convenient sample of 43 nurses and a purposive sample of 200 children and their parents were included. Instruments: Five instruments were utilized to get the data. I: Nurses structured interview questionnaire sheet. II: Observational checklist for nurses’ antibiotic Stewardship activities. III: Children structured interview questionnaire sheet (children 9-11 years). IV: Children structured interview questionnaire sheet (children 12-15 years). V: Parents structured interview questionnaire sheet. Results: There was a significant improvement in nurses’ knowledge and antibiotic Stewardship activities. There was a significant improvement in children’ knowledge, beliefs and attitudes regarding antibiotic use. There was a significant decrease in parents’ false knowledge/ information, negative attitude and practices regarding antibiotic use after implementation of the Stewardship-guided framework compared to preintervention.  Conclusion: The Stewardship-guided framework was more successful on the posttest than on the pretest in improving nurses’ knowledge and antibiotic stewardship activities as well as children’ knowledge, beliefs and attitudes regarding antibiotic use, and parents’ knowledge, attitudes and practices regarding antibiotic use. Recommendation: Nurses in collaboration with the health care team should integrate the Stewardship-guided framework in all pediatric units and outpatient clinics for improving antibiotic use among pediatric patients.
Keywords
A Stewardship-Guided Framework; Antibiotics Use among Children; Acute Respiratory Tract Infections
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