Assessment of self-medication in population buying antibiotics in pharmacies: a pilot study from Beirut and its suburbs

被引:55
作者
Cheaito, Lina [1 ]
Azizi, Sophie [2 ]
Saleh, Nadine [1 ,2 ]
Salameh, Pascale [1 ,2 ,3 ]
机构
[1] Lebanese Univ, Fac Publ Hlth, Sect 2, Beirut, Lebanon
[2] Lebanese Univ, Doctoral Sch Sci & Technol, Beirut, Lebanon
[3] Lebanese Univ, Fac Pharm, Beirut, Lebanon
关键词
Self-medication; Antibiotic; Antimicrobial resistance; Antibiotic misuse; RESISTANCE; COMMUNITY; KNOWLEDGE; PRESCRIPTION; ATTITUDES; PATTERNS; BELIEFS; IMPACT; EUROPE; DRUGS;
D O I
10.1007/s00038-013-0493-y
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This study was performed to assess self-medication with antibiotics (ATB) in the general population and its associated factors. Face to face interviews using a structured questionnaire were conducted to collect data from ATB buyers in pharmacies in Beirut area. Data were analyzed using descriptive statistics and Chi-square test. A multivariate logistic regression was performed to predict self-medication. 42 % of 319 participants were buying ATB without prescription and the pharmacists were the main helpers (18.8 %). Saving time was the most common cited reason for self-medication with ATB (39.7 %). The logistic regression showed that self-medication with ATB was significantly increased among men [OR = 3.03; IC 95 % (2-5)]; it was associated with sore throat symptoms [OR = 2.38; IC 95 % (1.40-4.03)] and the ignorance of ATB use dangers [OR = 3.33; IC 95 % (1.96-5.55)]. In addition, it was prominent with amoxicillin [OR = 1.93; IC 95 % (0.17-1.34)], and inversely related to quinolone [OR = 0.44; IC 95 % (0.18-1.03)] and cephalosporin families [OR = 0.28; IC 95 % (0.11-1.68)] or other ATB classes [OR = 0.96; IC 95 % (0.41-2.22)]. Self-medication with antibiotics is a relatively frequent problem in Beirut area. Interventions are required to reduce antibiotic misuse.
引用
收藏
页码:319 / 327
页数:9
相关论文
共 24 条
[1]   Self-medication with antibiotics by the community of Abu Dhabi Emirate, United Arab Emirates [J].
Abasaeed, Abobakr ;
Vlcek, Jiri ;
Abuelkhair, Mohammed ;
Kubena, Ales .
JOURNAL OF INFECTION IN DEVELOPING COUNTRIES, 2009, 3 (07) :491-497
[2]   Community consumption of antibacterial drugs within the Jordanian population: sources, patterns and appropriateness [J].
Al-Bakri, AG ;
Bustanji, Y ;
Yousef, AM .
INTERNATIONAL JOURNAL OF ANTIMICROBIAL AGENTS, 2005, 26 (05) :389-395
[3]  
Andrajati R, 2005, VNITR LEK, V51, P1096
[4]  
[Anonymous], ANT RES
[5]   Cultural and economic factors that (Mis)Shape antibiotic use: The nonpharmacologic basis of therapeutics [J].
Avorn, J ;
Solomon, DH .
ANNALS OF INTERNAL MEDICINE, 2000, 133 (02) :128-135
[6]  
Barah F., 2010, Eastern Mediterranean Health Journal, V16, P516
[7]   The impact of antibiotic use on resistance development and persistence [J].
Barbosa, TM ;
Levy, SB .
DRUG RESISTANCE UPDATES, 2000, 3 (05) :303-311
[8]   Antibiotic use and upper respiratory infections: A survey of knowledge, attitudes, and experience in Wisconsin and Minnesota [J].
Belongia, EA ;
Naimi, TS ;
Gale, CM ;
Besser, RE .
PREVENTIVE MEDICINE, 2002, 34 (03) :346-352
[9]  
Borg M A, 2006, Euro Surveill, V11, P11, DOI 10.2807/esm.11.07.00639-en
[10]   A view on antimicrobial resistance in developing countries and responsible risk factors [J].
Byarugaba, DK .
INTERNATIONAL JOURNAL OF ANTIMICROBIAL AGENTS, 2004, 24 (02) :105-110