scholarly journals Patients' Knowledge and Awareness towards Use of Antibiotics in Bangladesh: A Cross-sectional Study Conducted in Three Tertiary Healthcare Centers in Bangladesh

1970 ◽  
Vol 3 (1) ◽  
pp. 54-58 ◽  
Author(s):  
Moni Rani Saha ◽  
Shammy Sarwar ◽  
Manik Chandra Shill ◽  
Mohammad Shahriar

This study is aimed to estimate general knowledge and awareness of patients regarding use of antibiotics to find out possible reasons of irrational use of antibiotics in Bangladesh. It was a questionnaire based crosssectional health survey conducted on 350 subjects aged 18 or over who came to get service at three tertiary healthcare centers named Dhaka Medical College (DMC) Hospital, Sir Salimullah Medical College (SSMC) Mitford Hospital and Bangabandhu Sheikh Mujib Medical University (BSMMU) Hospital of Dhaka, Bangladesh. It was found from the study that the general knowledge of the patients about the indication of antibiotics was very poor. Majority of the patients did not know the appropriate use of antibiotics. Only 26% respondents answered correctly that antibiotics are indicated for bacterial infections. In addition, 38.97% of them also did not know that an antibiotic is a prescription drug and should not be used without doctor’s prescription. The awareness about the patients towards use of antibiotics was also poor. A very high percentage of the patients (51.71%) answered that they do not complete the full course of therapy. Surprisingly, 39.14% of the patients replied that they stop antibiotics when the symptoms disappear and remarkably 14.29% just make the dose double if they forget to take due dose. On the other hand, 28.86% of the patients said that they do not maintain dosing schedule during the course of therapy. Moreover, prevalence of self-medication with antibiotics in cold and fever was also extremely high (60.86%). This study indicates that there is an urgent need of health education for the community to increase knowledge and awareness about use of antibiotics to decrease the self-medication and inappropriate use of antibiotics. Key words: Antibiotics; General Knowledge; Awareness; Tertiary Healthcare Center; Health Education DOI: 10.3329/sjps.v3i1.6799S. J. Pharm. Sci. 3(1): 54-58

Author(s):  
Nabarun Karmakar ◽  
Tamal Chakraborty ◽  
Anjan Datta ◽  
Kaushik Nag ◽  
Shib Sekhar Datta

Background: In developing countries like India, self-medication is a common practice because of costly clinical services and easy availability of medicine from pharmacies. There is an increase trend of self-medication among different health professional students apart from general people. This study aims to assess self-medication practice among medical and nursing students in Tripura, India.Methods: This cross-sectional study was conducted among undergraduate medical and nursing students of Tripura Medical College and Tripura College of Nursing, of Tripura for two months (January- February 2018). A pre-tested, semi-structured schedule was used to collect the required information. The collected data was entered in SPSS version 16.0, represented in proportions and p <0.05 was considered as statistically significant.Results: Overall 353 (88.3%) students of both courses practiced self-medication; prevalence was more among medical (91.5%) than nursing students (85%). Main source of information among medical students were books (90.2%) while 56.5% nursing students replied friends and/or seniors as primary source. Majority (53%) respondents took self-medication for headache (79.2% medical vs 72.4% nursing students) followed by fever (77.6% medical vs 52.4% nursing). Less than half of the respondents (48.5% medical vs 46.5% nursing students) believed that self-medication was harmful; maximum nursing students (71.5%) believed that self-medication is self-care as compare to medical students (56.5%).Conclusions: The study found wide practice of self-medication among students, inappropriate use of which may cause serious health hazards. Promoting education regarding self-medication and making healthcare system available can reduce self-medication practices substantially.


Pharmacy ◽  
2018 ◽  
Vol 6 (3) ◽  
pp. 83 ◽  
Author(s):  
Doaa Naeem ◽  
Majed Alshamrani ◽  
Mohammed Aseeri ◽  
Mansoor Khan

Background: Febrile neutropenia (FN) is an oncologic emergency which should be treated immediately with empiric antibiotics. Different institutions observe different antibiograms and use different FN management guidelines. Our center implemented FN management guidelines for adult cancer patients in 2009. Hence, we decided to assess compliance with FN management guidelines and to describe the pattern of bacterial infections. Method: We conducted a cross-sectional study on all adult cancer patients admitted with FN. Data were collected from electronic medical records between January and December 2014. Results: One hundred FN episodes met the study inclusion criteria. The mean age of the patients was 41 ± 17 years; 52% (52 patients) were women. The most common diagnosis was lymphoma (33%). In terms of compliance to institutional FN guidelines, 55% of patients received guideline non-compliant treatment. The most common non-compliant treatment was incorrect amikacin dosing in 31% of patients, followed by incorrect vancomycin dosing in 20%, incorrect piperacillin/tazobactam dosing in 19%, inappropriate use of carbapenems in 18%, and non-compliant vancomycin use in 12% of patients. Bacterial isolates were only observed in 19% of the FN episodes. Among these 19 episodes of FN, Gram-negative pathogens were predominant and were identified in 74% of the episodes, followed by Gram-positive pathogens in 16% and polymicrobial pathogens in 10%. The mean time to defervescence was 2.21 ± 2 days. Conclusion: Our study concluded that there was a high percentage of non-compliance with our institutional FN management guidelines. We recommend following appropriate empiric antibiotic doses and indications as per institutional guidelines.


