Abstract

(1) Background: Antibiotic resistance is an imperative public health issue globally. Major factors that are resulting in this trend are the irrational and excessive use of antibiotics. Children account for a greater population of antibiotics use, therefore, an educational intervention on the rational use of antibiotics for children and caregivers will be beneficial. (2) Methods: A randomized controlled and parallel group study of fifth grade children and their caregivers will be evaluated in four primary schools in Baoji and Weinan of the Shaanxi Province. Two primary schools will be randomly selected for the educational intervention and two schools will serve as a control group. In the intervention arm, educational interventions will be conducted among caregivers and their children. The intervention measures include interactive training sessions, booklets, and printed or electronic educational materials that will be given to the caregivers or the school-aged children. In the control arm, no interventions will be implemented. Baseline data collected from June, 2018 and the intervention will last for three months. Knowledge-Attitude-Practice (KAP) questionnaires will be used to evaluate the caregivers’ knowledge, their attitude, and their practice. Knowledge-Retention questionnaires will be used to assess the children’s knowledge about microbes, antibiotics, and hygiene. (3) Discussion: This study is a unique comprehensive intervention targeting both children and their caregivers. We hypothesize a decrease in the irrational use of antibiotics among the studied population. Hence, this result would provide evidence for policy makers and educational departments for the implementation of similar interventions on the rational use of antibiotics.

Highlights

  • IntroductionAntimicrobials are considered as one of the greatest inventions of the twentieth century [1]

  • Antimicrobials are considered as one of the greatest inventions of the twentieth century [1].Since their advent, they have been widely used in clinical practice and have played a great role in preventing and treating the infectious diseases of humans [2,3]

  • In 2014, a global antibiotic resistance monitoring report found that antibiotic resistance exists in all regions, revealing that at any time, the world will reach the “post-antibiotics” era [13], and in 2015, reports in China showed that the detection rate of methicillin-resistant Staphylococcus aureus (MRSA) was 35.8% and that the detection rate of erythromycin-resistant Streptococcus pneumoniae was 91.5% [14]

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Summary

Introduction

Antimicrobials are considered as one of the greatest inventions of the twentieth century [1]. Since their advent, they have been widely used in clinical practice and have played a great role in preventing and treating the infectious diseases of humans [2,3]. They have been widely used in clinical practice and have played a great role in preventing and treating the infectious diseases of humans [2,3] They account for the most consumed medicines worldwide [4], and the issue of bacterial resistance due to their overuse is a pressing global health concern [5,6,7]. In 2014, a global antibiotic resistance monitoring report found that antibiotic resistance exists in all regions, revealing that at any time, the world will reach the “post-antibiotics” era [13], and in 2015, reports in China showed that the detection rate of methicillin-resistant Staphylococcus aureus (MRSA) was 35.8% and that the detection rate of erythromycin-resistant Streptococcus pneumoniae was 91.5% [14]

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