scholarly journals Comparative study of knowledge, attitude and practice of self-medication among undergraduate students of MBBS and BDS

Author(s):  
Neelam Rani ◽  
Shamiya Sadiq ◽  
Kanika Khajuria

Background: Comparative studies are quite useful in evaluating the current practices in self medication among a similar subset of population. Since, self medication is one of the major causes of promoting irrational use of drugs its burden needs to be estimated more so in students with medical background.Methods: The study was conducted in a tertiary care teaching medical college among MBBS and BDS students. A questionnaire was selected based on outcome of small surveys done prior to this current study was among the MBBS and BDS students to assess their Knowledge, attitude and practice (KAP) towards self medication. Data was analyzed and expressed as numbers and percentage.Results: Total 180 students participated in the study voluntarily (100 MBBS and 80 BDS). Knowledge regarding self medication was more seen in MBBS students as compared to dental students. Only five of MBBS students encountered ADR’s(Adverse drug reactions) due to self medication. Analgesic group of drugs was the most common medication used by both the groups and pain was the chief component for which drug therapy was used.Conclusions: This study showed that students had fair knowledge about self medication but it appeared to be more among MBBS students as compared to BDS, although knowledge about ADR’s was not up to the mark. The attitude and practice of self medication was similar in both the groups. Thus, it is important to impart proper knowledge about self medication among medical students and encouragement regarding ADR teaching should be promoted.

2020 ◽  
pp. 48-50
Author(s):  
Dipsikha Das ◽  
Kalpana Gohain

Introduction: Self medication is referred to the use of medications to treat self-diagnosed disorders or symptoms without a valid prescription. Self medication practice is seen widely due to availability of over the counter drugs and lack of awareness of adverse drug reactions. Aims and Objectives: To study the knowledge, attitude and practice of self medication for diarrhoea among undergraduate medical students in a tertiary care hospital of Assam. Materials and methods: A cross-sectional questionnaire based study was carried out among the Undergraduate medical students of Assam Medical College & Hospital, Dibrugarh. The questionnaire was designed to assess the Knowledge, attitude and practice of self-medication for diarrhoea. A total of 130 students were included in the study after obtaining written informed consent from them. The data of the completely filled up questionnaire was analyzed and presented as mean and percentage. Results: Out of 130 students 89.23% practised self-medication for diarrhoea. The most common cause of self medication practice was to save time and source of information was from medical textbooks. The most common source of medicines was medical stores and commonly used drugs for diarrhoea were ORS, Metronidazole, Ofloxacin, probiotics and anti-motility drugs. Only 17.25% of students had awareness of the harmful effects of self medication for diarrhoea. Conclusion: There is high prevalence of self-medication practice to treat diarrhoea among undergraduate medical students which necessitates proper education and awareness regarding the benefits and hazards associated with self medication practice.


Author(s):  
Rabi Bhushan ◽  
Akash Chandra ◽  
Raj Kishore Verma

Background: Self-medication is very common in our day-to-day life which is an unhealthy and risky practice. Present study was done to determine the knowledge, attitude and practice among 3rd professional medical students of Shaheed Nirmal Mahto Medical College and Hospital, Dhanbad.Methods: A questionnaire related to self-medication with consent was prepared and distributed among the students of 3rd professional. Data was collected and analysed the results expressed as counts and percentages.Results: Total 50 students participated in the study for taking self-medication and was no need to visit the doctor for minor illness. In maximum students, source of information of the drugs used for self-medication pharmacological based and learning process in the college. The source of drug was medical store. Most of the students took self-medication for loose motion and headache followed by cough, cold and fever. Out of total 50 students, most of the students took paracetamol tablet as self-medication.Conclusions: This study showed that third professional medical students after they studied pharmacological books, they do not use any wrong medicine as self-medication. High level of awareness of 3rd professional students has minimized self-medication.


Author(s):  
Seema Gupta ◽  
Kanika Khajuria ◽  
Nusrat K. Bhat ◽  
Vijay Khajuria ◽  
Akanksha Mehra

Background: Inappropriate self-medication is a cause of concern as it can result in wasteful expenditure, prolonged suffering, drug dependence, resistance and increase in morbidity. Self medication assumes significance among medical students as they have knowledge about ailments and medicines. The aim of the study was to assess the knowledge, attitude and practice of self-medication among undergraduate medical students.Methods: The present study was conducted in December 2017 among second professional undergraduate medical students in the Department of Pharmacology and Therapeutics, GMC Jammu after obtaining approval from the Institutional Ethics Committee of GMC, Jammu. A total of 123 students who took self-medication during last six months were included and given a questionnaire that included open and close ended questions about self-medication. Data was analysed using Microsoft Excel and presented as number and percentages.Results: Total of 123 second professional undergraduate MBBS students were analysed. 72 (58.53%) were males and 51 (41.46%) were females. 96 (78%) students practised self-medication. Allopathic drugs were most commonly used for self medication (93.5%), followed by Ayurvedic drugs. Fever and headache were common ailments treated with self medication. Common class of drugs used for self medication were antipyretics (66.6%), antibiotics (42.2%). Adverse drug reactions were perceived as the most common disadvantage of self medication. Analysis of source of information revealed that old prescriptions (33%), internet (18%) were the main sources of information. Regarding prevention of self medication, many students perceived that enhancing awareness was the most effective solution (72.3%) followed by stoppage of supply of medicines without prescription(39.8%).Conclusions: Self medication is practised by a majority of students. As responsible self medication is now increasingly being considered as a component of self-care, there is need for review of educational programs especially teaching of rational and judicious use of medicines to the undergraduate medical students.


