scholarly journals Pattern of Self-Medication with Prescription Medicines Among Residents of Ilorin in North Central Nigeria

2020 ◽  
Vol 7 (4) ◽  
pp. 191-198
Author(s):  
Muslim Olakunle Jamiu ◽  
AbdulAzeez Iyabode Fatima ◽  
Aliyu Fullaila Onozare

Background: The challenge posed by inappropriate use of medicine is of global concern. It is associated with patient using his discretion to choose the type of medication to self-treat a perceived ailment and the choice of medication usually devoid of health care professional input. Objective: The significance of this study was to assess the pattern of self-medication with selected prescription medicines among residents of Agbo-Oba area of Ilorin, Kwara State. Method: The method was a descriptive cross-sectional study of residents of Agbo Oba area of Ilorin between January to May 2019 with self-designed validated questionnaire. Convenient sampling method was used to select the participant who met the criteria for selection. Results: The mean age of the respondents was 38.5±11.8 with minimum age of 19 and maximum age of 70 years. The most occurring age group was 26-35 years and primary school level of education, and artisan/trader were the most predominant in self-medication. Among the prescription medicines, antibiotics were the most self-used followed by steroids and cyproheptadine. Females were shown to practice self-medication more than their male counterpart. Marital status and level of education were factors that influenced awareness of risk factors associated with self-medication among the study participants, p-value = 0.017 and 0.039, respectively. Conclusion: The prevalence of self-medication with prescription medicines was high and appeared to be more among female than male. Specifically, female misuse oral corticosteroids and cyproheptadine more and marital status and occupation type are strong predictors of their awareness of potential risks associated with self-use of prescription medicines.

Author(s):  
Amar Fathi Mohamed Khalifa ◽  
Yasser Nabil AlKhudairy ◽  
Adel Ahmed Algahtani ◽  
Bandar Mohammed Abduljabbar ◽  
Fahad Majed Aldawsari ◽  
...  

Background: Over-the-counter-drugs (OTC) are drugs that can be obtained by patients without a prescription from a physician. In Saudi Arabia, it has been reported that more than half of university students practiced self-medication and used OTC drugs. Methods: An institutional-based cross-sectional study, among medical and non-medical students in Riyadh. The sample size was 421, by systemic random sampling. A pre-coded pre-tested online questionnaire was used. Data was analyzed using SPSS V 23. P-value ≤ 0.05 was considered significant. Results: There was no significant relationship between what the participants were majoring in and the usage of OTC drugs (p value= 0.373). Gender also had no relation with the use of OTC (p value= 0.168). Panadol appeared as the most commonly used OTC drug 62.9% for the relief of the most commonly mentioned factor which is headache 50.12%.  Conclusion: Medical education didn’t have much of an effect on the use of OTC drugs. Moreover, professional guidance or advice was not considered most of the time for taking OTC, but the majority of respondents portrayed good behavior towards usage of OTC.


2021 ◽  
Vol 12 (2) ◽  
pp. 1108-1118
Author(s):  
Birendra Shrivastava ◽  
Omi Bajracharya ◽  
Rajani Shakya

Self-medicine has become one of the important components in day-to-day life to treat mild ailments. If not used rationally, it may lead to serious public health issues. The aim of this study is to explore the prevalence, knowledge, and associated risk factors of self-medication practice among the community of the Lalitpur Metropolitan City of Nepal. A cross-sectional community based prospective study was conducted among 1,004 participants of the Lalitpur Metropolitan City using a pretested and validated questionnaire. The collected data were analyzed using descriptive and inferential analysis with an alpha level of 0.05 by using SPSS. The prevalence of self-medication was 45.20%. The three most common ailments for practicing self-medication were fever, headache, and cough/cold. The top reason for self-medication was minor illness. The study indicated that overall knowledge scores were significantly associated with self-medication (P<0.001). Multiple logistic regression showed the elderly are more oriented towards self-medication practice [AOR=5.22 (95%CI: 2.73-9.98)]. The health professional families have a high affinity towards self-medication practice [AOR=2.82 (95%CI: 1.68-4.75)]. Likewise, storing medicine at home [AOR= 7.01 (95%CI: 5.10-9.64)] and poor knowledge of medicine use were [AOR=1.81 (95%CI: 1.14-2.88)] more likely to prefer self-medication. The prevalence of self-medication was high, mostly due to the poor knowledge about appropriate medicine used. Self-medication is unavoidable in many situations; therefore, implementation of action plans to improve awareness about the consequences of self-medication is needed, thus facilitating its responsible use by the community.


