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International Journal of Clinical Pharmacy

, Volume 39, Issue 3, pp 507–513 | Cite as

Self-medication with antibiotics in Serbian households: a case for action?

  • Ana Tomas
  • Milica Paut KusturicaEmail author
  • Zdenko Tomić
  • Olga Horvat
  • Daniela Djurović Koprivica
  • Dragica Bukumirić
  • Ana Sabo
Research Article

Abstract

Background Irregular antibiotic use, including self-medication contributes to the development of antibiotic resistance. One method of accessing antibiotic use in the community is through obtaining an in house inventory of drugs. Objective The aim of this study was to investigate the extent of storage and self-medication with antibiotics agents in households in Novi Sad, Serbia. Setting Households in Novi Sad. Method The study was performed during a 4-month period (October 2015–January 2016) using a sample of 112 households in Novi Sad, Serbia. Two trained interviewers performed the survey by visiting each household. The study consisted of making an inventory of all drugs in household and a semi-structured interview about drug use practices and perceptions. Main outcome measure Number of antibiotics obtained without prescription. Results Out of 112 surveyed households, antibiotics were encountered in 55 (49.1%). Antibiotics constituted 11.98% (92/768) of total number of drug items in households. Out of all antibiotics in households, 41 (44.57%) were not in current use, and presented left-overs from previous treatment. Antibiotics were usually acquired with prescription (67, 67.7%), while about a quarter of packages were used for self-medication—purchased at pharmacy without prescription (19, 20.65%) or obtained through friends or family member (6, 6.52%).The most commonly used antibiotics for self-medication was amoxicillin (reported indications included common cold, cough, pharyngitis and tooth-ache). Conclusion Antibiotics were present in large share of households in Novi Sad. Self-medication with antibiotics and sale of antibiotics without prescription represent an important problem in Serbia.

Keywords

Antibiotics Compliance Drug leftovers Home pharmacies Home remedies Households Self-medication Serbia 

Notes

Acknowledgements

We would like to thank all study participants involved in this research for giving up their time to take part in the study.

Funding

This work was supported by the Ministry of Science and Technological development, Republic of Serbia, Project No. 41012.

Conflicts of interest

The authors of this manuscript have no conflicts of interest to declare.

Supplementary material

11096_2017_461_MOESM_ESM.pdf (241 kb)
Supplementary material 1 (PDF 242 kb)

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Copyright information

© Springer International Publishing 2017

Authors and Affiliations

  • Ana Tomas
    • 1
  • Milica Paut Kusturica
    • 1
    Email author
  • Zdenko Tomić
    • 1
  • Olga Horvat
    • 1
  • Daniela Djurović Koprivica
    • 2
  • Dragica Bukumirić
    • 3
  • Ana Sabo
    • 1
  1. 1.Department of Pharmacology Toxicology and Clinical Pharmacology, Faculty of Medicine Novi SadUniversity of Novi SadNovi SadSerbia
  2. 2.Department of Dentistry, Faculty of Medicine Novi SadUniversity of Novi SadNovi SadSerbia
  3. 3.Department of Planning, Analysing and StatisticsPrimary Healthcare CenterPančevoSerbia

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