Insani Widya N, Qonita Nabilla A, Jannah Siti S, Nuraliyah Nisa M, Supadmi Woro, Gatera Vesara A, Alfian Sofa D, Abdulah Rizky
Department of Pharmacology and Clinical Pharmacy, Universitas Padjadjaran, Indonesia.
Center of Excellence in Higher Education for Pharmaceutical Care Innovation, Universitas Padjadjaran, Indonesia.
Heliyon. 2020 Jul 29;6(7):e04551. doi: 10.1016/j.heliyon.2020.e04551. eCollection 2020 Jul.
Improperly disposed medicines could adversely affect the environment and increase the risk of drug misuse or accidental poisoning.
To evaluate the disposal practices of unused and expired medicines among the general population in Bandung, Indonesia.
This was a descriptive cross-sectional survey conducted among 497 respondents in Bandung, Indonesia. Data were collected through interviews using a prevalidated structured questionnaire. Descriptive statistics were calculated using the Statistical Package for Social Science (SPSS) version 23. Ethics approval was obtained.
General public knowledge and attitude regarding unused and expired medication disposal practice.
Approximately 95% of the respondents had unused medicines stored in their homes, with nonsteroidal anti-inflammatory drugs (NSAIDs), vitamins/nutritional supplements, and antibiotics were the most common types of medicines left unused. The majority of the respondents checked the expiration date of the drugs before purchasing (72.8%). The most common disposal method of unwanted medicines was throwing away in household garbage (82.1%). A significant percentage of them never received information about proper medication disposal practice (79.5%). Furthermore, more than half of the respondents were unaware that unsafe medication disposal practices could harm the environment and population health (53.1%).
Disposal of unwanted pharmaceutical products through environmentally unsafe route was prevalent among the respondents. There is also a lack of awareness of the impact of improperly disposed of medicines for the ecosystem. These findings call upon the strategies to strengthen the pharmaceutical waste management program.
药品处置不当会对环境产生不利影响，并增加药物滥用或意外中毒的风险。
评估印度尼西亚万隆普通人群中未使用和过期药品的处置情况。
这是一项在印度尼西亚万隆对497名受访者进行的描述性横断面调查。通过使用预先验证的结构化问卷进行访谈收集数据。使用社会科学统计软件包（SPSS）23版计算描述性统计数据。获得了伦理批准。
公众对未使用和过期药物处置做法的知识和态度。
约95%的受访者家中存有未使用的药品，其中非甾体抗炎药、维生素/营养补充剂和抗生素是最常见的未使用药品类型。大多数受访者在购买前会检查药品的保质期（72.8%）。处理不需要药品最常见的方法是扔到生活垃圾中（82.1%）。很大一部分受访者从未收到过关于正确药物处置做法的信息（79.5%）。此外，超过一半的受访者不知道不安全的药物处置做法会危害环境和人群健康（53.1%）。
通过对环境不安全的途径处置不需要的药品在受访者中很普遍。对药品处置不当对生态系统的影响也缺乏认识。这些发现呼吁采取策略加强药品废物管理计划。
