Evaluation of Parents’ Adherence in Giving Antibiotics on Respiratory Tract Infections (RTI) and Factors Associated with Adherence

Yosmar, Rahmi and Fitria, Azkia and Yuliandra, Yori and Arifin, Helmi (2016) Evaluation of Parents’ Adherence in Giving Antibiotics on Respiratory Tract Infections (RTI) and Factors Associated with Adherence. Research Journal of Pharmaceutical, Biological and Chemical Sciences, 7 (1). pp. 1662-1665.

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Abstract

Parents’ adherence in giving antibiotics plays an important role in therapeutic management of pediatric patients with respiratory tract infections and can avoid antibiotic resistance. The aims of this research are to evaluate parents’ adherence in giving antibiotic and factors associated with adherence. This research is conducted involving respondents from a primary health care center in Andalas, Padang who attended during April to August 2015. Adherence measurement has been done using pill counting method and MMAS (Morisky Medication Adherence Scale) containing 4 questions. By pill counting method, 43 respondents (65.15%) were found to be adherent in giving the antibiotic and 23 respondents (34.85%) were not. Assessment adherence using MMAS obtained 23 respondents (34.85%) had a high adherence, 31 respondents (46.97%) had a medium adherence, and 12 respondents (18.18%) had a low adherence. In this research, respondents are categorized as adherent if the rest of the antibiotics up to 20% and a score of MMAS are 0. Statistical analysis using Chi-square test, Fisher test and Kolmogorov-Smirnov have been done to investigate respondent and patient characteristic, and parents or patients habit factor associated with adherence. It can be concluded that from 66 recruited respondents, 23 respondents (34.85%) were adhere in giving antibiotic to patients. Factors associated with adherence are busy respondent, forgetful, patient seemed to recover, and patient cannot swallow.

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