Self-medication with antibiotics is becoming a very common practice, and it is being practiced globally carrying a significant economic burden and health hazards. This study assesses prevalence and predictors of self-medication with antibiotic for children. A cross-sectional study was carried out on 252 mothers selected randomly from primary health care Centers in Makkah, during the period Jan - July 2016. Mothers were interviewed about giving their children antibiotic without prescription using a semi structured questionnaire. Data was analyzed using IBM advanced SPSS statistical package version 23. Logistic regression analysis was done to determine which of the factors are independently associated with self-medication with antibiotic for children. As a result, in total, 252 respondent mothers were interviewed with mean age 36.7±18.4. The prevalence of self-medication with antibiotic for children was 39.3% despite that the majority 82.9% has satisfactory knowledge about proper antibiotic use. Amoxicillin clavulenic is the most self-prescribed antibiotic representing 53.3% followed by amoxicillin 25.6%. The predictors for self-medication were educational level, income, residence and knowledge about antibiotics use. It was concluded that, Self-medication with antibiotics for children is a common practice. Policies and considerable efforts are needed to challenge the self-medication with antibiotics especially increasing the awareness among mothers about the self-medication with antibiotics risks and hazards.
Published in | European Journal of Preventive Medicine (Volume 5, Issue 5) |
DOI | 10.11648/j.ejpm.20170505.12 |
Page(s) | 60-64 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2017. Published by Science Publishing Group |
Self-Medication, Antibiotics, Prevalence, Predictors, Children
[1] | Hernandez-Juyol M, Job-Quesada JR. Dentistry and self-medication: A current challenge. Med Oral. 2002; 7: 344–7. [PubMed]. |
[2] | Jose J, Jimmy B, Alsabahi AG & Al Sabei GA (2013) A study assessing public knowledge, belief and behavior of antibiotic use in an omani population. Oman Medical Journal 28, 324 |
[3] | Balkhy H. H., Cunningham G., Chew F. K., et al. Hospital- and community-acquired infections: a point prevalence and risk factors survey in a tertiary care center in Saudi Arabia. International Journal of Infectious Diseases. 2006; 10 (4): 326–333. doi: 10.1016/j.ijid.2005.06.013. [PubMed] [Cross Ref]. |
[4] | Regional Strategy on Prevention and Containment of Antimicrobial Resistance, 2010-2015. [Last accessed on 2013 Jun 24]. Available from: http://www.searo.who.int/entity/antimicrobial_resistance/BCT_hlm-407.pdf. |
[5] | Ganguly NK, Arora NK, Chandy SJ, Fairoze MN, Gill JP, Gupta U, et al. Global antibiotic resistance partnership (GARP): India Working Group. Rationalizing antibiotic use to limit antibiotic resistance in India. Indian J Med Res. 2011; 134: 281–94. [PMC free article] [PubMed]. |
[6] | Napolitano F, Izzo MT, Di Giuseppe G, Angelillo IF. Public knowledge, attitudes, and experience regarding the use of antibiotics in Italy. PLoS One. 2013; 8 (12): e84177. [PMC free article] [PubMed]. |
[7] | Grigoryan L, Burgerhof JG, Degener JE, Deschepper R, Lundborg CS, Monnet DL, et al. Self-Medication with Antibiotics and Resistance (SAR) Consortium. Determinants of self-medication with antibiotics in Europe: the impact of beliefs, country wealth and the healthcare system. J AntimicrobChemother. 2008; 61: 1172–79. [PubMed]. |
[8] | Apisarnthanarak A, Tunpornchai J, Tanawitt K & Mundy LM (2008) Nonjudicious dispensing of antibiotics by drug stores in Pratumthani, Thailand. Infection Control and Hospital Epidemiology 29, 572–575. |
[9] | Mumtaz Y, Jahangeer SA, Mujtaba T, Zafar S, Adnan S. Self medication among university students of Karachi. JLUMHS. 2011; 10 (03): 102–05. Abahussain E, Matowe LK, Nicholls PJ. Self-reported medication use among adolescents in Kuwait. Med Princ Pract. 2005; 14: 161–4. doi: 10.1159/000084633. [PubMed] [Cross Ref]. |
[10] | Bubake. Prevalence, determinants and practices of self-medication with antibiotics – a population based survey in Taif, Kingdom of Saudi Aarabia ksa. 2015; A Int J Res Pharm Sci 5 (2); 51 – 56. |
