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Table 1 Primary findings – Influences on antibiotic use

From: Should my child be given antibiotics? A systematic review of parental decision making in rural and remote locations

Themes and sub-themes

Studies

Location

Child’s symptoms

  

Nature of symptoms:

  

* Cough

* Fever

* Diarrhea

* Colds/respiratory illness

* Difficulty breathing

* Ear infections

* [33, 34, 36, 42, 44, 48, 49, 52]

* [32, 34, 39, 42,43,44, 54]

* [33, 35,36,37, 39, 50]

* [32, 35, 39, 40, 49, 52]

* [33, 48]

* [43]

* Vietnam, China, Cambodia, Nigeria, Tanzania1

* Vietnam, Indonesia, China, Srpska, Cambodia, Bangladesh1

* Vietnam, Bangladesh, Indonesia, Guatemala1

* Vietnam, Indonesia, Yemen, Nigeria, Tanzania1

* Vietnam, Nigeria1

* Srpska2

Severity of symptoms:

  

* Seriousness of illness/longer duration

* Combination of symptoms

* [31, 32, 37, 48]

* [33, 39]

* Vietnam, Bangladesh, Nigeria1

* Vietnam, Indonesia1

External advice and influences

  

Prescriber advice:

Advice of friends and family:

* [31, 32, 39,40,41,42,43, 49, 51]

* [40, 43, 49, 52, 54]

* Vietnam, Indonesia, Yemen, China, Srpska, Nigeria1

* Yemen, Srpska, Nigeria, Tanzania, Bangladesh1

Socio-demographic characteristics

  

Child age (conflicting findings):

  

* >2-3yrs of age associated with antibiotic use.

* Younger age associated with antibiotic use.

* [32, 42]

* [39, 48]

* Vietnam, China3

* Indonesia, Nigeria2

Parent-related determinants

  

(i.e., Parent/child distress caused by the pain of the injection contributed to parental hesitancy towards antibiotic use).

* [20]

* Australia3

  1. Symptoms were associated with antibiotic use (prescribed and unprescribed use) or parent expectations for antibiotics
  2. 1The risk of bias was rated low to moderate
  3. 2the risk of bias was rated moderate
  4. 3the risk of bias was rated low