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Table 3 Primary findings – Non-adherence to antibiotic treatment

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

Parent-related determinants

  

Attitudes and beliefs:

  

* Child’s symptoms improved

* Concern of potential harmful effects

* Lack of improvement in symptoms

* [35, 41, 42, 51, 53, 54]

* [35, 54]

* [53]

* Vietnam, China, Malawi, Bangladesh3

* Vietnam, Bangladesh3

* Malawi3

Knowledge:

  

* Low awareness of AMR and side effects

* Difficulties understanding the medicine regime.

* [34, 35, 40, 42]

* [20, 53]

* Vietnam, Yemen, China1

* Australia, Malawi3

Forgetting:

* [20]

* Australia3

External advice and influences

  

* Social and cultural norms:

* Palatability/child refusal:

* Lack of access to refrigeration to store antibiotic medicine:

* [53]

* [20]

* [20]

* Malawi3

* Australia3

* Australia3

Barriers to healthcare

  

*Greater distance to travel:

* [53]

* Malawi3

  1. 1The risk of bias was rated low to moderate
  2. 2the risk of bias was rated moderate
  3. 3the risk of bias was rated low