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

被引:54
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.
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页码:319 / 327
页数:9
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