Prevalence and Predictors of Self-Medication with Antibiotics for Children in Makkah, Saudi Arabia
European Journal of Preventive Medicine
Volume 5, Issue 5, September 2017, Pages: 60-64
Received: Jun. 16, 2017;
Accepted: Jul. 3, 2017;
Published: Aug. 3, 2017
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Enas Hamdy Alfalogy, Department of Family Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
Haneen Basem Nafadi, Medical Students at Umm Al Qura University, Makkah, KSA
Sara Hameed Al Rehaili, Medical Students at Umm Al Qura University, Makkah, KSA
Bushra Abed AL-Harbi, Medical Students at Umm Al Qura University, Makkah, KSA
Self-medication with antibiotics is becoming a very common practice, and it is being practiced globally carrying a significant economic burden and health hazards. This study assesses prevalence and predictors of self-medication with antibiotic for children. A cross-sectional study was carried out on 252 mothers selected randomly from primary health care Centers in Makkah, during the period Jan - July 2016. Mothers were interviewed about giving their children antibiotic without prescription using a semi structured questionnaire. Data was analyzed using IBM advanced SPSS statistical package version 23. Logistic regression analysis was done to determine which of the factors are independently associated with self-medication with antibiotic for children. As a result, in total, 252 respondent mothers were interviewed with mean age 36.7±18.4. The prevalence of self-medication with antibiotic for children was 39.3% despite that the majority 82.9% has satisfactory knowledge about proper antibiotic use. Amoxicillin clavulenic is the most self-prescribed antibiotic representing 53.3% followed by amoxicillin 25.6%. The predictors for self-medication were educational level, income, residence and knowledge about antibiotics use. It was concluded that, Self-medication with antibiotics for children is a common practice. Policies and considerable efforts are needed to challenge the self-medication with antibiotics especially increasing the awareness among mothers about the self-medication with antibiotics risks and hazards.
Enas Hamdy Alfalogy,
Haneen Basem Nafadi,
Sara Hameed Al Rehaili,
Bushra Abed AL-Harbi,
Prevalence and Predictors of Self-Medication with Antibiotics for Children in Makkah, Saudi Arabia, European Journal of Preventive Medicine.
Vol. 5, No. 5,
2017, pp. 60-64.
Hernandez-Juyol M, Job-Quesada JR. Dentistry and self-medication: A current challenge. Med Oral. 2002; 7: 344–7. [PubMed].
Jose J, Jimmy B, Alsabahi AG & Al Sabei GA (2013) A study assessing public knowledge, belief and behavior of antibiotic use in an omani population. Oman Medical Journal 28, 324
Balkhy H. H., Cunningham G., Chew F. K., et al. Hospital- and community-acquired infections: a point prevalence and risk factors survey in a tertiary care center in Saudi Arabia. International Journal of Infectious Diseases. 2006; 10 (4): 326–333. doi: 10.1016/j.ijid.2005.06.013. [PubMed] [Cross Ref].
Regional Strategy on Prevention and Containment of Antimicrobial Resistance, 2010-2015. [Last accessed on 2013 Jun 24]. Available from: http://www.searo.who.int/entity/antimicrobial_resistance/BCT_hlm-407.pdf.
Ganguly NK, Arora NK, Chandy SJ, Fairoze MN, Gill JP, Gupta U, et al. Global antibiotic resistance partnership (GARP): India Working Group. Rationalizing antibiotic use to limit antibiotic resistance in India. Indian J Med Res. 2011; 134: 281–94. [PMC free article] [PubMed].
Napolitano F, Izzo MT, Di Giuseppe G, Angelillo IF. Public knowledge, attitudes, and experience regarding the use of antibiotics in Italy. PLoS One. 2013; 8 (12): e84177. [PMC free article] [PubMed].
Grigoryan L, Burgerhof JG, Degener JE, Deschepper R, Lundborg CS, Monnet DL, et al. Self-Medication with Antibiotics and Resistance (SAR) Consortium. Determinants of self-medication with antibiotics in Europe: the impact of beliefs, country wealth and the healthcare system. J AntimicrobChemother. 2008; 61: 1172–79. [PubMed].
Apisarnthanarak A, Tunpornchai J, Tanawitt K & Mundy LM (2008) Nonjudicious dispensing of antibiotics by drug stores in Pratumthani, Thailand. Infection Control and Hospital Epidemiology 29, 572–575.
Mumtaz Y, Jahangeer SA, Mujtaba T, Zafar S, Adnan S. Self medication among university students of Karachi. JLUMHS. 2011; 10 (03): 102–05. Abahussain E, Matowe LK, Nicholls PJ. Self-reported medication use among adolescents in Kuwait. Med Princ Pract. 2005; 14: 161–4. doi: 10.1159/000084633. [PubMed] [Cross Ref].