2020 ◽  
Vol 59 (233) ◽  
Author(s):  
Jyoti Tara Manandhar Shrestha ◽  
Dilip Kumar Kushwaha ◽  
Saurabh Tiwari ◽  
Pratigya Bhattarai

Introduction: Although appropriate self-medication can ease minor illness and is time and costeffective, it can lead to irrational drug use and increased resistance, leading to prolonged morbidity. Inclined towards medical information and drug indices, medical students have an open arena for self-medication practice. This study was conducted to find the prevalence of self-medication among first and seventh semester medical and dental students in a tertiary care hospital. Methods: A descriptive cross-sectional study was conducted among medical and dental undergraduates from July 2020 to August 2020 after receiving ethical clearance from the Institutional Review Committee of Kathmandu University School of Medical Sciences (IRC Approval Number:35/20). A questionnaire was responded to by participants through a google form. Participants were enrolled through the convenience sampling method. Data were collected and entered in Microsoft Excel and analyzed using Statistical Package for Social Sciences version 25. Results: Out of 199 respondents, the prevalence of self-medication was 100 (50.3%) (46.76-53.84 at 95% Confidence Interval). First semester medical 36 (73.5%) and dental undergraduates 24 (80%) had higher practice. Seventh-semester medical students 14 (51.9%) usually self-medicated within one day of onset of symptoms. Headache 47 (47%) was the most common indication. Analgesics 62 (62%) were most commonly used drugs procured most commonly from pharmacies 114 (57.3%). Dosage form was drug selection criteria for 120 (60.3%) students. Conclusions: Since self-medication is crammed with serious health hazards, proper exposure to the topic should be given to medical, dental students, and pharmacists. The implication of selfmedication into the pharmacology syllabus is a must.


Author(s):  
Anbarasi Sundararajan ◽  
Ashok Kumar Thangappan

Background: Self medication is the usage of medicines without the advice of the physicians, without proper diagnosis of the illnesses and without any prescription. Medical students are more liable to self medicate themselves due to their partial knowledge and easy availability of drugs. This study was conducted to assess the pattern of self medication in undergraduate medical students. This study was conducted to assess the knowledge, attitude and practice of self medication among undergraduate medical students in Kanyakumari government medical college, a teaching institute in South Tamilnadu.Methods: A self-designed questionnaire was given to the undergraduate medical students who were willing to participate in the study. 264 students participated of which 111 were males and 153 were females in the age group of 17-24 yrs. Data were collected. Results were given as percentages and counts.Results: The prevalence of self medication was found to be 85.2% which is very high. Commonest reason was its usefulness in mild illnesses (89.3%). The commonly used group of drugs was antipyretics (98.6%), ointments (44.4%) and antibiotics (41.3%). The commonest source of information was old prescriptions (62.8%). The common ailments were fever (88%) and cough and cold (80.4%). Ironically 72.88% opined that self medication should not be practiced.Conclusions: Increased prevalence of self medication among medical students implies that they are highly exposed to the adverse effects of drugs. Steps should be taken to curtail self medication among medical students by educating and creating awareness among them.


Author(s):  
Ervilla Dass ◽  
Aneri Patel ◽  
Huzaifa Patel ◽  
Dhruvesh Patel ◽  
Himanshi Patel ◽  
...  

Background: The threat of antibiotic resistance is rapidly progressing and intensifying. The awareness generation of antibiotic use, its seriousness and significance are the first step towards restricting its progress. It is in this regards that this comparative questionnaire-based study was conducted.Methods: The knowledge, attitude and practice (KAP) among medical and dental students of a tertiary care teaching rural hospital was assessed.  Before initiating the study, their written consent was taken, and 125 structured questionnaires were distributed to medical and dental students. Data collected was further entered in Microsoft excel sheet and further comparison of KAP between them was analysed.Results: The results were depicted in percentage. Regarding the indiscriminate and injudicious use of antibiotics can lead to prolongation of illness, the medical students were more aware 82.4% compared to the dental 65.6%. When asked about additional burden of medical cost to the patient, the medical students responded with yes 88.8% and dental student’s response of yes was 47.22%. Also, medical 90.4% students had heard about antibiotic resistance and 60.8% from dental students, which implies that UG students should be made more aware of antibiotic resistance and its consequences.Conclusions: Thus, the results of the study give useful information about the knowledge, attitudes and practices of medical and dental students, that can be further utilized to plan suitable educational interventions that target at improving the knowledge for prescribing antimicrobial medicines. This can further help in minimizing the development of bacterial resistance.