Pharmacy ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 238
Author(s):  
Baraka P. Poyongo ◽  
Raphael Zozimus Sangeda

Inappropriate use of antibiotics has been reported to contribute to the emergence and increase of antimicrobial resistance (AMR) in the world. The pharmacist has the responsibility to supervise the dispensing of antibiotics with prescriptions to ensure rational use. An online semi-structured questionnaire was shared with approximately 1100 licensed pharmacists in Tanzania. Study data were collected and managed using REDCap electronic data capture tools before use for analysis. Of the 226 (20.5%) received responses, 197 had given consent and provided complete surveys. Notably, 153 (77.7%) of the 197 pharmacists had excellent knowledge about the legal requirements for dispensing antibiotics and the AMR challenge. Of the 197 surveyed pharmacists, 143 (72.6%) admitted to dispensing antibiotics without a prescription in their daily practice. Notably, 84.1% (37/44) of pharmacists with masters or PhD education were more likely to dispense without a prescription compared to 69.3% (106/153) among bachelor holders (p-value = 0.04). The reasons for administering antibiotics without a prescription included the pharmacy business looking for more profit, patient failure to obtain a prescription and the lack of stringent inspection of pharmacies by the regulatory authorities. Penicillins, macrolides and fluoroquinolones were the classes of antibiotics most commonly dispensed without a prescription. Stringent inspections by the regulatory authorities should detect and reduce dispensing antibiotics without a prescription. The community should be educated on the importance of medication prescription from a qualified medical practitioner.


2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Luca Garofalo ◽  
Gabriella Di Giuseppe ◽  
Italo F. Angelillo

The aims of this cross-sectional survey were to document the prevalence, the determinants, and the reasons of oral medication use without the prescription of a physician among a random sample of 672 parents of students attending randomly selected public schools in Italy. A total of 69.2% practiced self-medication at least once. The odds of having performed a self-medication were higher in females, in younger population, and in those who have had a health problem in the preceding year and were lower in respondents with a middle or lower school level of education. Among those reporting experience of self-medication, 53.4% have practiced at least once in the last year and this was more likely for those who have had a health problem. Nonsteroidal anti-inflammatory drugs were more frequently used without a prescription in the last year. Two-thirds inappropriately self-medicated in the last year at least once. Of those who did not report a self-medication, 13.1% were willing to practice it. Females were more willing and those with a secondary school level of education less willing to practice self-medication. The frequency of oral self-medication was quite high and in most cases inappropriate with a potential impact on the health status and educative programs are needed.


2021 ◽  
Vol 8 (2) ◽  
pp. 94-97
Author(s):  
TLS Gowri ◽  
M Ramadevi ◽  
Aparna Vedapriya ◽  
V Janaki ◽  
Jana Siva Koti Srinivasa Rao ◽  
...  

Qualitative dissections require knowledge of dissection tool kit and dissection skills which acquired will allow dissector to take care for cadaveric donor while acquiring the experience and knowledge of a successful dissection. This promotes the researcher to equip the learner in initial phase with dissection skills and tools.The main objective of the study is to analyse the learner prior and after interventional sessions as to how effective the session would be helpful in improving the quality and participation of learners in dissection. A qualitative prospective cross-sectional study was done in 168 Learners of I MBBS by an interventional session on the topic through General lecture and demonstration. Learners were assessed prior and after the interventional session by same validated questionnaire. Perceptions of learners were also taken. The obtained data were compared and its significance was analysed by Chi-square test using Epi info 7.1 software.The pre and post-test scores showed a significant improvement of 64 percent on average with p value less than 0.001 indicating that the session was fruitful. 80% of learners also opined that the session stimulated interest in the subject and improved their dissection skills.An interventional session on “Awareness of dissection skills and tools” in the initial phase would increase the Learners performing quality dissections with ease. This would also help the learner to acquire better independent surgical skills and understanding in clinical phases of learning and therefore would recommend it in early phase of I MBBS Anatomy.


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.


Thrita ◽  
2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Fatemeh Mousavi ◽  
Parisa Shojaei ◽  
Azadeh Nazemi ◽  
Atefe Dadashi

Objectives: This research has been conducted to study antibiotic self-medication, prevalence, and reasons. Methods: A questionnaire containing 30 comprehensive questions in terms of the experience of antibiotic self-medication was prepared. In this cross-sectional study, data were analyzed using analytical statistics bases on chi-square and logistic regression. Results: The results showed that 61.3% of the participants were self-antibiotic users. There was a significant difference only between gender and self-medication such that self-medication in males was more than females (P value = 0.027). Conclusions: Self-medication of antibiotics is almost high and requires more information about the side effects of these drugs in order to promote rational and physically prescribed use.


