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International Journal of Public Health

, Volume 59, Issue 2, pp 319–327 | Cite as

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

  • Lina Cheaito
  • Sophie Azizi
  • Nadine SalehEmail author
  • Pascale Salameh
Original Article

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.

Keywords

Self-medication Antibiotic Antimicrobial resistance Antibiotic misuse 

Notes

Conflict of interest

The authors declare that they have no competing interests.

References

  1. 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):491–497PubMedCrossRefGoogle Scholar
  2. 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 26:389–395PubMedCrossRefGoogle Scholar
  3. Andrajati R, Vlcek J, Haaijer-Ruskamp FM (2005) Prevalence a mozne rizikove factory rozvoje samoleceni antibiotiky v Ceske republice. Vnitr Lek 51(10):1096–1101Google Scholar
  4. Avorn J, Solomon DH (2000) Cultural and economic factors that (mis)shape antibiotic use: the nonpharmacologic basis of therapeutics. Ann Intern Med 133(2):128–135PubMedCrossRefGoogle Scholar
  5. 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):516–521PubMedGoogle Scholar
  6. Barbosa TM, Levy SB (2000) The impact of antibiotic use on resistance development and persistence. Drug Resist Updates 3(5):303–311CrossRefGoogle Scholar
  7. 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 34:346–352PubMedCrossRefGoogle Scholar
  8. 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 11:164–167PubMedGoogle Scholar
  9. Byarugaba DK (2004) A view on antimicrobial resistance in developing countries and responsible risk factors. Int J Antimicrob Agents 24:105PubMedCrossRefGoogle Scholar
  10. 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):579–587CrossRefGoogle Scholar
  11. Grigoryan L, Haaijer-Ruskamp FM, Burgerhof JGM et al (2006) Self-medication with antimicrobial drugs in Europe. Emerg Infect Dis 12:452–459PubMedCentralPubMedCrossRefGoogle Scholar
  12. 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 16:1234–1243CrossRefGoogle Scholar
  13. 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):1172–1179PubMedCrossRefGoogle Scholar
  14. Levy SB (2005) Antibiotic resistance-the problem intensifies. Adv Drug Deliv Rev 57(10):1446–1450PubMedCrossRefGoogle Scholar
  15. Longman LP, Martin MV (1991) The use of antibiotics in the prevention of postoperative infection: a reappraisal. Br Dent J 170(7):257–262PubMedCrossRefGoogle Scholar
  16. 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):439–443PubMedCrossRefGoogle Scholar
  17. 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):718–726PubMedCrossRefGoogle Scholar
  18. Ordre des pharmaciens du Liban (1994) Loi numéro 367 relative à l'exercice de la profession de pharmacien. Liban, Aout 1994; titre IV:chapitre 2 (article 43). Available at: http://www.opl.org.lb/Legislations.php
  19. Saradamma RD, Higginbotham N, Nichter M (2000) Social factors influencing the acquisition of antibiotics without prescription in Kerala State, south India. Soc Sci Med 50:891–903PubMedCrossRefGoogle Scholar
  20. Sawair FA, Baqain ZH, Abu Karaky A, Abu Eid R (2009) Assessment of self-medication of antibiotics in a Jordanian Population. Med Princ Pract 18:21–25Google Scholar
  21. Sosa A, Byarugaba D, Amábile-Cuevas C, Hsueh P, Kariuki S, Okeke I (2010) Antimicrobial resistance in developing countries. New York; 554–559Google Scholar
  22. Suleman S, Ketsela A, Mekonnen Z (2009) Assessment of self-medication practices in Assendabo town, Jimma zone, southwestern Ethiopia. Res Social Adm Pharm 5:76–81PubMedCrossRefGoogle Scholar
  23. World Health Organization (2000) Guidelines for the regulatory assessment of Medicinal Products for use in self-medication, 2000. WHO/EDM/QSM/00.1 http://apps.who.int/medicinedocs/pdf/s2218e/s2218e.pdf
  24. World Health Organization (2002) Antimicrobial resistance. Fact sheet revised January; n:194. http://www.who.int/mediacentre/factsheets/fs194/en/
  25. World Health Organization (2011) Antimicrobial resistance Fact sheet February; n:194. http://www.who.int/world-health-day/2011

Copyright information

© Swiss School of Public Health 2013

Authors and Affiliations

  • Lina Cheaito
    • 1
  • Sophie Azizi
    • 2
  • Nadine Saleh
    • 1
    • 2
    Email author
  • Pascale Salameh
    • 1
    • 2
    • 3
  1. 1.Faculty of Public Health, Section IILebanese UniversityBeirutLebanon
  2. 2.Doctoral School of Sciences and TechnologyLebanese UniversityBeirutLebanon
  3. 3.Faculty of PharmacyLebanese UniversityBeirutLebanon

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