Literature DB >> 25694754

Evaluation of use of antibiotics without prescription among young adults in Albania case study: Tirana and Fier District.

K Jorgji1, E Bebeci1, P Apostoli1, A Apostoli2.   

Abstract

BACKGROUND: Self-medication is defined as the utilization of drugs to treat self-diagnosed disorders or symptoms, or the irregular or continuous use of a prescribed drug for chronic or repeated diseases or symptoms. The main problem with self-medication with antimicrobials is the emergence of pathogenic resistance. Antimicrobial resistance is an existing problem world-wide, mainly in developing countries. The aims and objectives of the study presented in this article are to evaluate the prevalence of purchase of antibiotics without prescription and appropriateness of use among adults and to determine the impact of the education level on the sensibility level over the use of antibiotics.
METHODS: This was a questionnaire based study of 3 month duration. The study includes data from 350 young adults (182 men/172 women, mean age ± SD: 34.72 ± 13.7 years), who visited ten different pharmacies located in the city of Tirana and the "Olympus" Private Medical Clinic in Fier between December 2012 and March 2013. Also a part of questionnaires was distributed by e-mail.
RESULTS: The results of this study showed that out of 350 young adults, 273 (78.14%) of them used antibiotics as self medication. The most common reasons for self administration of antibiotics were fever 171 (29.23%), sore throat 170 (29.06%) and cough 83 (14.19%). In this study we observed that the most common source of information regarding self-medication is the pharmacy (community pharmacists) 166 (36.40%) and most common antibiotic used as self-medication is amoxicillin 70 (19.39%). Authors also determined the impact of education level over the use of antibiotics. The results showed that adults with low and medium education level (7.986% and 43.056% respectively) were most likely to use antibiotics as self-medication.
CONCLUSIONS: The findings from this study highlight the striking prevalence of self-medication among young adults in Albania and the lack of awareness about the risks associating their use. We recommend that a holistic approach must be taken to prevent this problem from escalating which would involve awareness and education regarding the implications of self medication, strategies to prevent the supply of medicines without prescription by pharmacies and strict rules regarding pharmaceutical advertising.Hippokratia 2014; 18 (3): 217-220.

Entities:  

Keywords:  Antibiotics; questionnaire study; resistance; self medication

Year:  2014        PMID: 25694754      PMCID: PMC4309140     

Source DB:  PubMed          Journal:  Hippokratia        ISSN: 1108-4189            Impact factor:   0.471


  14 in total

1.  Over-the-counter acquisition of antibiotics in the Maltese general population.

Authors:  Michael A Borg; Elizabeth Anne Scicluna
Journal:  Int J Antimicrob Agents       Date:  2002-10       Impact factor: 5.283

2.  Improving antibiotic prescribing in Hai Phong Province, Viet Nam: the "antibiotic-dose" indicator.

Authors:  J Chalker
Journal:  Bull World Health Organ       Date:  2003-07-02       Impact factor: 9.408

3.  The inventory of antibiotics in Russian home medicine cabinets.

Authors:  L S Stratchounski; I V Andreeva; S A Ratchina; D V Galkin; N A Petrotchenkova; A A Demin; V B Kuzin; S T Kusnetsova; R Y Likhatcheva; S V Nedogoda; E A Ortenberg; A S Belikov; I A Toropova
Journal:  Clin Infect Dis       Date:  2003-08-01       Impact factor: 9.079

4.  Self-medication with antibiotics--does it really happen in Europe?

Authors:  Minna Heleena Väänänen; Kirsi Pietilä; Marja Airaksinen
Journal:  Health Policy       Date:  2005-08-10       Impact factor: 2.980

5.  Self-medication with antibiotics in Lithuania.

Authors:  Ausra Berzanskyte; Rolanda Valinteliene; Flora M Haaijer-Ruskamp; Romualdas Gurevicius; Larissa Grigoryan
Journal:  Int J Occup Med Environ Health       Date:  2006       Impact factor: 1.843

6.  Oral antibiotic use without consulting a physician: a survey of ED patients.

Authors:  P B Richman; G Garra; B Eskin; A H Nashed; R Cody
Journal:  Am J Emerg Med       Date:  2001-01       Impact factor: 2.469

7.  Pathways for inappropriate dispensing of antibiotics for rhinosinusitis: a randomized trial.

Authors:  D G Contopoulos-Ioannidis; I D Koliofoti; I C Koutroumpa; I A Giannakakis; J P Ioannidis
Journal:  Clin Infect Dis       Date:  2001-06-05       Impact factor: 9.079

