Prevalence and Predictors of Antibiotic Self-Medication in Sudan: A Descriptive Cross-Sectional Study

被引:7
|
作者
Hussain, Mohamed A. [1 ]
Mohamed, Ahmed O. [1 ]
Abdelkarim, Omalhassan A. [2 ]
Yousef, Bashir A. [3 ]
Babikir, Asma A. [4 ]
Mirghani, Maysoon M. [4 ]
Mohamed, Entsar A. [4 ]
Osman, Wadah [5 ]
Mothana, Ramzi A. [6 ]
Elhag, Rashid [7 ]
机构
[1] Int Univ Africa, Fac Pharm, Dept Pharmaceut Microbiol, POB 2469, Khartoum, Sudan
[2] Int Univ Africa, Fac Pharm, Dept Pharm Practice & Clin Pharm, POB 2469, Khartoum, Sudan
[3] Univ Khartoum, Fac Pharm, Dept Pharmacol, POB 1996, Khartoum, Sudan
[4] Al Yarmouk Coll, Dept Pharmaceut Microbiol, Pharm Program, POB 11111, Khartoum, Sudan
[5] Univ Khartoum, Fac Pharm, Dept Pharmacognosy, POB 1996, Khartoum, Sudan
[6] King Saud Univ, Coll Pharm, Dept Pharmacognosy, Riyadh 11451, Saudi Arabia
[7] Florida A&M Univ, Coll Sci & Technol, Dept Biol, Tallahassee, FL 32307 USA
来源
ANTIBIOTICS-BASEL | 2023年 / 12卷 / 03期
关键词
antibiotic self-medication; Sudan; antimicrobial resistance; KHARTOUM STATE; COMMUNITY PHARMACISTS; ANTIMALARIALS;
D O I
10.3390/antibiotics12030612
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Background: Self-medication with antibiotics (SMA) is one of the common factors which precipitate antimicrobial resistance, yet if effective implementations are amended it can be effortlessly controlled. The present study aimed to estimate the prevalence and predictors of SMA in Sudan. Methods: The study adopted a cross-sectional study design conducted in all Sudan states between June and December 2021. Multi-stage stratified cluster sampling was used. A semi-structured questionnaire was used for data collection. Descriptive statistics were used to present the data. Binary logistic regression was computed to investigate the possible factors which associated with SMA. Results: Out of 1492 participants surveyed, 71.3% utilize antibiotics as self-medication. The derived reasons for SMA were convenience (63.3%) and cost-saving (34.8%). Tonsillitis was the most common ailment behind SMA (55.5%). Log-binominal regression revealed that non-insured and low level of education participants were more likely to predict SMA. Regarding the practice, 40% changed the dose and/or antibiotics mainly owing to improvement (53.7%) or worsening of the condition (37.9%). The most commonly used antibiotic was amoxicillin/clavulanic acid (32.5%). Conclusions: Two out of three individuals in Sudan practice SMA mainly to manage upper respiratory tract ailments. Thus, the necessity of implementing an antimicrobial stewardship program throughout the country, as well as implementing effective legislation to prohibit dispensing antibiotics without prescription is urgently required.
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页数:13
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