Non-prescription antimicrobial use worldwide: a systematic review

Morgan, Daniel J.; Okeke, Iruka N.; Laxminarayan, Ramanan; Perencevich, Eli N.; Weisenberg, Scott A.

doi:10.1016/s1473-3099(11)70054-8

Cited by 771 publications

(748 citation statements)

References 116 publications

Supporting

Mentioning

670

Contrasting

Unclassified

Order By: Relevance

“…Moreover, self-medication with this group of drugs is usually absolutely inadequate, especially when indicated by laypersons or reusing old prescriptions, increasing the risk of adverse reactions (16) . The students of this study reported the use of multivitamins, as also found among students in Recife (6) .…”

Section: Discussionmentioning

confidence: 99%

Automedicação em estudantes de enfermagem do Estado do Amazonas – Brasil

Gama

Secoli

2017

Rev. Gaúcha Enferm.

View full text Add to dashboard Cite

RESUMO Objetivo Determinar a prevalência e os fatores associados à automedicação entre estudantes de enfermagem. Método Estudo transversal realizado com 116 estudantes de enfermagem de uma universidade pública do Estado do Amazonas – Brasil, no período de março a abril de 2014. Utilizou-se questionário constituído por variáveis socioeconômicas e de consumo de medicamentos. Foi realizada a análise bivariada e a regressão logística – nível de significância de 5%. Resultados A prevalência de automedicação foi de 76,0%, motivada especialmente pela percepção de que o problema de saúde não requeria visita ao médico (46,6%). Metade dos estudantes relataram queixas álgicas. Os grupos farmacológicos mais consumidos foram anti-inflamatórios não esteroides (63,2%) e antibióticos (11,1%). O desconhecimento das implicações negativas da prática da automedicação foi associado à automedicação (OR=6,0). Conclusão A alta prevalência de automedicação, além de poder levar a reações adversas retrata também o uso irracional de medicamentos pelos estudantes, especialmente, quando considerado o papel destes futuros profissionais na segurança do paciente.

show abstract

Section: Discussionmentioning

confidence: 99%

Automedicação em estudantes de enfermagem do Estado do Amazonas – Brasil

Gama

Secoli

2017

Rev. Gaúcha Enferm.

View full text Add to dashboard Cite

show abstract

“…The high number of antibiotic users is suggestive of a link between emergence of antibiotic resistant strains of microorganisms and misuse of the same. [19][20][21][22][23] Respondents of the survey have unused medicines for a variety of reason (Figure-3), the most common ones being not noticing the expiration date (32.70%), discontinuation of the medicine (22.27%) on the belief that it was not working or the patient was completely recovered and did not need to follow the full regimen, and fear of potential side effects (16.11%). Proper patient counselling on importance of following the regimen and chances of experiencing an adverse reaction to the drug may take care of most of the reasons for non-compliance.…”

Section: Discussionmentioning

confidence: 99%

Medication Disposal; Household Practices in Karachi, Pakistan. Need for a Medication Take-Back Program

Husain¹,

Farooq²,

Khan³

et al. 2017

TPMJ

View full text Add to dashboard Cite

ABSTRACT… Introduction: Due to irresponsible and unsafe methods of drug disposal employed by consumers pharmaceutical waste enters the ecosystem, ultimately having a detrimental effect on both human health and environment. Objectives: The purpose of the study is to measure attitude and practice of local community in Karachi, Pakistan regarding safe disposal of unwanted medicines and assess willingness of participants to take part in a medicationtake-back program. Study Design: A two-phase observational study was conducted using convenience sampling. Period: January to February, 2016. Methodology: In Phase I (n = 200) students enrolled in various health sciences institutions in the study were asked to take part in the survey. In Phase II(n = 300) household consumers were contacted by telephone and social media. Results: Participants (response rate 84.4%) were given a questionnaire to explore their attitudes towards medicine disposal. More than half of the consumers surveyed reported storing unused/expired medications in their homes, and majority threw away unwanted medicine in the garbage. The most common reason was unawareness of expiry date (32.7%). Only 12.32% reported returning medication to a pharmacy for disposal. Majority of the consumers had never received advice about medication disposal by a health care provider but were aware of the possible negative consequences and were willing to participate in national pharmacy take-back programs if implemented by the government. Conclusions: Our findings suggest that effective communication and established protocols will promote appropriate disposal practices. Public services in Pakistan, and especially pharmacies, must play a more proactive role in this regard.

show abstract

“…In contrast with developed countries, where outpatient antimicrobials are largely restricted to prescriptiononly use, non-prescription access to antimicrobials is common in less affluent countries, resulting in uncontrolled use and self-medication [17,[23][24][25].…”

Section: Introductionmentioning

confidence: 99%