Self-medication among Saudi students and adolescents: a systematic review

Author(s):  
Fahad Khalawi ◽  
Faisal Alghashmari ◽  
Bassam Tomihi ◽  
Asmaa Moafa ◽  
Majidah Ghawi ◽  
...  
2020 ◽  
Author(s):  
Reza Negarandeh ◽  
Shah Jahan Shayan ◽  
Rajab Nazari ◽  
BSc. Frank Kiwanuka ◽  
MSc. Sanaz Akhavan Rad

Abstract Background Recently, inappropriate use of antibiotics has been correlated with life-threatening side-effects such as adverse effects, increased cost of treatment, and the higher rate of microbial resistance. Besides, it leads to a waste of resources. Therefore, this review sought to determine the pooled prevalence of self-medication with antibiotics, self-medicated illness, reasons for self-medication, antibiotics used for self-medication, source of obtaining antibiotics, the inappropriate practice of antibiotics and suggested recommendations for talking self-medication with antibiotics in the Eastern Mediterranean Region of the World Health Organization (EMRWHO). Methods Review conforms to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement. Database search was conducted in PubMed, Scopus, Embase, and Web of Science using a combination of keywords which included; antimicrobial, antibacterial, antibiotic, self-medication, self-treatment, self-prescription, non-prescribed, irrational use, inappropriate use, misuse, abuse and Eastern Mediterranean Region of WHO countries. The lists of references of the selected articles were also hand-searched to obtained additional relevant articles. Studies published in English from 2000 to 2018 were included in the review. Results We report on data from 60 articles and 49629 participants in this review. The overall prevalence of self-medication with antibiotics in EMRWHO was 47.2% (95% CI 41.6% – 52.9%). Yemen has the highest pooled rate with a rate of 75.0% (95% CI 63.4% − 83.9%), whilst Lebanon has the lowest pooled rate with a prevalence of 28.7% (95% CI 18.4% − 41.8%). The most common illnesses implicated in antibiotic self-medication were upper-respiratory infections and the most common antibiotic was Amoxicillin-Clavulanic acid. The commonest reasons for antibiotic self-medication include: saving time and money. Pharmacies pointed out as the most common source of obtaining antibiotics for self-medication. Conclusion Self-medication with antibiotics is significantly high in the member states of EMRWHO. Intervention such as an educational program for communities’ members to change their behaviors, policy on the mechanism of distribution of antibiotics is called for in this area.


Author(s):  
Nazri Nordin ◽  
Mohamed Azmi Ahmad Hassali ◽  
Azmi Sarriff

Objective: Aims of this review were to identify actual or potential extended services performed in community pharmacy settings, perceptions among community pharmacists (CPs), general practitioners (GPs), consumers and policymakers of these extended services and barriers towards its performance.Methods: A literature review was conducted, using Google Scholar and PubMed as a searching engine.Results: Identifying eight quality full texts to review which fulfil the inclusion searching criteria, revealing a wide range of actual or potential extended services performed by CPs such as counselling on asthma, cardiovascular disease, breast cancer, diabetes, smoking cessation and self-medication. GPs’ perceptions towards these extended services were varied, not or in favour of CPs to perform some actual or potential extended services. Customers were in favour of CPs to perform these actual or potential extended services whereas CPs indicated a few barriers towards the performance of these actual or potential extended services.Conclusion: As a conclusion, CPs in Malaysia were in the right position to perform the actual or potential extended services, collaborating with GPs to promote better medication use and enhance patients’ quality of life. Some barriers towards these extended services must be intervened in order to enhance the quality of the services.


Drugs & Aging ◽  
2017 ◽  
Vol 34 (5) ◽  
pp. 359-365 ◽  
Author(s):  
Médéa Locquet ◽  
Germain Honvo ◽  
Véronique Rabenda ◽  
Thierry Van Hees ◽  
Jean Petermans ◽  
...  

2014 ◽  
Vol 25 (3) ◽  
pp. 444-450 ◽  
Author(s):  
M. R. Gualano ◽  
F. Bert ◽  
S. Passi ◽  
M. Stillo ◽  
V. Galis ◽  
...  

Drugs & Aging ◽  
2014 ◽  
Vol 31 (12) ◽  
pp. 883-896 ◽  
Author(s):  
Javier Jerez-Roig ◽  
Lucas F. B. Medeiros ◽  
Victor A. B. Silva ◽  
Camila L. P. A. M. Bezerra ◽  
Leandro A. R. Cavalcante ◽  
...  

