scholarly journals Self-medication Practice of Antibiotics among Medical and Dental Undergraduate Students in a Medical College in Eastern Nepal: A Descriptive Cross-sectional Study

2020 ◽  
Vol 58 (225) ◽  
Author(s):  
Namita Kumari Mandal ◽  
Gajendra Prasad Rauniyar ◽  
Dilli Sher Rai ◽  
Dipesh Raj Panday ◽  
Ramayan Kushwaha ◽  
...  

Introduction: Self-medication plays significant role in the development of adverse drug reactions,antibiotic resistance, and masking of underlying diseases. Medical students have some knowledgeabout the use of antibiotics and have a higher chance of irrational and injudicious use. This studyaims to find the prevalence of self-medication practice of antibiotics among medical and dentalundergraduate students. Methods: A descriptive cross-sectional study was done among medical and dental undergraduatestudents from the first year to the fifth year at BP Koirala Institute of Health Sciences from 1st June2018 to 30th August 2018. Ethical approval was obtained from the Institutional Review Committee(IRC/1210/018). Whole sampling was done. Data was collected using a self-responding, semistructured questionnaire and analyzed using Statistical Package for the Social Sciences version 11.5. Results: In total 558 students, the prevalence of self-medication practice of different antibioticswas 285 (51.1%) within the past year. Among self-medicated students, 152 (53.3%) were males. Thecommon drug self-medicated was Azithromycin 80 (28.1%) and the common medical condition touse non-prescription antibiotics was for treatment of sore throat with runny nose 129 (45.3%). Themain source for obtaining non-prescription antibiotics were retail pharmacies 157 (55.1%). Conclusions: Self-medication with antibiotics was at increasing rate with each succeeding yearsof the medical courses. Medical students should be made aware of the rational use of antibioticsby incorporating appropriate courses in their academic curriculum for more refined practice onantibiotics rather than advancement of theoretical knowledge alone.

2020 ◽  
Vol 58 (221) ◽  
Author(s):  
Mukta Singh Bhandari ◽  
Jagdish Chataut

Introduction: Medical students are more prone to suffer from various physiological and psychologicalproblems but rather than seeking for formal health care, they tend to do informal consultation andoften practice self medication. Thus, this study aimed to find out the health seeking behavior ofmedical students. Methods: This descriptive cross-sectional study was done among first and second year medicalstudents of a teaching hospital from September to November 2019 after taking ethical approvalfrom Institutional Review Committe. Total of 235 students were included in the study and selfadministered questionnaire was used. Data entry and analysis was done using Statistical Packagefor Social Sciences version 20.0. Results: Among 235 students who participated in the study, 172 (73%) reported having healthproblems in the last 12 months, and fever and headache were commonly reported by 21 (13%) and 18(50%) students, respectively. Total of 112 (65%) students visited hospital/clinic for health problemsand reason given for not visiting hospital/clinic was 12 (28%) thinking that the problem was minor.University hospital was the most preferred place 189 (80%) during health problem and parents werethe first people for consultation 116 (49%). Mean duration of absenteeism was 2.17±4.1 days and 167(88%) visited hospital more than five times. Conclusions: Health problems were common among students and most of them required multiplehospital visits. Many students seeked for health from hospital/ clinic but informal consultationswere also seen.


2021 ◽  
Vol 59 (238) ◽  
Author(s):  
Jyoti Prabha Bharati ◽  
Sanjay Ulak ◽  
Merina Vaidya Shrestha ◽  
Sanjay Mani Dixit ◽  
Anna Acharya ◽  
...  

Introduction: Primary dysmenorrhea is one of the most common gynecological problems among adolescent females. It is defined as painful menses in women with normal pelvic anatomy, usually beginning during adolescence. This study aims to find out prevalence of self-medication practice in primary dysmenorrhea among medical and nursing undergraduate students. Methods: A descriptive cross-sectional study was conducted in a tertiary care hospital from November 2020 to March 2021 after taking ethical approval from the Institutional Review Committee. Convenient sampling technique was used. A total of 269 female medical and nursing students with complaints of dysmenorrhea were enrolled and the remedial methods used by them such as self-medication, medical advice and home remedies for dysmenorrhea were asked using an online questionnaire delivered to participants. Data analysis was done in the Statistical Package of Social Sciences. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Self-medication practice for dysmenorrhea was reported in 175 (65%) of students. The prevalence of mild or moderate pain was commonly present in age group 21-25 years. commonly used for self-medication was mefenamic acid 121 (48%), followed by ibuprofen 51 (20.3%) and paracetamol 41 (16.3%). Conclusions: Self- medication practice among medical and nursing undergraduate students is high despite awareness of adverse effects.


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.


