4.6 Article

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

期刊

INTERNATIONAL JOURNAL OF PUBLIC HEALTH
卷 59, 期 2, 页码 319-327

出版社

SPRINGER BASEL AG
DOI: 10.1007/s00038-013-0493-y

关键词

Self-medication; Antibiotic; Antimicrobial resistance; Antibiotic misuse

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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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