ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2014
The influence of children's day care on antibiotic seeking: a mixed methods study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Improving healthcare professionals' interactions with patients to tackle antimicrobial resistance: a systematic review of interventions, barriers, and facilitators.Frontiers in public health · 2024Pooled it
- Risk factors for school-based presenteeism in children: a systematic review.BMC psychology · 2023Pooled it
- Optimising decision making on illness absenteeism due to fever and common infections within childcare centres: development of a multicomponent intervention and study protocol of a cluster randomised controlled trial.BMC public health · 2017Trial
- Exploring spillover effects following surgical de-implementation: an observational evaluation of primary care, referrals, and time to surgical intervention following reductions in the use of tonsillectomy and Dupuytren's contracture.Implementation science communications · 2026Article
- A qualitative study of the influence of childcare on high antibiotic use in a multicultural, lower socioeconomic community.BMC public health · 2025Article
- Health and Psychological Predictors of Antibiotic Use in Infancy and Fathers' Role.European journal of investigation in health, psychology and education · 2025Article
- Opportunities and Barriers to Pediatric Antimicrobial Stewardship by Community Pharmacists.Journal of the Pediatric Infectious Diseases Society · 2024Article
- Prevalence of Infectious Diseases in Children at Preschool Education Institutions and Stakeholder Opinions.Children (Basel, Switzerland) · 2024Article
- Antimicrobial Stewardship in Pediatric Emergency Medicine: A Narrative Exploration of Antibiotic Overprescribing, Stewardship Interventions, and Performance Metrics.Children (Basel, Switzerland) · 2024Review
- Understanding antibiotic-seeking behaviour: A qualitative case study of mothers of children aged 5 and under.Journal of advanced nursing · 2022Article
- Article
- Antibiotic use for acute respiratory tract infections (ARTI) in primary care; what factors affect prescribing and why is it important? A narrative review.Irish journal of medical science · 2018Review
- Paediatric antibiotic prescriptions in primary care in the Alpes-Maritimes area of southeastern France between 2008 and 2013.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2017Article
- Nursery sickness policies and their influence on prescribing for conjunctivitis: audit and questionnaire survey.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016Article
- Evaluation of Drug Treatment of Bronchopneumonia at the Pediatric Clinic in Sarajevo.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2016Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPreschool-aged children are the highest consumers of antibiotics, but consult mainly for viral infections. Little is known about how day care, which is common in this age group, influences primary care consulting and treatment-seeking behaviours.
aimTo investigate daycare providers' approaches to excluding and/or readmitting children with infections, and the consequences for parents' consulting and antibiotic-seeking behaviours. DESIGN AND
settingCross-sectional survey, document analysis, and qualitative interviews of daycare providers and parents in South East Wales, UK.
methodA total of 328 daycare providers were asked to complete a survey about infection exclusion practices and to provide a copy of their sickness exclusion policy. Next, 52 semi-structured interviews were conducted with purposively selected questionnaire responders and parents using their services. Questionnaire responses underwent bivariate analysis, policies underwent document analysis, and interviews were thematically analysed using constant comparison methods.
resultsIn total 217 out of 328 (66%) daycare providers responded; 82 out of 199 (41%) reported advising parents that their child may need antibiotics and 199 out of 214 (93%) reported advising general practice consultations. Interviews confirmed that such advice was routine, and beliefs about antibiotic indications often went against clinical guidelines: 24% (n = 136) of sickness exclusion policies mentioning infections made at least one non-evidence-based indication for 'treatment' or antibiotics. Parent interviews revealed that negotiating daycare requirements lowered thresholds for consulting and encouraged antibiotic seeking.
conclusionDaycare providers encourage parents to consult general practice and seek antibiotics through non-evidence-based policies and practices. Parents' perceptions of daycare providers' requirements override their own beliefs of when it is appropriate to consult and seek treatment.
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