Self-medication practice in Ethiopia: a systematic review
Self-medication practice in Ethiopia: a systematic review
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DOI：
10.2147/ppa.s131496
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发表时间：
2017-01-01
影响因子：
2.2
通讯作者：
Ayalew, Mohammed Biset
中科院分区：
文献类型：
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作者：
Ayalew, Mohammed Biset
背景：不同人群的自我药疗模式各不相同，并受多种因素的影响。没有进行过全面阐述埃塞俄比亚自我药疗做法的审查。本研究的目的是提供一个自我药疗的实践在Ethiopia.Materials和方法的文献综述：数据库（PubMed，谷歌学术，ResearchGate，和Hinari）进行了搜索，在埃塞俄比亚的自我药疗的实践中发表的研究，没有限制的出版或方法的一年。一些研究也是通过人工谷歌搜索确定的。主要检索词为“自我用药”、“埃塞俄比亚”、“自我护理”、“非处方”、“OTC药物使用”、“药物利用”和“药物囤积”。只测量知识或态度或信仰的研究，并没有确定自我药疗的做法excluded.Results：数据库搜索共产生了450篇论文。在调整重复和纳入和排除标准后，发现21篇文章适合进行综述。所有研究均为横断面研究。自我药疗的发生率从12.8%到77.1%不等，平均为36.8%。发热/头痛、胃肠道疾病和呼吸道疾病是自我用药的最常见疾病/症状。实行自我药疗的主要原因是以前治疗类似疾病的经验并且感觉疾病很轻。镇痛药/解热药、抗菌药物、胃肠道药物和呼吸系统药物是自我药疗中使用的常见药物类别。这些药物主要是从药物零售点获得的。自我药疗的使用是普遍建议的药房专业人员和朋友/relatives.Conclusion：自我药疗的做法是普遍存在的埃塞俄比亚和不同的人口和地区的国家。一些自我药疗的做法是有害的，需要立即采取行动。应特别注意教育公众和保健提供者了解可自我诊断和自我治疗的疾病类型以及可用于自我药疗的药物类型。
Background: Self-medication patterns vary among different populations, and are influenced by many factors. No review has been done that comprehensively expresses self-medication practice in Ethiopia. The aim of this study was to provide an overview of the literature on selfmedication practice in Ethiopia.Materials and methods: Databases (PubMed, Google Scholar, ResearchGate, and Hinari) were searched for published studies on the practice of self-medication in Ethiopia without restriction in the year of publication or methodology. Some studies were also identified through manual Google search. Primary search terms were "self medication", "Ethiopia", "self care", "non-prescription", "OTC drug use", "drug utilization", and "drug hoarding". Studies that measured knowledge only or attitude only or beliefs only and did not determine the practice of self-medication were excluded.Results: The database search produced a total of 450 papers. After adjustment for duplicates and inclusion and exclusion criteria, 21 articles were found suitable for the review. All studies were cross-sectional in nature. The prevalence of self-medication varied from 12.8% to 77.1%, with an average of 36.8%. Fever/headache, gastrointestinal tract diseases, and respiratory diseases were the commonest illnesses/symptoms for which self-medication was taken. The major reasons for practicing self-medication were previous experience of treating a similar illness and feeling that the illness was mild. Analgesics/antipyretics, antimicrobials, gastrointestinal drugs, and respiratory drugs were the common drug classes used in self-medication. Mainly, these drugs were obtained from drug-retail outlets. The use of self-medication was commonly suggested by pharmacy professionals and friends/relatives.Conclusion: Self-medication practice is prevalent in Ethiopia and varies in different populations and regions of the country. Some of the self-medication practices are harmful and need prompt action. Special attention should be given to educating the public and health care providers on the types of illnesses that can be self-diagnosed and self-treated and the types of drugs to be used for self-medication.