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Published in: International Journal of Public Health 2/2014

01-04-2014 | Original Article

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

Authors: Lina Cheaito, Sophie Azizi, Nadine Saleh, Pascale Salameh

Published in: International Journal of Public Health | Issue 2/2014

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Abstract

Objectives

This study was performed to assess self-medication with antibiotics (ATB) in the general population and its associated factors.

Methods

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.

Results

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)].

Conclusions

Self-medication with antibiotics is a relatively frequent problem in Beirut area. Interventions are required to reduce antibiotic misuse.
Literature
go back to reference Abasaeed A, Vlcek J, Mohammed M et al (2009) Self-medication with antibiotics by the community of Abu Dhabi Emirate, United Arab Emirates. J Infect Dev Ctries 3(7):491–497PubMedCrossRef Abasaeed A, Vlcek J, Mohammed M et al (2009) Self-medication with antibiotics by the community of Abu Dhabi Emirate, United Arab Emirates. J Infect Dev Ctries 3(7):491–497PubMedCrossRef
go back to reference Al-Bakri AG, Bustanji Y, Yousef AM (2005) Community consumption of antibacterial drugs within the Jordanian population: sources, patterns and appropriateness. Int J Antimicrob Agents 26:389–395PubMedCrossRef Al-Bakri AG, Bustanji Y, Yousef AM (2005) Community consumption of antibacterial drugs within the Jordanian population: sources, patterns and appropriateness. Int J Antimicrob Agents 26:389–395PubMedCrossRef
go back to reference Andrajati R, Vlcek J, Haaijer-Ruskamp FM (2005) Prevalence a mozne rizikove factory rozvoje samoleceni antibiotiky v Ceske republice. Vnitr Lek 51(10):1096–1101 Andrajati R, Vlcek J, Haaijer-Ruskamp FM (2005) Prevalence a mozne rizikove factory rozvoje samoleceni antibiotiky v Ceske republice. Vnitr Lek 51(10):1096–1101
go back to reference Avorn J, Solomon DH (2000) Cultural and economic factors that (mis)shape antibiotic use: the nonpharmacologic basis of therapeutics. Ann Intern Med 133(2):128–135PubMedCrossRef Avorn J, Solomon DH (2000) Cultural and economic factors that (mis)shape antibiotic use: the nonpharmacologic basis of therapeutics. Ann Intern Med 133(2):128–135PubMedCrossRef
go back to reference Barah F, Gonçlaves V (2010) Antibiotic use and knowledge in the community in Kalamoon, Syrian Arab Republic: a cross-sectional study. East Mediterr Health J 16(5):516–521PubMed Barah F, Gonçlaves V (2010) Antibiotic use and knowledge in the community in Kalamoon, Syrian Arab Republic: a cross-sectional study. East Mediterr Health J 16(5):516–521PubMed
go back to reference Barbosa TM, Levy SB (2000) The impact of antibiotic use on resistance development and persistence. Drug Resist Updates 3(5):303–311CrossRef Barbosa TM, Levy SB (2000) The impact of antibiotic use on resistance development and persistence. Drug Resist Updates 3(5):303–311CrossRef
go back to reference Belongia EA, Naimi TS, Gale GM et al (2002) Antibiotic use and upper respiratory infections: a survey of knowledge, attitudes, and experience in Wisconsin and Minnesota. Prev Med 34:346–352PubMedCrossRef Belongia EA, Naimi TS, Gale GM et al (2002) Antibiotic use and upper respiratory infections: a survey of knowledge, attitudes, and experience in Wisconsin and Minnesota. Prev Med 34:346–352PubMedCrossRef
go back to reference Borg M, Scicluna E, De Kraker M et al (2006) Antibiotic resistance in the south-eastern Mediterranean-preliminary results from the ARMed project. Euro Surveill 11:164–167PubMed Borg M, Scicluna E, De Kraker M et al (2006) Antibiotic resistance in the south-eastern Mediterranean-preliminary results from the ARMed project. Euro Surveill 11:164–167PubMed
go back to reference Byarugaba DK (2004) A view on antimicrobial resistance in developing countries and responsible risk factors. Int J Antimicrob Agents 24:105PubMedCrossRef Byarugaba DK (2004) A view on antimicrobial resistance in developing countries and responsible risk factors. Int J Antimicrob Agents 24:105PubMedCrossRef
go back to reference Goossems H, Ferech M, Stichele RV, Elseviers M (2005) Outpatient antibiotic use in Europe and association with resistance: a cross sectional database study. Lancet 365(9459):579–587CrossRef Goossems H, Ferech M, Stichele RV, Elseviers M (2005) Outpatient antibiotic use in Europe and association with resistance: a cross sectional database study. Lancet 365(9459):579–587CrossRef