2020 ◽  
Vol 10 (3) ◽  
pp. 69-73
Author(s):  
Nisha Jha ◽  
Sunil Shrestha ◽  
Pathiyil Ravi Shankar ◽  
Shital Bhandary

Background:Antibiotic resistance is a global crisis posing a considerable threat, especially, to developing countries and can cause 10 million deaths by 2050. Medical students as future doc­tors play an essential role in promoting the rational use of antibiotics. The objectives of this study were to evaluate the respondents’ knowledge, attitude and practice (KAP) regarding an­tibiotic use, antibiotic self-medication, and antibiotic resistance and compare the KAP among different subgroups of respondents at KIST Medical College, Lalitpur, Nepal. Methods: A cross-sectional study was done among final year medical students and interns from Sep­tember to October 2019. A structured questionnaire with 22 statements for assessing knowledge, 13 statements for attitude and 12 statements for practice was used as a data collection tool. Differ­ences in the KAP scores among different subgroups were studied using appropriate statistical tests. Results: A total of 131 respondents participated, and 76(58%) were female. Most were from the Brahmin ethnic group 54(41.2%) while 82(62.6%) had relatives in the medical field. Ninety-three (71%) were final year medical students and 38(29%) were medical interns. The knowledge scores were high (76) among most subgroups of respondents. The attitude score was 58 out of 65 and prac­tice score was 6 out of 12. Knowledge scores were higher among female respondents, and practice scores were higher among interns (p=0.002). Conclusions: The study showed good knowledge and attitude regarding antibiotics among the final year medical students and the interns. Interns were found to have a better practice than the final year students for using antibiotics rationally.


Author(s):  
J. Sujit Ralin Daniel ◽  
Prasanand S. ◽  
Suba Joice ◽  
Priscilla Jeba Rani

Background: Self-medication is commonly practiced worldwide and the irrational use of drugs for self-medication is a major cause of concern. The situation is more complex when a number of prescriptions only medicines are used for self-medication which are easily available over the counter through pharmacies without any prescription. The objective of this study was to assess the prevalence and practice of self-medication among undergraduate medical students and non-medical students.Methods: This cross-sectional questionnaire based study was carried out among 100 undergraduate students of a tertiary care medical college and 100 undergraduate students of an arts and science college in south India. The respondents were selected from the students who were present on the day of study. A pre-tested, self-assessing questionnaire was used to obtain the information on the prevalence and practice of self-medication.Results: Self-medication was practiced by 96% and 92% of medical and nonmedical students respectively. Overall practice of self-medication was 94%. Majority of females were self-medicating than males, 94% and 90% respectively. The most common symptom leading to self-medication among medical students were cough and common cold compared to headache among nonmedical students. The commonly used medicines for self-medication in both the groups were analgesics, antipyretics, cough suppressants and antibiotics. More number of medical students reported the use of antibiotics to treat infections (70%) which was statistically significant.Conclusions: The prevalence and practice of self-medication was alarming in both groups. The use of antimicrobials was also found to be very high among medical students. It is a need of the hour to create better awareness regarding the use of drugs for self-medication, to implement policies to prevent the dispensing of medicines without any prescription which would remain as the cornerstone for reducing the practice of self-medication.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mahmoud Hashemzaei ◽  
Mahdi Afshari ◽  
Zahra Koohkan ◽  
Ali Bazi ◽  
Ramin Rezaee ◽  
...  

Abstract Background Self-medication is defined as using medicinal products to treat the disorders or symptoms diagnosed by oneself. Although informed self-medication is one of the ways to reduce health care costs, inappropriate self-treatment can pose various risks including drug side effects, recurrence of symptoms, drug resistance, etc. The purpose of this study was to investigate the knowledge, attitude, and practice of pharmacy and medical students toward self-medication. Methods This study was conducted in Zabol University of Medical Sciences in 2018. Overall, 170 pharmacy and medical students were included. A three-part researcher-made questionnaire was designed to address the students’ knowledge, attitude, and practice. Statistical analysis was performed in SPSS 25 software. Results According to the results, 97 (57.1%) students had carried out self-medication within the past 6 months. Overall, the students self-medicated on average 4.2 ± 2.9 times per year. Self-medication was more common in male students (65.4%, P = 0.043). Cold was the most common ailment treated with self-medication (93.2%), and antibiotics (74.4%) were the most commonly used drugs. The primary information sources used by the students were their previous prescriptions (47.4%). Pharmacy students had a higher level of drug information (P < 0.001). There was a statistically significant association between the level of drug information and the tendency for self-medication (P = 0.005). Disease recurrence was the most common negative complication of self-medication. Conclusion There is a need to educate pharmacy and medical students regarding self-medication and its side effects. The high prevalence of self-medication and the overuse of antibiotics can pose a significant risk of drug resistance.


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