Self medicated antibiotics in Bangladesh: a cross-sectional health survey conducted in the Rajshahi City
Self medicated antibiotics in Bangladesh: a cross-sectional health survey conducted in the Rajshahi City
复制标题
DOI：
10.1186/1471-2458-14-847
复制
发表时间：
2014-08-14
影响因子：
4.5
通讯作者：
Sultana, Sharmin
中科院分区：
文献类型：
--
作者：
Biswas, Mohitosh;Roy, Manobendro Nath;Sultana, Sharmin
背景资料：抗生素自我药疗在发展中国家非常普遍，因为这些药物容易获得，而且对销售这些药物的监管控制不力。本研究的目的是评估自我用药与抗生素治疗的各种疾病的拉杰沙希城市在Bangladesh.Methods的人的流行情况：进行了横断面调查，病人（n = 1300）在8个地点的拉杰沙希城市在孟加拉国，2014年3月至4月。根据便利性选择地点，并随机选择每个研究区域内的研究人群。该调查是自我管理的，还包括与自我用药和抗生素使用模式有关的问题。结果：在1300名被调查者中，有347人（26.69%）曾自行使用抗生素。50%以上的患者年龄在21-30岁之间，其中男性占83.57%，女性占16.43%。抗菌药物使用率最高的是甲硝唑（50.43%），其次是阿奇霉素（20.75%）、环丙沙星（11.53%）、阿莫西林（10.37%）和四环素（7.49%）。自行用药的主要原因是有用药经验（45.82%）、他人建议（28.24%）和对抗生素的了解（16.14%）。自觉购买抗生素的主要症状依次为痢疾、腹泻、食物中毒（36.02%）、感冒、咳嗽、发热（28.24%）、感染（12.97%）、牙疼、牙疼（9.22%）、肠易激综合征（3.46%）、痤疮（4.32%）、耳喉痛（2.31%）。抗生素最大使用时间为0-10年。仅4.32%的患者使用抗生素时间超过10年。患者的依从性为自我用药的抗生素从优秀到没有评论，而只有6.92%的患者报告的副作用为自我用药的抗生素。结论：本研究的结果证实，抗生素自我用药是一个相对频繁的问题，在孟加拉国。孟加拉国药品管理局应立即对抗生素的分销和销售实施监管控制，以减少抗生素滥用的频率。
Background: Antibiotic self medication is highly prevalent in the developing countries due to easy availability and poor regulatory controls for selling these drugs. The purpose of this study was to evaluate the prevalence of self-medication with antibiotics for the treatment of various diseases by the peoples of Rajshahi city in Bangladesh.Methods: A cross-sectional survey was conducted to the patient's (n = 1300) at eight locations of Rajshahi city in Bangladesh from March to April, 2014. The locations were selected by convenience and the study population within each study area was randomly selected. The survey was self-administered and included questions pertaining to self medicated drugs and antibiotic usage patterns as well. Data were analyzed using descriptive statistics.Results: It was found that 347 (26.69%) out of 1300 participants experienced self medication with antibiotics. Over fifty percent of the patients studied were between the ages of 21-30 years with 83.57% of them being males and 16.43% females. The highest percentage of self medicated antibiotics was metronidazole (50.43%) followed by azithromycin (20.75%), ciprofloxacin (11.53%), amoxicillin (10.37%) and tetracycline (7.49%) respectively. The key reasons for the self medication of antibiotics was the pre-experience (45.82%), suggestions from others (28.24%) and knowledgeable of the antibiotics (16.14%). The perceived symptoms to purchase the antibiotics independently was dysentery, diarrhea and food poisoning (36.02%), cold, cough and fever (28.24%), infection (12.97%), dental carries and toothache (9.22%), irritable bowel syndrome (3.46%), acne (4.32%), ear and throat pain (2.31%). The duration of maximum antibiotics usage was ranges between 0-10 years. Only 4.32% patient's used self medicated antibiotics longer than 10 years. The patient's compliance for self medication of antibiotics varies from excellent to no comments whereas only 6.92% patients reported side effects for the self medication of antibiotics.Conclusions: The results of this study confirm that antibiotic self-medication is a relatively frequent problem in Bangladesh. Drug Administration of Bangladesh should implement the regulatory controls immediately on the distribution and selling of antibiotics in order to reduce the frequency of antibiotic misuse.