Abstract：
OBJECTIVE: Antibiotic use and misuse are common in pregnant women and young children. Few studies have assessed real-world discussions of antibiotics in these populations. Using social media posts of pregnant women and parents, our goal was to identify key themes about facilitators and barriers to appropriate antibiotic usage.
METHODS: A purposive sample of public posts and comments relevant to antibiotic use was collected from the BabyCenter United States social media site. Using a directed content analysis, themes related to facilitators and barriers to appropriate antibiotic use were identified.
RESULTS: Seven hundred and twenty-six posts and 5227 comments were analysed. Themes centred around individual factors, interpersonal factors, and structural factors. Individual factors included knowledge and beliefs. Though misinformation was present, most parents were aware of appropriate antibiotic usage and perceived antibiotics as safe and effective. Some hesitance around using antibiotics led to recommendations for home remedies or over-the-counter treatments. Interpersonal factors focused on a lack of available offline peer support, the expertise of providers, as well as a potential lack of attention from those providers. Structural factors, including access to care, also impacted parents\' antibiotic use and misuse.
CONCLUSIONS: Though most parents demonstrated appropriate knowledge about antibiotics and a willingness to follow guidelines, negative experiences with their providers, a lack of support from peers, and structural factors presented as potential barriers to appropriate antibiotic use. Implementing avenues for peer support for parents, allowing more time for providers to address parents\' concerns, and improving access to providers could improve appropriate antibiotic use in parents.
METHODS: A purposive sample of public posts and comments relevant to antibiotic use was collected from the BabyCenter United States social media site. Using a directed content analysis, themes related to facilitators and barriers to appropriate antibiotic use were identified.
RESULTS: Seven hundred and twenty-six posts and 5227 comments were analysed. Themes centred around individual factors, interpersonal factors, and structural factors. Individual factors included knowledge and beliefs. Though misinformation was present, most parents were aware of appropriate antibiotic usage and perceived antibiotics as safe and effective. Some hesitance around using antibiotics led to recommendations for home remedies or over-the-counter treatments. Interpersonal factors focused on a lack of available offline peer support, the expertise of providers, as well as a potential lack of attention from those providers. Structural factors, including access to care, also impacted parents\' antibiotic use and misuse.
CONCLUSIONS: Though most parents demonstrated appropriate knowledge about antibiotics and a willingness to follow guidelines, negative experiences with their providers, a lack of support from peers, and structural factors presented as potential barriers to appropriate antibiotic use. Implementing avenues for peer support for parents, allowing more time for providers to address parents\' concerns, and improving access to providers could improve appropriate antibiotic use in parents.
摘要：
目的：抗生素的使用和误用在孕妇和幼儿中很常见。很少有研究评估这些人群中抗生素的真实世界讨论。使用孕妇和父母的社交媒体帖子，我们的目标是确定适当使用抗生素的促进者和障碍的关键主题.
方法：从美国BabyCenter社交媒体网站收集与抗生素使用相关的公共帖子和评论的目的样本。使用定向内容分析，确定了与适当使用抗生素的促进者和障碍相关的主题.
结果：分析了7126个帖子和5227个评论。主题围绕个体因素，人际关系因素，和结构因素。个体因素包括知识和信念。尽管存在错误信息，大多数父母知道抗生素的适当使用,认为抗生素是安全有效的.对使用抗生素的一些犹豫导致了对家庭疗法或非处方药的建议。人际因素集中在缺乏可用的离线同伴支持，供应商的专业知识，以及这些提供商可能缺乏关注。结构因素，包括获得护理，也影响了父母的抗生素使用和滥用。
结论：尽管大多数父母表现出了对抗生素的适当知识和遵循指南的意愿，与他们的提供者的负面经历，缺乏同行的支持，和结构因素被认为是适当使用抗生素的潜在障碍。为父母实施同伴支持的途径，为提供者提供更多时间来解决父母的担忧，改善对提供者的获取可以改善父母的适当抗生素使用。
方法：从美国BabyCenter社交媒体网站收集与抗生素使用相关的公共帖子和评论的目的样本。使用定向内容分析，确定了与适当使用抗生素的促进者和障碍相关的主题.
结果：分析了7126个帖子和5227个评论。主题围绕个体因素，人际关系因素，和结构因素。个体因素包括知识和信念。尽管存在错误信息，大多数父母知道抗生素的适当使用,认为抗生素是安全有效的.对使用抗生素的一些犹豫导致了对家庭疗法或非处方药的建议。人际因素集中在缺乏可用的离线同伴支持，供应商的专业知识，以及这些提供商可能缺乏关注。结构因素，包括获得护理，也影响了父母的抗生素使用和滥用。
结论：尽管大多数父母表现出了对抗生素的适当知识和遵循指南的意愿，与他们的提供者的负面经历，缺乏同行的支持，和结构因素被认为是适当使用抗生素的潜在障碍。为父母实施同伴支持的途径，为提供者提供更多时间来解决父母的担忧，改善对提供者的获取可以改善父母的适当抗生素使用。