8.  Outpatient antibiotic use in Europe and association with resistance: a cross-national database study.

Authors:  Herman Goossens; Matus Ferech; Robert Vander Stichele; Monique Elseviers
Journal:  Lancet       Date:  2005 Feb 12-18       Impact factor: 79.321

9.  Drug utilisation and self-medication in rural communities in Vietnam.

Authors:  Junko Okumura; Susumu Wakai; Takusei Umenai
Journal:  Soc Sci Med       Date:  2002-06       Impact factor: 4.634

10.  Self-medication with antimicrobial drugs in Europe.

Authors:  Larissa Grigoryan; Flora M Haaijer-Ruskamp; Johannes G M Burgerhof; Reli Mechtler; Reginald Deschepper; Arjana Tambic-Andrasevic; Retnosari Andrajati; Dominique L Monnet; Robert Cunney; Antonella Di Matteo; Hana Edelsein; Rolanda Valinteliene; Alaa Alkerwi; Elizabeth Scicluna; Powel Grzesiowski; Ana-Claudia Bara; Thomas Tesar; Milan Cizman; Jose Campos; Cecilia Stålsby Lundborg; Joan Birkin
Journal:  Emerg Infect Dis       Date:  2006-03       Impact factor: 6.883

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  9 in total

1.  Self-Medication with Antibiotics among People Dwelling in Rural Areas of Sindh.

Authors:  Muhammad Bilal; Abdul Haseeb; Mohammad Hassaan Khan; Mohammad Hussham Arshad; Asma Akbar Ladak; Sufyan Khan Niazi; Muhammad Daniyal Musharraf; Adil Al-Karim Manji
Journal:  J Clin Diagn Res       Date:  2016-05-01

2.  Frequent Community Use of Antibiotics among a Low-Economic Status Population in Manila, the Philippines: A Prospective Assessment Using a Urine Antibiotic Bioassay.

Authors:  Nobuo Saito; Noriko Takamura; Grace P Retuerma; Carina H Frayco; Paul S Solano; Cherlyn D Ubas; Arianne V Lintag; Maricel R Ribo; Rontgene M Solante; Alexis Q Dimapilis; Elizabeth O Telan; Winston S Go; Motoi Suzuki; Koya Ariyoshi; Christopher M Parry
Journal:  Am J Trop Med Hyg       Date:  2018-03-01       Impact factor: 2.345

3.  How does the general public view antibiotic use in China? Result from a cross-sectional survey.

Authors:  Dan Ye; Jie Chang; Caijun Yang; Kangkang Yan; Wenjing Ji; Muhammad Majid Aziz; Ali Hassan Gillani; Yu Fang
Journal:  Int J Clin Pharm       Date:  2017-05-02

4.  Iranians' Self-Report Knowledge and Practice about Arbitrary Use of Antibiotics.

Authors:  Kazem Hosseinzadeh; Jalil Azimian
Journal:  J Clin Diagn Res       Date:  2017-08-01

5.  Survey of the pattern of antibiotic dispensing in private pharmacies in Nepal.

Authors:  Anant Nepal; Delia Hendrie; Suzanne Robinson; Linda A Selvey
Journal:  BMJ Open       Date:  2019-10-10       Impact factor: 2.692

6.  Demand of COVID-19 medicines without prescription among community pharmacies in Jodhpur, India: Findings and implications.

Authors:  Siddhartha Dutta; Rimple J Kaur; Pankaj Bhardwaj; Sneha Ambwani; Brian Godman; Pallavi A Jha; Sanchi Sukhija; Suman S Venkatesh; Halyna Lugova; Salequl Islam; Jaykaran Charan; Mainul Haque
Journal:  J Family Med Prim Care       Date:  2022-02-16

Review 7.  Definition of self-medication: a scoping review.

Authors:  Daniela Baracaldo-Santamaría; Maria José Trujillo-Moreno; Andrés M Pérez-Acosta; John Edwin Feliciano-Alfonso; Carlos-Alberto Calderon-Ospina; Franklin Soler
Journal:  Ther Adv Drug Saf       Date:  2022-10-05

Review 8.  Observations on the Prevalence, Characteristics, and Effects of Self-Treatment.

Authors:  Yinjun Zhao; Shuangge Ma
Journal:  Front Public Health       Date:  2016-04-18

9.  Recent Initiatives in the Republic of Srpska to Enhance Appropriate Use of Antibiotics in Ambulatory Care; Their Influence and Implications.

Authors:  Ljubica Bojanić; Vanda Marković-Peković; Ranko Škrbić; Nataša Stojaković; Mirjana Ðermanović; Janja Bojanić; Jurij Fürst; Amanj B Kurdi; Brian Godman
Journal:  Front Pharmacol       Date:  2018-05-29       Impact factor: 5.810

  9 in total

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