[11] | Pablos-Méndez A., Raviglione M. C., Laszlo A., et al. Global Surveillance for Antituberculosis-Drug Resistance, 1994–1997. New England Journal of Medicine. 1998; 338 (23): 1641–1649. doi: 10.1056/NEJM 199806043382301. [PubMed] [Cross Ref]. |
[12] | Laporte JR. Self-medication: Does information to users increase at the same rate as consumption. Med Clin (Barc) 1997; 109: 795–6. [PubMed]. |
[13] | Al-Azzam SI 1, Al-Husein BA, Alzoubi F, Masadeh MM, Al-Horani MA, Assessment of Self-Medication of Antibiotics in a Jordanian Population (2007) Int J Occup Med Environ Health, 20 (4); 373-380. |
[14] | Richman PB, Garra G, Eskin B, Nashed AH, Cody R: Oral antibiotic use without consult- ing a physician: a survey of ED patients. Am J Emerg Med 2001; 19: 57–60. |
[15] | Li R, Xiao F, Zheng X, Yang H, Wang L, Yin D, Yin T, Xin Q, Chen B. Antibiotic misuse among children with diarrhea in China: results from a national survey. PeerJ 2016 Nov 3; 4. |
[16] | Aris Widayati, Sri Suryawati, Charlotte de Crespigny and Janet E Hiller: Self medication with antibiotics in Yogyakarta City Indonesia: a cross sectional population-based survey BMC Research Notes 20114: 491. |
[17] | Self-medication with antibiotics by the community of Abu Dhabi Emirate, United Arab Emirates. |
[18] | Khalil H., Abdullah W., Khawaja N., et al. Self-prescribed antibiotics by Saudi patients as a routine self-management of dental problems. Life Science Journal. 2013; 10 (4): 1939–1942. |
[19] | Abdulrahman Al Rasheed, Umar Yagoub, Hesham Alkhashan, Osama Abdelhay, Ahmad Alawwad, Aboud Al Aboud, and Saad Al Battal; Prevalence and Predictors of Self-Medication with Antibiotics in Al Wazarat Health Center, Riyadh City, KSA. BioMed Research International Volume 2016 (2016), Article ID 3916874, 8 pages http://dx.doi.org/10.1155/2016/3916874 |
[20] | Awad A., Eltayeb I., Matowe L., Thalib L. Self-medication with antibiotics and antimalarials in the community of Khartoum State, Sudan. J. Pharm. Sci. 2005; 8: 326–331. [PubMed]. |
[21] | Belkina T, Warafi AA, Eltom EH, Tadjieva N, Kubena A, Vlcek J: Antibiotic use and knowledge in the community of Yemen, Saudi Arabia, and Uzbekistan. J Infect Dev Countries. 2014, 8 (4): 424-429. |
[22] | Skliros E., Merkouris P., Papazafiropoulou A., Gikas A., Matzouranis G., Papafragos C., Tsakanikas I., Zarbala I., Vasibosis A., Stamataki P., Sotiropoulos A. Self-medication with antibiotics in rural population in Greece: A cross-sectional multicenter study. BMC Fam. Pract. 2010; 11 doi: 10.1186/1471-2296-11-58. [PMC free article] [PubMed] [Cross Ref]. |
[23] | G. Togoobaatar, N. Ikeda, M. Ali et al., Survey of non-prescribed use of antibiotics for children in an urban community in Mongolia, Bulletin of the World Health Organization, vol. 88, no. 12, pp. 930–936, 2010. View at Publisher · View at Google Scholar. |
[24] | N. Nyazema, N. Viberg, S. Khoza et al., Low sale of antibiotics without prescription: a cross-sectional study in Zimbabwean private pharmacies, Journal of Antimicrobial Chemotherapy, vol. 59, no. 4, pp. 718–726, 2007. View at Publisher View at Google Scholar · View at Scopus. |
[25] | Wijesinghea PR, Jayakodyb RL, de A Seneviratnec R. Prevalence and predictors of self-medication in a selected urban and rural district of Sri Lanka. Who South-East Asia J Public Heal. 2012; 1: 28–41. |
[26] | Afolabi AO. Factors influencing the pattern of self-medication in an adult Nigerian population. Ann Afr Med. 2009; 7: 120–7. [PubMed]. |
[27] | Yuefeng L, Keqin R, Xiaowei R. Use of and factors associated with self-treatment in China. BMC Public Health. 2012; 12: 995. [PMC free article] [PubMed]. |
APA Style
Enas Hamdy Alfalogy, Haneen Basem Nafadi, Sara Hameed Al Rehaili, Bushra Abed AL-Harbi. (2017). Prevalence and Predictors of Self-Medication with Antibiotics for Children in Makkah, Saudi Arabia. European Journal of Preventive Medicine, 5(5), 60-64. https://doi.org/10.11648/j.ejpm.20170505.12
ACS Style
Enas Hamdy Alfalogy; Haneen Basem Nafadi; Sara Hameed Al Rehaili; Bushra Abed AL-Harbi. Prevalence and Predictors of Self-Medication with Antibiotics for Children in Makkah, Saudi Arabia. Eur. J. Prev. Med. 2017, 5(5), 60-64. doi: 10.11648/j.ejpm.20170505.12
AMA Style
Enas Hamdy Alfalogy, Haneen Basem Nafadi, Sara Hameed Al Rehaili, Bushra Abed AL-Harbi. Prevalence and Predictors of Self-Medication with Antibiotics for Children in Makkah, Saudi Arabia. Eur J Prev Med. 2017;5(5):60-64. doi: 10.11648/j.ejpm.20170505.12