2020 ◽  
Vol 58 (224) ◽  
Author(s):  
Rosina Bhattarai ◽  
Sunita Khanal ◽  
Sujita Shrestha

Introduction: Self-medication means the use of medications for the treatment of any disease ontheir own, without consulting any healthcare professional. At times self-medication can be usefulif practiced correctly by saving time and money, whereas disadvantages often occur due to lackof evaluation by trained medical professionals and delay ineffective treatment and can result inunnecessary expenses and drug dependence. This study was conducted to find out the self-medicationbehavior and its associated factors among patients visiting a dental hospital in Kathmandu. Methods: A hospital-based, cross-sectional study was conducted on 265 patients in Kantipur DentalCollege from December 2019 to January 2020 among the patients attending the dental Out PatientDepartment. Ethical clearance was obtained from the Institutional Review Committee of KantipurDental College. A convenience sampling technique was used. Proformas were prepared in English,translated to Nepali and re-translated to English by the back-translation method. Data entry wasdone in Microsoft Excel and analysis in SPSS 20. Descriptive statistics was done. Results: The prevalence of self-medication practice was found to be 166 (62.6%). Out of totalparticipants, 99 (59.6%) consumed medicines for few days only and the most common triggeringfactor was found to be toothache in 101 (60.8%) participants. The most common reason for selfmedication was found to be a previous experience of treating similar illnesses. Conclusions: The prevalence of self-medication was found to be low as compared to the study donein similar settings. Self-medication practice is a sensitive issue that hasn’t been given the requiredconsideration. 


Author(s):  
Hinaben R. Patel ◽  
Ravikant R. Patel

Background: Self-medication is becoming a most prevalent practice among educated people across the world. In today’s era, internet and media is one of the most important sources for promoting self-medication practice. Medical students are highly influenced with this practice as their future medical preference and the fact that medical students find themselves having more knowledge about drugs this may lead to irrational usage of drugs. Aim and Objectives of the study were conducted to know the 1. Self-medication practices among medical students 2. Common, indications and reasons for self-medication practice. 3.Attitude of medical students towards self-medication practice.Methods: A cross-sectional, questionnaire-based study was conducted among undergraduate medical students of GMERS Medical College Valsad. The study was carried out in the months of October to December 2017. Medical students of first and final year MBBS participated voluntarily in this study after being briefed in detail about the goals & method of the study.Results: In this study, 91.50% of medical students were practiced self-medication. The common indication for self-medication was fever (76.50%) and cough (75.96%). Acquaintances (67.76%) are main source of information for self-medication. Common reasons they know the medicine (78.14%) and previous exposure (64.48%). 12.5% student perceived self-medication is harmless and 21.0% of medical students advise other to take self-medication.Conclusions: It was concluded that more than half of strength of students practice self-medication for various illnesses; the reason might be the awareness of drugs due to easy accessibility of information through books, internet as well as availability of medicine without prescription from pharmacist. So, essential measure should be taken to reduce the practice of self-medication among students to avoid development of drug dependence, resistance and drug interactions.


2017 ◽  
Vol 07 (01) ◽  
pp. 007-011
Author(s):  
Sanjay Kini ◽  
Muthukumar R. ◽  
Rakesh G. Maiya ◽  
Nishanth Krishna K. ◽  
N. Udaya Kiran

Abstract Introduction: Research experience gained by medical students during their under graduate tenure plays a significant role in their future endeavours in the field of medical research. The present study was a cross-sectional study conducted to know the attitudes and perceptions towards research among final year medical students in a private medical college. Methods: A total of 220 students participated in the study. Results: The majority of the students agreed that research is important in the medical field (88.6%, 195/220). The majority also believed that research methodology to be part of medical curriculum (72.7%, 160/220). 31.8% (70/220) felt that Research methodology will be helpful to enter competitive exams (USMLE, PLAB). The barriers for conducting research as believed by students were: Lack of interest (32.7%, 72/220), Lack of time (31.4%, 135/220), Inadequate knowledge about research methodology (51.4%, 113/230), Lack of guidance by faculties (27.7%, 61/220), Lack of research curriculum (34.1%, 75/230) Inadequate facilities for research (35.5%, 78/220), Inadequate financial support (30.9%, 68/220) and others 2.9% (6/220). Of the participating students, 23.2% (51/220) participated in research during medical school, while 76.8% (179/220) did not. Conclusion: Medical colleges should emphasize more on research among the undergraduate students. There is a need to reform the medical curriculum with more weightage towards research methodology.


2020 ◽  
Vol 58 (229) ◽  
Author(s):  
Kumar Roka ◽  
Sabina Khadka ◽  
Sanju Dahal ◽  
Meenakshi Yadav ◽  
Puja Thapa ◽  
...  

Introduction: Excessive Daytime Sleepiness is a significant health problem among medical students worldwide which can impair their cognitive and academic performances. Our study aims to determine the prevalence of Excessive Daytime Sleepiness among the first to fourth year undergraduate students of the Nepalese Army Institute of Health Sciences-College of Medicine. Methods: Following the ethical approval from the Institutional Review Committee with registration no. 317, a descriptive cross-sectional study was conducted among the first to fourth year medical students of the Nepalese Army Institute of Health Sciences-College of Medicine from 4" to 10" August 2020. Two hundred and thirty-two students were selected for the study using the stratified random sampling technique. Epworth Sleepiness Scale was used to obtain data on daytime sleepiness among the study participants. The data were entered into Google spreadsheets and later analyzed. Point estimate at 95% Confidence Interval was calculated along with the frequency and proportion for binary data. Results: The prevalence of Excessive Daytime Sleepiness among the first to fourth year undergraduate students of the Nepalese Army Institute of Health Sciences-College of Medicine is found to be 67 (31.02%) at 95% Confidence Interval (24.85-37.19). It was found to be highly prevalent among the fourth year undergraduate medical students 20 (35.09%) and least prevalent among the first year students 13 (26.00%). Excessive Daytime Sleepiness was found to be slightly higher among females 23 (34.85%) than males 44 (29.33%). Conclusions: Excessive Daytime Sleepinessis highly prevalent among medical students in our study as suggested by various international studies.


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