{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T14:22:05Z","timestamp":1761488525936},"reference-count":45,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2008,4,6]],"date-time":"2008-04-06T00:00:00Z","timestamp":1207440000000},"content-version":"vor","delay-in-days":36,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2008,3]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p><jats:bold>Objective\u2002<\/jats:bold> To describe the health\u2010seeking behaviour and use of antibiotics in the urban community of Yurimaguas in the Amazonian area of Peru.<\/jats:p><jats:p><jats:bold>Method\u2002<\/jats:bold> Cross\u2010sectional survey of caregivers of 798 children aged 6\u201372\u2003months by interview using a semi\u2010structured questionnaire. Reported symptoms were classified as illnesses where antibiotics would or would not be recommended based on principles of the integrated management of childhood illnesses algorithm.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> Forty\u2010one per cent of consultations were with health care professionals; 71% of antibiotics were obtained through the formal public health sector and prescribed mainly by medical doctors. All prescribed antibiotics were on the Peruvian essential drugs list. When prescribing, doctors and nurses hardly discriminated between illnesses where antibiotic treatment was or was not indicated; there was no significant difference in antibiotic prescribing rates between the two (doctors, <jats:italic>P\u2003<\/jats:italic>=<jats:italic>\u2003<\/jats:italic>0.24; nurses, <jats:italic>P\u2003<\/jats:italic>=<jats:italic>\u2003<\/jats:italic>0.32). Not all caregivers sought help for children with severe symptoms.<\/jats:p><jats:p><jats:bold>Conclusion\u2002<\/jats:bold> Although most of the antibiotics were prescribed by doctors and nurses, they were commonly prescribed for illnesses where they were not indicated. The use of antibiotics needs to be rationalized, and barriers to health care must be overcome.<\/jats:p>","DOI":"10.1111\/j.1365-3156.2008.02019.x","type":"journal-article","created":{"date-parts":[[2010,8,11]],"date-time":"2010-08-11T22:28:36Z","timestamp":1281565716000},"page":"434-441","source":"Crossref","is-referenced-by-count":28,"title":["Antibiotic use and health\u2010seeking behaviour in an underprivileged area of Per\u00fa"],"prefix":"10.1111","volume":"13","author":[{"given":"C.","family":"Kristiansson","sequence":"first","affiliation":[]},{"given":"M.","family":"Reilly","sequence":"additional","affiliation":[]},{"given":"E.","family":"Gotuzzo","sequence":"additional","affiliation":[]},{"given":"H.","family":"Rodriguez","sequence":"additional","affiliation":[]},{"given":"A.","family":"Bartoloni","sequence":"additional","affiliation":[]},{"given":"A.","family":"Thorson","sequence":"additional","affiliation":[]},{"given":"T.","family":"Falkenberg","sequence":"additional","affiliation":[]},{"given":"F.","family":"Bartalesi","sequence":"additional","affiliation":[]},{"given":"G.","family":"Tomson","sequence":"additional","affiliation":[]},{"given":"M.","family":"Larsson","sequence":"additional","affiliation":[]}],"member":"311","published-online":{"date-parts":[[2008,4,6]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid1206.051258"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/10.1.60"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(99)00304-4"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(03)13779-8"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(94)90019-1"},{"key":"e_1_2_7_7_1","first-page":"138","article-title":"Survey of antibiotic prescribing pattern in government health facilities of the Wassa west district of Ghana","volume":"74","author":"Bosu WK","year":"1997","journal-title":"East Afrian Medical Journal"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/13.2.107"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1345\/aph.10313"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(02)00458-4"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2004.03.001"},{"key":"e_1_2_7_12_1","first-page":"161","article-title":"Health seeking behaviour and self\u2010treatment for common childhood symptoms in rural Guatemala","volume":"74","author":"Delgado E","year":"1994","journal-title":"Annales De La Societe Belge De Medecine Tropicale"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(96)00061-5"},{"key":"e_1_2_7_14_1","volume-title":"Formulario nacional de medicamentos esenciales","author":"DIGEMID","year":"2005"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-3156.2000.00527.x"},{"issue":"1","key":"e_1_2_7_16_1","first-page":"7","article-title":"Integrated management of childhood illness by outpatient health workers: technical basis and overview. 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