2021 ◽  
Vol 10 (29) ◽  
pp. 2171-2175
Author(s):  
Shelley Seth

BACKGROUND Dysmenorrhoea is the most common gynaecological problem. Almost half of the female adolescents suffer from it resulting in a major cause of school / college absenteeism. We tried to find out the prevalence of dysmenorrhoea among female adolescents in a suburban population and investigate a potential association between the body mass index, dietary habits and behavioural factors and its correlation with absenteeism. METHODS A cross sectional study was done on 270 adolescent females attending outpatient department of a suburban medical college. We interviewed the selected adolescent girls using a pretested semi structured questionnaire after obtaining their or their parents consent. Statistical analysis was done using frequencies, percentages and chi square test with statistical software package SPSS version 20. RESULTS Total 270 unmarried adolescent girls were interviewed. Among them 51.1 % girls suffered from dysmenorrhoea. 58.7 % patients suffered from mild dysmenorrhoea whereas 27.5 % and 13.8 % suffered from moderate and severe dysmenorrhoea respectively. 59.02 % of girls with normal BMI and 54.55 % of obese girls suffered from dysmenorrhoea. Only 16 % patients with mild dysmenorrhoea were absent from their school or college whereas 63.1 % and 84.2 % of patients with moderate to severe dysmenorrhoea had school or college absenteeism respectively. 74.47 % of patients used to take self-medication. CONCLUSIONS Dysmenorrhoea was a significant cause of absenteeism and habit of self-medication was prevalent. Introduction of a school health program for menstrual health might improve the issues. KEY WORDS Menstruation, Dysmenorrhoea, Adolescents


Author(s):  
Pyae Sone Win ◽  
Thida Win ◽  
Pa Pa Soe

Background: Self-medication with antibiotics becomes a public health concern in both developed and developing countries. It is a risk factor for antibiotic resistance, one of the biggest threats to global health, food security, and development today. The prevalence of self-medication with antibiotics varies across the countries, and such studies are still limited in Myanmar. Therefore, we aimed at describing the prevalence of and the factors facilitating self-medication with antibiotics in Myanmar.Methods: This cross-sectional study included face-to-face interviewing of 360 youths randomly selected from 6 townships of Mandalay city, Myanmar.Results: In this study, 36.67% of the youths self-medicated with antibiotics in the six months before the survey. The most common antibiotic used for self-medication was amoxicillin (70.94%). Runny nose (35.61%), cough (26.52%), and fever (25.76%) were the most typical symptoms for which antibiotics were taken. The main factor facilitating self-medication with antibiotics was easy accessibility (86.36%).  One-third of youths selected antibiotics based on the advice of drugstore’s sellers. Most of the youths bought antibiotics at nearby drugstores. About two-thirds of youths stopped taking antibiotics after taking them one or two days, regardless of the outcome.Conclusions: The prevalence of self-medication with antibiotics was high among Myanmar youths. Law enforcement and regulations for inappropriate use of antibiotics is an urgent need to alleviate the consequences of self-medication with antibiotics. Awareness-raising and educational program targeting both drugstore owners and the public through various channels is necessary to reduce the inappropriate use of antibiotics.


Author(s):  
Mahendra Singh Rathore ◽  
Jyoti Jain ◽  
Mukul Dixit

Background: The present study was conducted to assess the knowledge, attitude and practice regarding Tuberculosis among non TB patients in Udaipur.Methods: A cross sectional study conducted at Geetanjali Medical College and Hospital, Udaipur among the non TB patients during the period of 1st June 2015 to 31st December 2016 after obtaining Ethical clearance from Human Research Ethical Committee. Study was conducted on 220 patients using a pre tested questionnaire after taking their verbal consent to participate in study.Results: Insignificant difference in knowledge about TB was found between male and female respondents. More than 65% of respondents found to have correct knowledge regarding sign and symptom, mode of acquiring TB and mode of preventing TB.Conclusions: Health education directed towards improve knowledge and bringing a change in attitude and practice among non TB patients is needed to create awareness and remove myths about tuberculosis in groups of people in the community.


