EC Microbiology

Research Article Volume 20 Issue 1 - 2024

Assessment of Knowledge, Attitude, and Practice of Parents Toward Probiotics and their Correct Use for Children

Hanadi Mohamed Ouali1, Torky Ahmed Arab2*, Abdulaziz Eidhah Alnimari3, Naif Ayidh Almalki2, Manea Saleh Muneer Alosaimi4, Abdullah Faisal Alzaydi5 and Mohammed Abdulrhman Alrayis2

1Consultant Pulmonology, King Faisal Medical Complex in Taif City, Saudi Arabia

2Resident at Pulmonology Department, King Faisal Medical Complex in Taif City, Saudi Arabia

3Resident at Cardiology Department, Alnoor Specialist Hospital in Makkah City, Saudi Arabia

4General Practitioner at Family Medicine Department, Aljawhrah Primary Healthcare, Saudi Arabia

5General Practitioner at Family Medicine Department, King Abdulaziz Specialty Hospital in Taif City, Saudi Arabia

*Corresponding Author: Torky Ahmed Arab, Resident at Pulmonology Department, King Faisal Medical Complex in Taif City, Saudi Arabia.
Received: December 14, 2023; Published: December 27, 2023



Background: Probiotics are live microorganisms that can provide health benefits when administered in appropriate amounts. They are used as immune boosters. They have also been discussed for treating acute infections, including gastroenteritis and respiratory tract infections.

Methods: We conducted a descriptive cross-sectional study among parents residing in Taif, Saudi Arabia. The questionnaire included questions about socio-demographic data and assessed the participant's knowledge, attitude, and practice concerning probiotics. Additionally, we evaluated the correct use of probiotics for their children. Statistical analysis was conducted using SPSS version 26. P-values less than 0.05 were considered statistically significant.

Results: The study included 285 parents who agreed to participate. About 38% of the participants possessed a good level of knowledge, 42% had a positive attitude, and 35% reported a good practice level regarding probiotics and their correct use for children. The highest percentage of participants with sound knowledge were those who used the internet as the primary source of information (56.3%) (p-value < 0.001). A better attitude was found among participants who depend on physicians as the primary source of information (p-value < 0.001) and non-Saudi participants (p-value = 0.005). Parents who depend on physicians as the primary source of information showed significantly higher practice levels (72.2%) (p-value < 0.001).

Conclusion: The study revealed that knowledge, attitude, and practice of probiotics were inadequate among parents in Taif City, Saudi Arabia, and needed to be improved. These findings suggest that policymakers, educational institutions, and scientific organizations should develop awareness programs to provide the public with adequate information about the benefits of probiotics to children and their correct use.

 Keywords: Probiotics; Gastroenteritis; Respiratory; Pediatrics; Normal Flora; Saudi Arabia

  1. Hasosah Mohammed., et al. “Knowledge, attitudes, and understanding of probiotics among pediatricians in different regions of Saudi Arabia”. BMC Medical Education 21 (2021): 68.
  2. Macfarlane GT and S Macfarlane. “Human colonic microbiota: ecology, physiology and metabolic potential of intestinal bacteria”. Scandinavian Journal of Gastroenterology. Supplement 222 (1997): 3-9.
  3. Shah F., et al. “Awareness of mothers regarding use of natural probiotics in school going healthy children’s diet”. Liaquat Medical Research Journal1 (2022): 38-41.
  4. Vanderhoof JA and RJ Young. “Use of probiotics in childhood gastrointestinal disorders”. Journal of Pediatric Gastroenterology and Nutrition 3 (1998): 323-332.
  5. Poorni Saravanan., et al. "Knowledge, attitude and practices onuse of probiotics for oral health among indian population-a cross sectional study”. International Journal of Dentistry and Oral Science 03 (2021): 1889-1892.
  6. Jeurink PV., et al. “Human milk: a source of more life than we imagine”. Beneficial Microbes1 (2013): 17-30.
  7. Bridgman Sarah L., et al. “Maternal perspectives on the use of probiotics in infants: a cross-sectional survey”. BMC Complementary and Alternative Medicine 14 (2014): 366.
  8. Boyle Robert J., et al. “Probiotic use in clinical practice: what are the risks?”. The American Journal of Clinical Nutrition6 (2006): 1256-1447.
  9. Kligler Benjamin., et al. “Probiotics in children”. Pediatric Clinics of North America6 (2007): 949-967; xi.
  10. Reid Gregor., et al. “Potential uses of probiotics in clinical practice”. Clinical Microbiology Reviews4 (2003): 658-672.
  11. Singh Kamlesh., et al. "Probiotics: A review”. Asian Pacific Journal of Tropical Biomedicine2 (2011): S287-S290.
  12. Annunziata Azzurra and Riccardo Vecchio. "Consumer perception of functional foods: A conjoint analysis with probiotics”. Food Quality and Preference1 (2013): 348-355.
  13. Allah Hila Ahmed Aldakheel. "The knowledge and perceptions regarding probiotics among the people of Al-Qassim region, Saudi Arabia”. Journal of Health and Medical Sciences3 (2019): 344-350.
  14. Cevik Guner Umran and Aygül Kissal. “Mothers' knowledge, attitudes and practices regarding probiotic use during pregnancy and for their infants in Turkey”. Public Health Nutrition13 (2021): 4297-4304.
  15. Moorhead S Anne., et al. “A new dimension of health care: systematic review of the uses, benefits, and limitations of social media for health communication”. Journal of Medical Internet Research4 (2013): e85.
  16. Gross GJ and M Howard. “Mothers' decision-making processes regarding health care for their children”. Public Health Nursing (Boston, Mass.)3 (2001): 157-168.
  17. Asma’a A Faden., et al. "Assessment of Saudi public knowledge, attitude and awareness towards oral benefits of probiotics: A cross-sectional study”. Biomedical and Pharmacology Journal4 (2018): 1995-2004.

Torky Ahmed Arab., et al. “Assessment of Knowledge, Attitude, and Practice of Parents Toward Probiotics and their Correct Use for Children”. EC Microbiology  20.1 (2024): 01-10.