Self medicated antibiotics in Bangladesh: a cross-sectional health survey conducted in the Rajshahi CityReportar como inadecuado

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BMC Public Health

, 14:847

Health policies, systems and management in high-income countries


BackgroundAntibiotic self medication is highly prevalent in the developing countries due to easy availability and poor regulatory controls for selling these drugs. The purpose of this study was to evaluate the prevalence of self-medication with antibiotics for the treatment of various diseases by the peoples of Rajshahi city in Bangladesh.

MethodsA cross-sectional survey was conducted to the patient’s n = 1300 at eight locations of Rajshahi city in Bangladesh from March to April, 2014. The locations were selected by convenience and the study population within each study area was randomly selected. The survey was self-administered and included questions pertaining to self medicated drugs and antibiotic usage patterns as well. Data were analyzed using descriptive statistics.

ResultsIt was found that 347 26.69% out of 1300 participants experienced self medication with antibiotics. Over fifty percent of the patients studied were between the ages of 21–30 years with 83.57% of them being males and 16.43% females. The highest percentage of self medicated antibiotics was metronidazole 50.43% followed by azithromycin 20.75%, ciprofloxacin 11.53%, amoxicillin 10.37% and tetracycline 7.49% respectively. The key reasons for the self medication of antibiotics was the pre-experience 45.82%, suggestions from others 28.24% and knowledgeable of the antibiotics 16.14%. The perceived symptoms to purchase the antibiotics independently was dysentery, diarrhea and food poisoning 36.02%, cold, cough and fever 28.24%, infection 12.97%, dental carries and toothache 9.22%, irritable bowel syndrome 3.46%, acne 4.32%, ear and throat pain 2.31%. The duration of maximum antibiotics usage was ranges between 0–10 years. Only 4.32% patient’s used self medicated antibiotics longer than 10 years. The patient’s compliance for self medication of antibiotics varies from excellent to no comments whereas only 6.92% patients reported side effects for the self medication of antibiotics.

ConclusionsThe results of this study confirm that antibiotic self-medication is a relatively frequent problem in Bangladesh. Drug Administration of Bangladesh should implement the regulatory controls immediately on the distribution and selling of antibiotics in order to reduce the frequency of antibiotic misuse.

KeywordsSelf medication Antibiotic Rajshahi City Bangladesh Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-14-847 contains supplementary material, which is available to authorized users.

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Autor: Mohitosh Biswas - Manobendro Nath Roy - Md Imran Nur Manik - Md Shahid Hossain - SM Tafsirul Alam Tapu - Md Moniruzzam


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