Evidence map›Paper›PMID 35842597›Full record

ArticleBMC pregnancy and childbirth2022

Perceptions and reported practices of pregnant women and mothers of children under two years of age regarding antibiotic use and resistance in Vientiane province, Lao PDR: a qualitative study.

Vanphanom Sychareun, Paphatsone Phounsavath, Amphoy Sihavong, Sengchanh Kounnavong, Kongmany Chaleunvong, Anna Machowska, Bounxou Keohavong, Mayfong Mayxay, Jaran Eriksen, Claudia Hanson and 4 more

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Vanphanom SychareunFaculty of Public Health, University of Health Sciences (UHS), Vientiane, Lao PDR.
Paphatsone PhounsavathLao Tropical & Public Health Institute, Ministry of Health (MOH), Vientiane, Lao PDR.
Amphoy SihavongVientiane Capital Health Department, MOH, Vientiane, Lao PDR.
Sengchanh KounnavongLao Tropical & Public Health Institute, Ministry of Health (MOH), Vientiane, Lao PDR.
Kongmany ChaleunvongInstitute of Research and Education Development, UHS, MOH, Vientiane, Lao PDR.
Anna MachowskaDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Bounxou KeohavongFood and Drug Department, MOH, Vientiane, Lao PDR.
Mayfong MayxayInstitute of Research and Education Development, UHS, MOH, Vientiane, Lao PDR.
Jaran EriksenDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden. jaran.eriksen@ki.se.
Claudia HansonDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Manivanh VongsouvathLao-Oxford-Mahosot Hospital-Welcome Trust Research Unit (LOMWRU), Microbiology. Laboratory, Mahosot Hospital, MOH, Vientiane, Lao PDR.
Annelie BraunerDepartment of Microbiology, Tumor and Cell Biology, Karolinska Institutet, Stockholm, Sweden.
Jo DurhamFaculty of Health, Centre for Healthcare Transformation, School of Public Health and Social Work, Queensland University of Technology, Brisbane, Australia.
Cecilia Stålsby LundborgDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.

Funding

Karolinska Institutet 2018-01993, 2020-02146Vetenskapsrådet 2018-01027
6 · The paper itself

Abstract

backgroundUnderstanding pregnant women and mothers' perceptions towards antibiotic use and resistance is essential for appropriate antibiotic use and limiting antibiotic resistance. This study aimed to explore perceptions and reported practices of pregnant women and mothers with children under two years of age regarding correct antibiotic use and antibiotic resistance in Vientiane Province, Lao PDR.

methodsThe study employed an exploratory qualitative research design using focus groups discussions (FGDs). Participants were purposively selected based on: being pregnant at third trimester and attending antenatal care and mothers with children under two years of age, attending the health facility for postpartum visit /vaccinations. Six focus group discussions were conducted in September 2019 with a total of 55 women. The FGDs were transcribed verbatim, data were analyzed first by coding then categorizing the data as we looked for patterns and themes by using the qualitative content analysis.

resultsMost participants had some understanding of antibiotics but wrongly believed antibiotics can be used to treat viral disease. Over half of the participants had heard the term "antibiotic resistance", but often believed it was their bodies, not the bacteria that developed antibiotic resistance. During pregnancy and for their infants, women preferred to use antibiotics only when prescribed by a doctor. Outside of pregnancy however, consuming antibiotics without a prescription was commonly reported. Participants wanted more information about the indications for antibiotic use and antibiotic resistance.

conclusionsMore effort is required to increase the level of understanding, and practice of mothers to promote optimal antibiotic use. Mothers' desire to learn more, and their fundamental concern for their children, can be used to promote appropriate antibiotic use. Awareness raising should be complemented by efforts to address other determinants of inappropriate antibiotic use, including educating healthcare workers, and pharmacists and addressing health service determinants that contribute to inappropriate antibiotic use.

Indexed as

Anti-Bacterial AgentsPregnant PeopleChildFemaleFocus GroupsHealth Knowledge, Attitudes, PracticeHumansInfantLaosMothersPregnancyQualitative ResearchAnti-Bacterial AgentsAntibiotic resistanceAntibiotic useLao PDRMothersPerceptionsPracticesPregnant women

Identifiers

PMID35842597
PMCPMC9287906

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.