Pharmacy Practice Department, Faculty of Pharmacy, Yarmouk University, Irbid, Jordan.
Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan.
Int J Clin Pract. 2021 Jan;75(1):e13665. doi: 10.1111/ijcp.13665. Epub 2020 Sep 3.
Self-medication with antibiotics is one of the leading causes of antibiotic resistance and drug therapy problems, making antibiotic self-medication practices a global concern. Despite global efforts to limit these practices, self-medication with antibiotics remains prevalent in developing countries. This study aimed to investigate the prevalence and patterns of self-medication with antibiotics in Jordan and to compare the findings of self-medication practices with antibiotics with results from 2006.
A cross-sectional community-based study used a convenient sampling technique and recruited a large sample from all over Jordan. Between February and April 2019 trained 5th-year pharmacy students recruited participants (eg, door to door) who had taken antibiotics in the preceding month. The questionnaire consisted of 14 questions that aimed to describe the patterns of self-medication with antibiotics.
A total of 1928 participants took part in this study. Of the 1928 respondents, 40.4% reported having used an antibiotic without a prescription in the previous month. Participants who had self-medicated with antibiotics had primarily used them for sore throat and influenza. Self-medicated participants had obtained antibiotics primarily from pharmacies (57.2%) and relied primarily on pharmacists (34.8%) and their own previous experience (35.2%) for information on the proper use of antibiotics. The rate of self-medication with antibiotics in Jordan in 2019 (40.4%) had not changed significantly since 2006 (39.5%, P = .295). However, self-medication practices (eg, source of antibiotic supply and information) have changed over the year.
The findings of this study revealed that the prevalence of self-medication with antibiotics in Jordan remains high. This is a significant concern that requires a quick response from the government authorities to develop a collaborative approach to stop the dispensing of antibiotics without a prescription.
自行使用抗生素是导致抗生素耐药性和药物治疗问题的主要原因之一,因此,自行使用抗生素的行为成为全球关注的焦点。尽管全球都在努力限制此类行为,但在发展中国家,自行使用抗生素的情况仍然很普遍。本研究旨在调查约旦自行使用抗生素的流行情况和模式,并将自行使用抗生素的情况与 2006 年的结果进行比较。
采用横断面社区基础研究,使用便利抽样技术,从约旦各地招募了大量样本。2019 年 2 月至 4 月期间,经过培训的 5 年级药学专业学生(例如挨家挨户)招募了在过去一个月内服用过抗生素的参与者。问卷由 14 个问题组成,旨在描述自行使用抗生素的模式。
共有 1928 名参与者参加了这项研究。在 1928 名受访者中,有 40.4%的人在过去一个月内未经处方使用过抗生素。自行使用抗生素的参与者主要将其用于治疗喉咙痛和流感。自行使用抗生素的参与者主要从药店(57.2%)获得抗生素,并主要依靠药剂师(34.8%)和自己以往的经验(35.2%)获取有关正确使用抗生素的信息。2019 年约旦自行使用抗生素的比率(40.4%)与 2006 年(39.5%,P=.295)相比没有明显变化。然而,自行用药的方式(例如抗生素供应和信息来源)在这一年有所改变。
本研究结果表明,约旦自行使用抗生素的比率仍然很高。这是一个严重的问题,需要政府当局迅速采取行动,制定协同方法,以阻止未经处方发放抗生素。