Author(s):  
Krishna Kar ◽  
Sasmita Pradhan ◽  
Barada P. Samal

Background: School is acknowledged as the place where children gain knowledge from health education sessions on various aspects of personal hygiene, sanitation and social customs. Health is one of the key factors determining the enrollment, performance and continuation in school. Objective was to study the morbidity pattern of school children.Methods: The present cross sectional study was conducted in selected schools (both govt. and Private) of urban field practice area of SCB Medical College, Cuttack, Odisha during January 2016 to December 2016. A total of 660 school going children were taken for the study. After taking informed consent of the head of the school data was collected by using a Pre-designed, pre-tested questionnaire. Clinical examination was conducted to detect any morbidity pattern.Results: In the present study most common morbidity detected was pallor (47.6%) followed by skin disease (34.5%) and dental caries (23.2%). Other morbidities found were acute respiratory infections 21.9%, eye problems 21.4%, fever 6.8%, pain abdomen 3%, diarrhoea 3.2%, ear discharge 3.9%, headache 5% and rhinitis 3.9%.Conclusions: More emphasis should be given on primordial and primary preventive measures for prevention of childhood morbidities. School based health education programme may be a useful effort in this regard.


2014 ◽  
Vol 8 (04) ◽  
pp. 424-429 ◽  
Author(s):  
Tatyana Belkina ◽  
Abdullah Al Warafi ◽  
Elhassan Hussein Eltom ◽  
Nigora Tadjieva ◽  
Ales Kubena ◽  
...  

Introduction: Inappropriate use of antibiotics has resulted in a dramatic increase of antimicrobial resistance in developing countries. We examined knowledge, attitudes, and practices of antibiotic use in three Asian countries. Methodology: A nationwide cross-sectional study of teachers in large cities of Yemen, Saudi Arabia, and Uzbekistan was conducted. A random sample of 1,200 teachers was selected in each country. Data were collected through a questionnaire-based survey and then analyzed using descriptive and multivariate statistical methods. Results: The prevalence of non-prescription antibiotic use ranged from 48% in Saudi Arabia to 78% in Yemen and Uzbekistan. Pharmacies were the main source of non-prescribed antibiotics. The most common reasons for antibiotic use were cough (40%) and influenza (34%). Forty-nine percent of respondents discontinued antibiotics when they felt better. Although awareness of the dangers of antibiotic use correlated inversely with self-medication, understanding of the appropriate use of antibiotics was limited. Conclusions: The prevalence of antibiotic self-medication in the educated adult population in the studied countries was found to be alarmingly high. Effective strategies involving regulatory enforcement prohibiting sales of antibiotics without prescription should be implemented along with educational interventions for health professionals and the public.


2021 ◽  
Vol 59 (243) ◽  
pp. 1146-1149
Author(s):  
Sajala Kafle ◽  
Nisha Jha ◽  
Ravi Shankar Pathyil

Introduction: Self-medication is common among medical students. Medical and dental students can also educate the population about the use of medicines. The aim of the study was to find the mean knowledge score of self-medication among first and second year medical and dental students at a medical college in Nepal. Methods: A descriptive cross-sectional study was carried out in a medical college from 1st to 28th February 2021 using a structured online questionnaire after obtaining approval from the Institutional Review Committee (approval number 077/78/32). Convenience sampling method was undertaken. The responses were analyzed using Statistical Package for Social Sciences version 26. Results: Out of 173 students the mean±SD knowledge score was 79.47±6.76. The mean knowledge score of the participants of age group 17-18, 19-20 and 21-22 years were 83.8, 79 and 79.1 respectively. The mean knowledge scores of the male and female participants were 80.2 and 78.6 respectively. Similarly, the knowledge scores of respondents from undergraduate medical and dental backgrounds were 80.1 and 77.7 respectively. Conclusions: Knowledge of self-medication was high among the students. However, educational sessions to further improve and strengthen knowledge can be carried out to improve the knowledge.


Author(s):  
Geeta Rawat

Self-medication is very frequent and common among the people. Several side effects have been reported to be associated with inappropriate use of self-medication like risk of drug dependence, abuse, major drug interactions and adverse effects. The aim of this study is designed to assess knowledge on self-medication among students. A cross-sectional study was conducted in students of various department located in Ghaziabad, UP, India. A total of 200 students were enrolled and interviewed using prevalidated questionnaire on self-medication. STATISTICAL ANALYSIS: Descriptive statistics were used to represent the sociodemographic characteristics and knowledge levels. Association of various socio-demographic variables with Knowledge levels are determined using the Chi-square test. A total of 200 students are recruited in these 53(26.5%) diploma in pharmacy, 128 (64%) bachelor’s in pharmacy, 19 (9.7%) master’s in pharmacy. Among 200 respondents, 90 (45.2%) good knowledge on self-medication. Subject’s age, residential status, and occupation of their parents were significantly associated with knowledge and rational practice on self-medication with a P < 0.05.CONCLUSION: The study concludes there is lack of knowledge on responsible side effect of self-medication.


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