@article{10.11648/j.ejpm.20170505.12, author = {Enas Hamdy Alfalogy and Haneen Basem Nafadi and Sara Hameed Al Rehaili and Bushra Abed AL-Harbi}, title = {Prevalence and Predictors of Self-Medication with Antibiotics for Children in Makkah, Saudi Arabia}, journal = {European Journal of Preventive Medicine}, volume = {5}, number = {5}, pages = {60-64}, doi = {10.11648/j.ejpm.20170505.12}, url = {https://doi.org/10.11648/j.ejpm.20170505.12}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20170505.12}, abstract = {Self-medication with antibiotics is becoming a very common practice, and it is being practiced globally carrying a significant economic burden and health hazards. This study assesses prevalence and predictors of self-medication with antibiotic for children. A cross-sectional study was carried out on 252 mothers selected randomly from primary health care Centers in Makkah, during the period Jan - July 2016. Mothers were interviewed about giving their children antibiotic without prescription using a semi structured questionnaire. Data was analyzed using IBM advanced SPSS statistical package version 23. Logistic regression analysis was done to determine which of the factors are independently associated with self-medication with antibiotic for children. As a result, in total, 252 respondent mothers were interviewed with mean age 36.7±18.4. The prevalence of self-medication with antibiotic for children was 39.3% despite that the majority 82.9% has satisfactory knowledge about proper antibiotic use. Amoxicillin clavulenic is the most self-prescribed antibiotic representing 53.3% followed by amoxicillin 25.6%. The predictors for self-medication were educational level, income, residence and knowledge about antibiotics use. It was concluded that, Self-medication with antibiotics for children is a common practice. Policies and considerable efforts are needed to challenge the self-medication with antibiotics especially increasing the awareness among mothers about the self-medication with antibiotics risks and hazards.}, year = {2017} }
TY - JOUR T1 - Prevalence and Predictors of Self-Medication with Antibiotics for Children in Makkah, Saudi Arabia AU - Enas Hamdy Alfalogy AU - Haneen Basem Nafadi AU - Sara Hameed Al Rehaili AU - Bushra Abed AL-Harbi Y1 - 2017/08/03 PY - 2017 N1 - https://doi.org/10.11648/j.ejpm.20170505.12 DO - 10.11648/j.ejpm.20170505.12 T2 - European Journal of Preventive Medicine JF - European Journal of Preventive Medicine JO - European Journal of Preventive Medicine SP - 60 EP - 64 PB - Science Publishing Group SN - 2330-8230 UR - https://doi.org/10.11648/j.ejpm.20170505.12 AB - Self-medication with antibiotics is becoming a very common practice, and it is being practiced globally carrying a significant economic burden and health hazards. This study assesses prevalence and predictors of self-medication with antibiotic for children. A cross-sectional study was carried out on 252 mothers selected randomly from primary health care Centers in Makkah, during the period Jan - July 2016. Mothers were interviewed about giving their children antibiotic without prescription using a semi structured questionnaire. Data was analyzed using IBM advanced SPSS statistical package version 23. Logistic regression analysis was done to determine which of the factors are independently associated with self-medication with antibiotic for children. As a result, in total, 252 respondent mothers were interviewed with mean age 36.7±18.4. The prevalence of self-medication with antibiotic for children was 39.3% despite that the majority 82.9% has satisfactory knowledge about proper antibiotic use. Amoxicillin clavulenic is the most self-prescribed antibiotic representing 53.3% followed by amoxicillin 25.6%. The predictors for self-medication were educational level, income, residence and knowledge about antibiotics use. It was concluded that, Self-medication with antibiotics for children is a common practice. Policies and considerable efforts are needed to challenge the self-medication with antibiotics especially increasing the awareness among mothers about the self-medication with antibiotics risks and hazards. VL - 5 IS - 5 ER -