Self-medication practices with antibiotics among tertiary level students in Accra, Ghana: a cross-sectional study.

Self-medication practices with antibiotics among tertiary level students in Accra, Ghana: a cross-sectional study.
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DOI:
10.3390/ijerph9103519
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发表时间:
2012-10-05
影响因子:
--
通讯作者:
Agyeman IO
Agyeman IO
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Donkor ES;Tetteh-Quarcoo PB;Nartey P;Agyeman IO

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这项研究的目的是估计阿克拉(加纳)高等教育学生中抗生素自我用药的流行率,并评估与这种做法相关的因素。这是一项描述性的横断面研究,涉及通过方便抽样选择的600名受访者的面对面访谈。自我药疗的发生率为70%(95% CI:66.3-73.7),有医学倾向的学生自我药疗的发生率明显低于无医学倾向的学生(OR:0.2,95% CI:0.1-0.4,p < 0.001)。在自我用药的受访者中,最常见的抗生素使用频率为1个月(30%,95%CI:25.6-34.4%),最常见的抗生素使用是阿莫西林(23.9%,95%CI:21.0-26.8%)。35%(95% CI:30.5-39.6%)的受访者报告了治疗失败,自我用药的主要原因是,与医院的医疗护理相比,它更便宜,其次,医院的医疗护理与长时间的延误有关。49%(95%CI:44.2-53.8%)的受访者对不合理使用抗生素的健康影响认识不足,46%(95%CI:41.2-50.8%)的受访者没有遵守抗生素的完整疗程。阿克拉大学生自我服药是一个重要的公共卫生问题,这可能反映了整个加纳大学生的情况。
The study was carried out to estimate the prevalence of self-medication with antibiotics among tertiary level students in Accra (Ghana) and evaluate factors associated with the practice. This was a descriptive cross-sectional study and involved face-to-face interviews of 600 respondents selected by convenient sampling. Prevalence of self medication was 70% (95% CI: 66.3–73.7), and the practice was significantly lower among medically inclined students (OR: 0.2, 95% CI: 0.1–0.4, p < 0.001). Among the respondents who practiced self medication, the most common frequency of antibiotic usage was at intervals of one month (30%, 95% CI: 25.6–34.4%), and the most common antibiotic used was amoxacillin (23.9%, 95% CI: 21.0–26.8%). Treatment failure were reported by 35% (95% CI: 30.5–39.6%) of the respondents, and the main reasons cited for self medication were that, it was less expensive compared to medical care in the hospital and secondly, medical care in hospitals were associated with long delays. Forty nine percent (95% CI: 44.2–53.8%) of the respondents had poor knowledge about the health implications of irrational use of antibiotics, and 46% (95% CI: 41.2–50.8%) did not comply with the completion of the full course of antibiotics. Self medication among tertiary students in Accra is an important public health problem and this may reflect the situation among tertiary students in the whole of Ghana.
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