Jamhour Antoun, El-Kheir Ammar, Salameh Pascale, Hanna Pierre Abi, Mansour Hanine
Faculty of medical sciences, Lebanese University, Beirut, Lebanon; Centre Hospitalier de Rambouillet, Rambouillet, France.
Faculty of medical sciences, Lebanese University, Beirut, Lebanon; Hôpital Universitaire des Enfants Reine Fabiola, Université Libre de Bruxelles (ULB), Bruxelles, Belgique.
Am J Infect Control. 2017 Apr 1;45(4):384-388. doi: 10.1016/j.ajic.2016.11.026. Epub 2017 Jan 11.
Self-medication is identified by the World Health Organization as a major factor leading to antibiotics overuse, misuse and resistance. This study's objectives were to evaluate the knowledge and self-medication with antibiotics in a sample of the population of Lebanon.
This study surveyed a sample of adults (over 18 years of age) residing in 2 major cities in Lebanon about their knowledge and self-medication with antibiotics. Health care professionals were excluded from the study.
Four hundred questionnaires were completed. Of the responders, 72% were between 18 and 45 years of age with an overall 86% having completed at least high school. For their knowledge about antibiotics, 61% thought that antibiotics should be taken for common cold and 83% knew that misuse of antibiotics could result in microbial resistance. Self-medication significantly correlated with a lower educational level (P = .036). Those with lower knowledge about antibiotics stopped antibiotics at the inappropriate time (P = .002). Socioeconomic status, gender and age did not correlate with self-medication.
Self-medication was associated with a person's educational level and knowledge of antibiotics. Awareness campaigns and enforcing medication dispensing laws are needed in to avoid self-medication with antibiotics.
世界卫生组织将自我药疗认定为导致抗生素过度使用、误用及耐药性的一个主要因素。本研究的目的是评估黎巴嫩部分人群对抗生素的认知及自我药疗情况。
本研究对居住在黎巴嫩两个主要城市的成年人（18岁以上）样本进行了调查，了解他们对抗生素的认知及自我药疗情况。医疗保健专业人员被排除在研究之外。
共完成400份问卷。在应答者中，72%年龄在18至45岁之间，总体上86%至少完成了高中学业。关于他们对抗生素的认知，61%的人认为普通感冒应该服用抗生素，83%的人知道滥用抗生素会导致微生物耐药。自我药疗与较低的教育水平显著相关（P = 0.036）。对抗生素知识了解较少的人在不适当的时候停止服用抗生素（P = 0.002）。社会经济地位、性别和年龄与自我药疗无关。
自我药疗与个人的教育水平和对抗生素的认知有关。需要开展宣传活动并执行药品配给法律，以避免抗生素的自我药疗。