2019 ◽  
Vol 1 (2) ◽  
pp. 3-8
Author(s):  
Ambreen Khalid ◽  
Adeela Shahid ◽  
Khalid Rahim Khan

Background: Students suffering from imposter syndrome/phenomenon (IP) consider themselves less competent and less skill full as compared to the abilities they actually possess. Although previous research has identified different causes of stress and burnout less research has been conducted to determine the frequency of imposter syndrome among medical undergraduate students. Objectives: (1) To determine the frequency and the degree of severity of Imposter syndrome among medical students. (2) To find out the association of Gender with imposter syndrome. (3) To evaluate the difference in the severity of imposter syndrome between 1st and 2nd-year MBBS students. Methods: The cross-sectional study was conducted on 140 1st and 2nd-year MBBS students of Shalamar Medical and Dental College, Lahore. A convenient sampling technique was used. The study instrument used was a validated questionnaire (Clance IP Scale) containing 20 items with 5 points Likert scale. By adding up the score, the degree of severity is determined. Frequencies & percentages were determined, chi-square applied, p-value <0.05 was considered significant. Results: One hundred and 40 students filled the IP Scale questionnaire. The frequency of imposter syndrome was 53.3% among medical students. The majority (85%) of the medical students had frequent to intense imposter characteristics. A higher number of female students was affected by imposter phenomenon as compared to males. Greater number of 1st-year students were suffering from imposter syndrome as compared to 2nd-year students. Conclusions: Frequency of imposter syndrome was high among medical students. Its severity ranges from moderate to frequent IP categories in majority of students. Female students were affected more as compared to their male counterparts.


2021 ◽  
Vol 3 (4) ◽  
pp. 28-32
Author(s):  
Abel Fils Nkoth ◽  
Christian Ngounouh Taheu ◽  
Angele Clarisse Okono Kabeyene ◽  
Sandra Germaine Gueuma Tchoumbou ◽  
Jean Paul Chedjou ◽  
...  

Background: Helicobacter pylori (H. pylori) infection affects more than half people worldwide particularly in African countries such as Cameroon. This study aimed to investigate the prevalence of H. pylori infection and predictors risk factors among patients undergoing gastro-duodenal fibroscopy at the Centre Medical, la Cathédrale of Yaoundé. Methods: A facility-based descriptive cross-sectional study involving 147 patients was conducted from October 2015 to April 2016. A structured questionnaire was used to collect information on socio-demographic factors and predictors of H. pylori infection. Gastric biopsies specimens were collected from the antrum and corpus using an Olympus GIF – Q30 fully immersible gastroscope respectively. The biopsies were screened for the presence of H. pylori by targeting the glmM gene using polymerase chain reaction (PCR). Statistical analysis was performed using SPSS v. 20 with p-value<0.05 considered statistically significant. Results: The mean age was 47.19 ±16.64 years and female were more represented with 88/147 (59.8%) versus (vs.) 59/147(40.1%) for male. The overall prevalence of H. pylori infection was 50/147 (34.01%; 95% CI: 26.41% - 42.28%). The prevalence of H. pylori infection was 22/59 (37.29%) in male vs. 28/88 (31.82%) in female and this prevalence increased with age and peaked among 30-50 years. Bivariate logistic regression analysis identified that, the regional group, particularly the Centre region (OR 2.55, p= 0.007) and West region (OR 2.67, p=0.005), the level of education (OR 1.18, p=0.001), source of income (OR 0.95, p=0.004), and alcohol consumption (OR 1.41, p=0.0001) were predictors risk factors of H. pylori infection. Conclusions: Our findings indicate a relatively high prevalence of H. pylori infection in Yaoundé. Factors such as regional group, level of education, source of income, and alcohol consumption predisposed the subjects to H. pylori infection.


2018 ◽  
Vol 5 (2) ◽  
pp. 395
Author(s):  
Elayaraja Kandasamy ◽  
Senthil Kumar Andy

Background: Gastro Esophageal Reflux Disease (GERD) is the most common esophageal disorder in children of all ages. GER becomes pathological when reflux increase in frequency and intensity, associated with esophageal and respiratory symptoms. Thus, the study was determined to assess the prevalence of GERD in regurgitant children of age 6 to 24 months with evaluation of IGERQ score (Infant Gastro Esophageal Reflux Questionnaire).Methods: A descriptive study was conducted in Gastroenterology Department, Institute of child Health and Hospital for Children, Egmore, Chennai from September 2007 to September 2009. 123 regurgitant children of age 6-24 months were enrolled. Clinical examination and validated questionnaire with total score of 25 was used. Data analysis was aided by EPI info programme. Chi square with P value <0.05 was considered statistically significant. IGERQ score was evaluated by calculating sensitivity, specificity, positive predictive valve and negative predictive valve.Results: The prevalence of GERD in regurgitant infant and children is 30.8%. Refusal of feeds and poor weight in regurgitant children significantly correlated with GERD. sensitivity was 84%, specificity was 96%, positive predictive value was 91%, negative predictive value was 93%Conclusions: Clinical diagnosis of GERD is sufficient in most instances and a questionnaire may aid in diagnosis the disease. IGERQ score is easily adaptable. IGERQ score >5 has high specificity positive and negative predictive value but reproducibility in our population need further evaluation. 


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