go back to reference Grigoryan L, Burgerhof J, Degener J et al (2007) Attitudes, beliefs and knowledge concerning antibiotic use and self-medication: a comparative European study. Pharmacoepidemiol Drug Safety 16:1234–1243CrossRef Grigoryan L, Burgerhof J, Degener J et al (2007) Attitudes, beliefs and knowledge concerning antibiotic use and self-medication: a comparative European study. Pharmacoepidemiol Drug Safety 16:1234–1243CrossRef
go back to reference Grigoryan L, Johannes B, John D, Reginald D et al (2008) Determinants of self-medication with antibiotics in Europe: the impact of beliefs, country wealth and the healthcare system. J Antimicrob Chemother 61(5):1172–1179PubMedCrossRef Grigoryan L, Johannes B, John D, Reginald D et al (2008) Determinants of self-medication with antibiotics in Europe: the impact of beliefs, country wealth and the healthcare system. J Antimicrob Chemother 61(5):1172–1179PubMedCrossRef
go back to reference Levy SB (2005) Antibiotic resistance-the problem intensifies. Adv Drug Deliv Rev 57(10):1446–1450PubMedCrossRef Levy SB (2005) Antibiotic resistance-the problem intensifies. Adv Drug Deliv Rev 57(10):1446–1450PubMedCrossRef
go back to reference Longman LP, Martin MV (1991) The use of antibiotics in the prevention of postoperative infection: a reappraisal. Br Dent J 170(7):257–262PubMedCrossRef Longman LP, Martin MV (1991) The use of antibiotics in the prevention of postoperative infection: a reappraisal. Br Dent J 170(7):257–262PubMedCrossRef
go back to reference Mitsi G, Jelastopulu E, Basiaris H, Skoutelis A, Gogos C (2005) Patterns of antibiotics use among adults and parents in the community: a questionnaire-based survey in a Greek urban population. Int J Antimicrob Agents 25(5):439–443PubMedCrossRef Mitsi G, Jelastopulu E, Basiaris H, Skoutelis A, Gogos C (2005) Patterns of antibiotics use among adults and parents in the community: a questionnaire-based survey in a Greek urban population. Int J Antimicrob Agents 25(5):439–443PubMedCrossRef
go back to reference Nyazema N, Viberg N, Khoza S, Vyas S, Kumaranayake L, Tomson G et al (2007) Low sales of antibiotics without prescription: a cross-sectional study in Zimbabwean private pharmacies. J Antimicrob Chemother 59(4):718–726PubMedCrossRef Nyazema N, Viberg N, Khoza S, Vyas S, Kumaranayake L, Tomson G et al (2007) Low sales of antibiotics without prescription: a cross-sectional study in Zimbabwean private pharmacies. J Antimicrob Chemother 59(4):718–726PubMedCrossRef
go back to reference Saradamma RD, Higginbotham N, Nichter M (2000) Social factors influencing the acquisition of antibiotics without prescription in Kerala State, south India. Soc Sci Med 50:891–903PubMedCrossRef Saradamma RD, Higginbotham N, Nichter M (2000) Social factors influencing the acquisition of antibiotics without prescription in Kerala State, south India. Soc Sci Med 50:891–903PubMedCrossRef
go back to reference Sawair FA, Baqain ZH, Abu Karaky A, Abu Eid R (2009) Assessment of self-medication of antibiotics in a Jordanian Population. Med Princ Pract 18:21–25 Sawair FA, Baqain ZH, Abu Karaky A, Abu Eid R (2009) Assessment of self-medication of antibiotics in a Jordanian Population. Med Princ Pract 18:21–25
go back to reference Sosa A, Byarugaba D, Amábile-Cuevas C, Hsueh P, Kariuki S, Okeke I (2010) Antimicrobial resistance in developing countries. New York; 554–559 Sosa A, Byarugaba D, Amábile-Cuevas C, Hsueh P, Kariuki S, Okeke I (2010) Antimicrobial resistance in developing countries. New York; 554–559
go back to reference Suleman S, Ketsela A, Mekonnen Z (2009) Assessment of self-medication practices in Assendabo town, Jimma zone, southwestern Ethiopia. Res Social Adm Pharm 5:76–81PubMedCrossRef Suleman S, Ketsela A, Mekonnen Z (2009) Assessment of self-medication practices in Assendabo town, Jimma zone, southwestern Ethiopia. Res Social Adm Pharm 5:76–81PubMedCrossRef
Metadata
Title
Assessment of self-medication in population buying antibiotics in pharmacies: a pilot study from Beirut and its suburbs
Authors
Lina Cheaito
Sophie Azizi
Nadine Saleh
Pascale Salameh
Publication date
01-04-2014
Publisher
Springer Basel
Published in
International Journal of Public Health / Issue 2/2014
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-013-0493-y

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