Department of Pharmacology, Nepal Medical College Teaching Hospital, Attarkhel, Kathmandu, Nepal.
Department of Microbiology, Nepal Medical College Teaching Hospital, Attarkhel, Kathmandu, Nepal.
J Nepal Health Res Counc. 2021 Dec 15;19(3):613-617. doi: 10.33314/jnhrc.v19i3.3816.
Self-medication of antibiotics is common among healthcare students due to their knowledge of pharmacology of antibiotics, which produces a false sense of confidence in self-diagnosis of disease conditions. Hence, this study was conducted to assess the practice of self-medication with antibiotics among medical students.
This questionnaire based descriptive, cross-sectional study was conducted in Nepal Medical College Teaching Hospital, Attarkhel, Kathmandu from September 2019 to February 2020 on the Bachelor of Medicine and Bachelor of Surgery students.
Out of 405 students, 214 (52.8%) students had practiced antibiotics self-medication. The most commonly self-medicated antibiotics were azithromycin 126(58.9%), amoxicillin 67(31.3%), metronidazole 35(16.4%) and ciprofloxacin 14(6.5%) that were most commonly used for sore throat 93(43.5%), fever 82(38.3%), common cold 59(27.6%) and cough 43(20.1%).The common sources for self-medication were previous prescription 66 (30.8%), followed by own pharmacological knowledge 58 (27.1%). The most common reasons for practicing antibiotics self-medication were stated as previous experience of same illness 165 (77.1%), doctor's advice not deemed necessary 21 (9.8%) and save time 14 (6.6%). Large number of students agreed that antibiotics self-medication was not an acceptable practice 308(76.1%) and can lead to antimicrobial resistance 363(89.6%).
More than half of the respondent medical students had practiced antibiotics self-medication. Sore throat was the commonest cause for it while the most commonly self-medicated antibiotic was azithromycin. Self-medication with antibiotics in medical students is concerning because they are future prescribers of antibiotics; who are supposed to promote rational use of antibiotics.
由于对药理学的了解，医护学生在医疗保健学生中经常自行使用抗生素，这让他们对自我诊断疾病产生了错误的信心。因此，本研究旨在评估医学生自行使用抗生素的情况。
这是一项 2019 年 9 月至 2020 年 2 月在尼泊尔医学院教学医院阿塔克尔进行的基于问卷的描述性、横断面研究，对象为医学学士和外科学士学生。
在 405 名学生中，有 214 名（52.8%）学生自行使用过抗生素。最常自行服用的抗生素是阿奇霉素 126 例（58.9%）、阿莫西林 67 例（31.3%）、甲硝唑 35 例（16.4%）和环丙沙星 14 例（6.5%），最常用于治疗咽痛 93 例（43.5%）、发热 82 例（38.3%）、普通感冒 59 例（27.6%）和咳嗽 43 例（20.1%）。自行用药的常见来源是之前的处方 66 例（30.8%），其次是自己的药理学知识 58 例（27.1%）。自行使用抗生素的常见原因是之前有过同样疾病的经历 165 例（77.1%）、医生认为没有必要开药 21 例（9.8%）和节省时间 14 例（6.6%）。大多数学生认为自行使用抗生素不是一种可接受的做法 308 例（76.1%），可能导致抗生素耐药性 363 例（89.6%）。
超过一半的医学生曾自行使用抗生素。喉咙痛是最常见的原因，而最常自行服用的抗生素是阿奇霉素。医学生自行使用抗生素令人担忧，因为他们是未来的抗生素处方者，应该促进抗生素的合理使用。