Bubake. Prevalence, determinants and practices of self-medication with antibiotics – a population based survey in Taif, Kingdom of Saudi Aarabia ksa. 2015; A Int J Res Pharm Sci 5 (2); 51 – 56.
Pablos-Méndez A., Raviglione M. C., Laszlo A., et al. Global Surveillance for Antituberculosis-Drug Resistance, 1994–1997. New England Journal of Medicine. 1998; 338 (23): 1641–1649. doi: 10.1056/NEJM 199806043382301. [PubMed] [Cross Ref].
Laporte JR. Self-medication: Does information to users increase at the same rate as consumption. Med Clin (Barc) 1997; 109: 795–6. [PubMed].
Al-Azzam SI 1, Al-Husein BA, Alzoubi F, Masadeh MM, Al-Horani MA, Assessment of Self-Medication of Antibiotics in a Jordanian Population (2007) Int J Occup Med Environ Health, 20 (4); 373-380.
Richman PB, Garra G, Eskin B, Nashed AH, Cody R: Oral antibiotic use without consult- ing a physician: a survey of ED patients. Am J Emerg Med 2001; 19: 57–60.
Li R, Xiao F, Zheng X, Yang H, Wang L, Yin D, Yin T, Xin Q, Chen B. Antibiotic misuse among children with diarrhea in China: results from a national survey. PeerJ 2016 Nov 3; 4.
Aris Widayati, Sri Suryawati, Charlotte de Crespigny and Janet E Hiller: Self medication with antibiotics in Yogyakarta City Indonesia: a cross sectional population-based survey BMC Research Notes 20114: 491.
Self-medication with antibiotics by the community of Abu Dhabi Emirate, United Arab Emirates.
Khalil H., Abdullah W., Khawaja N., et al. Self-prescribed antibiotics by Saudi patients as a routine self-management of dental problems. Life Science Journal. 2013; 10 (4): 1939–1942.
Abdulrahman Al Rasheed, Umar Yagoub, Hesham Alkhashan, Osama Abdelhay, Ahmad Alawwad, Aboud Al Aboud, and Saad Al Battal; Prevalence and Predictors of Self-Medication with Antibiotics in Al Wazarat Health Center, Riyadh City, KSA. BioMed Research International Volume 2016 (2016), Article ID 3916874, 8 pages http://dx.doi.org/10.1155/2016/3916874
Awad A., Eltayeb I., Matowe L., Thalib L. Self-medication with antibiotics and antimalarials in the community of Khartoum State, Sudan. J. Pharm. Sci. 2005; 8: 326–331. [PubMed].
Belkina T, Warafi AA, Eltom EH, Tadjieva N, Kubena A, Vlcek J: Antibiotic use and knowledge in the community of Yemen, Saudi Arabia, and Uzbekistan. J Infect Dev Countries. 2014, 8 (4): 424-429.
Skliros E., Merkouris P., Papazafiropoulou A., Gikas A., Matzouranis G., Papafragos C., Tsakanikas I., Zarbala I., Vasibosis A., Stamataki P., Sotiropoulos A. Self-medication with antibiotics in rural population in Greece: A cross-sectional multicenter study. BMC Fam. Pract. 2010; 11 doi: 10.1186/1471-2296-11-58. [PMC free article] [PubMed] [Cross Ref].
G. Togoobaatar, N. Ikeda, M. Ali et al., Survey of non-prescribed use of antibiotics for children in an urban community in Mongolia, Bulletin of the World Health Organization, vol. 88, no. 12, pp. 930–936, 2010. View at Publisher · View at Google Scholar.
N. Nyazema, N. Viberg, S. Khoza et al., Low sale of antibiotics without prescription: a cross-sectional study in Zimbabwean private pharmacies, Journal of Antimicrobial Chemotherapy, vol. 59, no. 4, pp. 718–726, 2007. View at Publisher View at Google Scholar · View at Scopus.
Wijesinghea PR, Jayakodyb RL, de A Seneviratnec R. Prevalence and predictors of self-medication in a selected urban and rural district of Sri Lanka. Who South-East Asia J Public Heal. 2012; 1: 28–41.
Afolabi AO. Factors influencing the pattern of self-medication in an adult Nigerian population. Ann Afr Med. 2009; 7: 120–7. [PubMed].
Yuefeng L, Keqin R, Xiaowei R. Use of and factors associated with self-treatment in China. BMC Public Health. 2012; 12: 995. [PMC free article] [PubMed].