2014 ◽  
Vol 89 (4) ◽  
pp. 625-630 ◽  
Author(s):  
Mariane Corrêa-Fissmer ◽  
Mariana Gaspar Mendonça ◽  
Anesio Henrique Martins ◽  
Dayani Galato

2021 ◽  
Vol 5 (3) ◽  
pp. 1505-1518
Author(s):  
Francisca das Chagas G. Ferreira ◽  
Graziela Gomes de Luna ◽  
Isabel Cristina M. Izel ◽  
Anne Cristine Gomes de Almeida

INTRODUÇÃO: A automedicação exibe potencial de risco nas interações medicamentosas, reações adversas, toxicidade, provocando um diagnóstico incorreto ou tardio, devido ao fármaco mascarar a patologia, resultando em uma resistência ao micro-organismo ou não resolução no quadro clínico dos pacientes.OBJETIVO: Objetivo do estudo é verificar quais os medicamentos mais utilizados na automedicação e analisar quais os fatores que levam a automedicação.MÉTODOS: Os estudos foram pesquisados nas seguintes bases de dados: Scielo (Scientific Electronic Library Online), Pubmed (Biblioteca Nacional de Medicina), Lilacs (Literatura Latina – Americana e do Caribe em ciência da saúde), utilizando as palavras chaves da estratégia de busca para encontrar os artigos. RESULTADOS: Neste estudo a prevalência da automedicação foi vista no público feminino com 64%, com idade acima de 60 anos, seguida por pessoas casadas com 51,6%, com nível escolar fundamental completo 53,8%, possuindo renda de até três salários mínimos 46%. Os medicamentos analgésicos/ antitérmicos representaram 50% do uso, seguido por 35% de anti-inflamatórios não esteroidais, 4% antibacterianos de uso sistêmico e 4% dos medicamentos antigripais. Entre os fatores da automedicação os receituários antigos representam 13% das compras dos medicamentos, seguida por experiência anterior com o medicamento 12%, venda realizada no balcão da farmácia 12%, indicação da família 10% e entre outras causas.CONCLUSÕES: Observou-se que a prática da automedicação na população brasileira teve a influência dos seguintes fatores: prescrição de receituários antigos, experiência do uso do medicamento e recomendações dos balconistas. Medicamentos analgésicos/antitérmicos, antiinflamatórios AINES e antibacterianos de uso sistêmico são os mais utilizados.


2019 ◽  
Vol 13 (08) ◽  
pp. 678-689 ◽  
Author(s):  
Rixiang Xu ◽  
Tingyu Mu ◽  
Guan Wang ◽  
Jing Shi ◽  
Xin Wang ◽  
...  

Introduction: Self-medication with antibiotics (SMA) is common among university students in low and middle-income countries (LMICs). However, there has been no meta-analysis and systematic review in the population. Methodology: A literature search was conducted using PubMed, Embase and Web of Science for the period from January 2000 to July 2018. Only observational studies that had SMA among university students from LMICs were included. A random-effects model was applied to calculate the pooled effect size with 95% confidence interval (CI) due to the expected heterogeneity (I2 over 50%). Results: The pooled prevalence of SMA of overall included studies was 46.0% (95% CI: 40.3% to 51.8%). Africa had the highest pooled prevalence of SMA among university students (55.30%), whereas South America had the lowest prevalence (38.3%). Among individual LMICs, the prevalence of SMA among university students varied from as low as 11.1% in Brazil to 90.7% in Congo. Conclusions: The practice of SMA is a widespread phenomenon among university students in LMICs and is frequently associated with inappropriate use. Effective interventions such as medication education and stricter governmental regulation concerning antibiotic use and sale are required to be established in order to deal with SMA properly.


2021 ◽  
Author(s):  
Eugene Vernyuy Yeika ◽  
Brecht Ingelbeen ◽  
Ben-Lawrence Kemah ◽  
Frankline Sevidzem Wirsiy ◽  
Joseph Nkeangu Fomengia ◽  
...  

AbstractBackgroundSelf-medication with antibiotics (SMA) is a common practise in many parts of Africa, but its magnitude and drivers are not well-known. This systematic review evaluated and compared the prevalence, reasons, sources, and factors associated with of SMA within African sub-regions.MethodsAn electronic search of PubMed and Google Scholar databases was performed for observational studies conducted between January 2005 and February 2020. Two reviewers independently screened the abstracts and full texts using the PRISMA flowchart and equally performed quality assessment. Both quantitative and qualitative syntheses of selected studies were carried out.ResultsA total of 40 studies from 19 countries were selected for qualitative synthesis. The prevalence of SMA in Africa ranged from 12.1% to 93.9% with a median prevalence of 55.7% (IQR 41%-75%). Western Africa was the sub-region with the highest prevalence 70.1% (IQR 48.3%-82.1%), followed by Northern Africa with 48.1% (IQR 41.1-64.3%). We identified 27 different antibiotics used for self-medication from 13 different antibiotic classes. Penicillins were the most frequently used antibiotics followed by Tetracyclines and Fluoroquinolones. The most frequent indications for SMA were upper respiratory tract symptoms/infections (27 studies). Common sources of antibiotics used for self-medication were community pharmacies (31 studies), family/friends (20 studies), leftover antibiotics from previous treatments (19 studies), and patent medicine stores (18 studies). Commonly reported factors associated with SMA were no education/ low educational status (9 studies), male gender (5 studies), and low income / unemployment (2 studies).ConclusionsThe prevalence of SMA in Africa is high and varies across sub-regions with Western Africa having the highest prevalence. Drivers of SMA are complex comprising of socio-economic factors, limited access to healthcare coupled with absence or poorly implemented policies regulating antibiotic sales.


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