Over-the-counter antipyretics use among children from Southeastern Poland

Pyznar, Olga; Mól, Nina; Zasada, Magdalena; Zasada, Wojciech; Mazurek, Małgorzata; Kwinta, Przemko

doi:10.34763/jmotherandchild.20212501.d-20-00024

Abstract

Background

Over-the-counter (OTC) drugs are becoming increasingly popular. However, little is known about parents’ practices concerning the use of OTC antipyretics in children. This paper aimed to study the habits and knowledge of parents regarding the use of OTC antipyretics in their offspring, considering the demographic and socioeconomic characteristics of the families.

Material and methods

A multiple-purpose survey was conducted anonymously among 229 parents of patients hospitalised in the Department of Paediatrics, University Children’s Hospital, Krakow. Each parent answered 23 questions regarding OTC antipyretics use in his/her hospitalised child throughout the whole child’s life. The data was statistically analysed.

Results

OTC antipyretics are administered to their children by 92% of parents. In the vast majority (87%), health care professionals or a leaflet were the sources of information on the drug and its dosage. Parents also used information from TV or the Internet (27%) and friends and family (30%), especially those in the younger age group. Families with high socioeconomic status were more likely to use health care professionals’ advice for drug knowledge. Parents of children with allergic diseases made less use of nonmedical sources of knowledge.

Conclusions

The majority of parents use OTC antipyretic drugs in their children. However, a high percentage of people using nonmedical sources of information is of concern. It is necessary to educate caregivers and to build the parents’ awareness that they take an active role in their child’s treatment. It would be useful to create generally available recommendations for home treatment.

References

OTC market: PASMI - Polish Association of OTC Medicine Manufacturers https://pasmi.pl/rynek-otc/ Accessed [Apr 29, 2020].
Search in Google Scholar Back to article
Statistics Poland. Health status of the Polish population in 2014 ,https://stat.gov.pl/obszary-tematyczne/zdrowie/zdrowie/stanzdrowia-ludnosci-polski-w-2014-r-,6,6.html Accessed [May 5, 2020].
Search in Google Scholar Back to article
World Health Organization. Guidelines for the regulatory assessment of medicinal products for use in self-medication. Geneva: World Health Organization; 2000, https://apps.who.int Accessed [May 14, 2020].
Search in Google Scholar Back to article
Łoś-Rycharska E, Sterkowicz A, Czerwionka-Szaflarska M. Pharmacotherapy of fever in children – parental procedures before medical advices . Pediatr Pol. 2015 Jan 1;90(1):39–47. doi: 10.1016/j.pepo.2014.12.003.
Open DOI Search in Google Scholar Back to article
Squires RH, Shneider BL, Bucuvalas J, Alonso E, Sokol RJ, Narkewicz MR, et al. Acute liver failure in children: the first 348 patients in the paediatric acute liver failure study group. J Pediatr. 2006 May;148(5):652–8. doi:10.1016/j.jpeds.2005.12.051.
Open DOI Search in Google Scholar Back to article
Ulinski T, Guigonis V, Dunan O, Bensman A. Acute renal failure after treatment with non-steroidal anti-inflammatory drugs. Eur J Pediatr. 2004 Mar;163(3):148–50. doi: 10.1007/s00431-003-1392-7.
Open DOI Search in Google Scholar Back to article
Żołnierczuk-Kieliszek D, Janiszewska M, Szymczyk DM, Kulik T, Zabłocka A, Kawiak-Jawor E. Knowledge of parents of 10-year-old schoolchildren attending primary school in Lublin about OTC drugs. Med Ogólna Nauki O Zdrowiu. 2014 Dec 15;20(4):374–8. doi:10.5604/20834543.1132039.
Open DOI Search in Google Scholar Back to article
Łoś-Rycharska E, Sterkowicz A, Czerwionka-Szaflarska M. Sources of parental knowledge connected to fever management. Pediatr Pol. 2015 Mar 1;90(2):108–13. doi:10.1016/j. pepo.2015.01.009.
Open DOI Search in Google Scholar Back to article
Barnes K, Ball L, Desbrow B, Alsharairi N, Ahmed F. Consumption and reasons for use of dietary supplements in an Australian university population. Nutrition. 2016 May;32(5):524-30. doi: 10.1016/j.nut.2015.10.022. Epub 2015 Dec 12. PMID: 26819063.
Open DOI Search in Google Scholar Back to article
Chen S, Binns CW, Maycock B, Liu Y, Zhang Y. Prevalence of dietary supplement use in healthy pre-school Chinese children in Australia and China. Nutrients. 2014;6(2):815-828. Published 2014 Feb 21. doi:10.3390/nu6020815.
Open DOI Search in Google Scholar Back to article
Hanoch Y, Gummerum M, Miron-Shatz T, Himmelstein M. Parents’ decision following the Food and Drug Administration recommendation: the case of over-the-counter cough and cold medication. Child Care Health Dev. 2010 Nov;36(6):795–804. doi: 10.1111/j.1365-2214.2010.01075.x.
Open DOI Search in Google Scholar Back to article
Walsh A, Edwards H, Fraser J. Over-the-counter medication use for childhood fever: a cross-sectional study of Australian parents. J Paediatr Child Health. 2007 Sept;43(9):601–6. doi: 10.1111/j.1440-1754.2007.01161.x.
Open DOI Search in Google Scholar Back to article
Crocetti M, Moghbeli N, Serwint J. Fever phobia revisited: have parental misconceptions about fever changed in 20 years? Paediatrics. 2001 June;107(6):1241–6. doi: 10.1542/peds.107.6.1241.
Open DOI Search in Google Scholar Back to article
Purssell E. Treatment of fever and over-the-counter medicines. Arch Dis Child. 2007 Oct;92(10):900–1. doi: 10.1136/adc.2007.118810.
Open DOI Search in Google Scholar Back to article
Krajnović D, Ubavić S, Bogavac-Stanojević N. Pharmacotherapy literacy and parental practice in use of over-the-counter pediatric medicines. Med Kaunas Lith. 2019 Mar 26;55(3). doi:10.3390/ medicina55030080.
Open DOI Search in Google Scholar Back to article
Ecklund CR, Ross MC. Over-the-counter medication use in preschool children. J Pediatr Health Care Off Publ Natl Assoc Pediatr Nurse Assoc Pract. 2001 Aug;15(4):168–72. doi:10.1067/ mph.2001.110913.
Open DOI Search in Google Scholar Back to article
Pereira GL, Tavares NUL, Mengue SS, Pizzol T da SD. Therapeutic procedures and use of alternating antipyretic drugs for fever management in children. J Paediatr (Rio J). 2013 Feb;89(1):25–32. doi:10.1016/j.jped.2013.02.005.
Open DOI Search in Google Scholar Back to article
Simon HK, Weinkle DA. Over-the-counter medications: Do parents give what they intend to give? Arch Pediatr Adolesc Med. 1997 Jul;151(7):654–6. doi: 10.1001/archpedi.1997.02170440016003.
Open DOI Search in Google Scholar Back to article
Stukus DR. How Dr Google is impacting parental medical decision making. Immunol Allergy Clin North Am. 2019;39(4):583–91. doi: 10.1016/j.iac.2019.07.011.
Open DOI Search in Google Scholar Back to article