Prevalence of self-medication with antibiotics and its related factors among Chinese residents: a cross-sectional study

Yin, Xiaoxv; Mu, Ketao; Yang, Heping; Wang, Jing; Chen, Zhenyuan; Jiang, Nan; Yang, Fulun; Zhang, Guopeng; Wu, Jianxiong

doi:10.1186/s13756-021-00954-3

Cited by 13 publications

(11 citation statements)

References 34 publications

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“…Another proposed way of self-medication considered safe by the World Health Organization is the provision of a leaflet with each medicine describing complete information about correct dosage, side effects, and duration. One cannot neglect herbal medicines, which are easily available over the counter and contribute largely towards self-medication but must also be maintained by apposite predetermined pros and cons of the medicine [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Self-Medication as an Important Risk Factor for Antibiotic Resistance: A Multi-Institutional Survey among Students

et al. 2022

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Self-medication is an important issue, especially in developing countries. Self-medication is the concept in which individuals use medicine to ease and manage their minor illnesses. The current survey was designed to conduct interviews at different universities based on the availability of the students from August 2021 to October 2021 in Hazara region of Khyber Pakhtunkhwa (KPK), Pakistan. Overall, 1250 questionnaires were distributed to students from various departments. Students of microbiology (n = 305, 24.4%) and agriculture 236 (n = 18.8%) were the most elevated members in this study, while other participants were from medical lab technology (n = 118, 9.4%), chemistry (n = 103, 8.2%), food science (n = 92, 7.3%), business administration (n = 83, 6.6%), sociology (n = 78, 6.2%), math/physics (n = 6, 14.8%), Pak study (n = 58, 4.6%), English (n = 47, 3.7%), and psychology (n = 19, 1.5%). Students working towards their Bachelor numbered (n = 913, 73.0%), Master (minor) numbered (n = 80, 6.4%), Master (major) numbered (n = 221, 17.6%), and Doctorate numbered (n = 36, 2.8%). The age group of participants was majorly 20–25 years (61.0%), while others belonged to the age groups 25–30 years (20.6%), 30–35 years (9.8%), and 35–40 years (8.4%). The mean and standard deviation of daily practices of self-medication were observed (M = 416.667, SD = 1,026,108.667) and p = 0.002. The mean and standard deviation of daily practices of antibiotic knowledge was (M = 431.5, SD = 1,615,917) and p = 0.002. Antimicrobial agents were leading over others with 631 (50.4%), followed by anti-inflammatory with 331 (26.4%), multivitamins with 142 (11.3%), gynecological purpose with 59 (4.7%), and analgesic with 72 (5.7%), while the lowest frequency rate was observed against herbal remedies with 15 (1.2%). The results of the current study concluded that students practiced self-medication for reasons such as convenience to obtain these medications from cheap sources and to avoid the fee of a physician. They searched for the medicine on social media platforms and purchased it blindly from the pharmacy without any prescription from a physician.

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Section: Introductionmentioning

confidence: 99%

Self-Medication as an Important Risk Factor for Antibiotic Resistance: A Multi-Institutional Survey among Students

et al. 2022

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“…Second, we isolated 14 strains, while the previous study isolated four strains (Du et al, 2018). Because environmental conditions can affect bacteria community and induce mutations in Salmonella (Baert et al, 2021; Zuo et al, 2022), which potentially causes rapid changes to antimicrobial resistance patterns (Peruzy et al, 2020), variation in AST results might stem from distinct antibiotic pressures or host environmental diversity (Yin et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Phenotypic and genotypic characterization of salmonella Enteritidis isolated from two consecutive Food‐Poisoning outbreaks in Sichuan, China

Ximei

Chen

Yang

et al. 2022

Journal of Food Safety

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Salmonella enterica serotype Enteritidis (SE) is a primary pathogen that causes foodborne diseases in humans. Although whole‐genome sequencing (WGS) ‐based typing analyses have been increasingly used to investigate food‐poisoning outbreaks, they are rarely applied to the epidemiology of multiple Salmonella outbreaks in Sichuan, China. This study therefore isolated SE from patients and food of two consecutive food‐poisoning outbreaks during 2020 in Sichuan, China. We tracked outbreak origin using epidemiological investigation, serotyping, antimicrobial susceptibility testing (AST), pulsed‐field gel electrophoresis (PFGE), and WGS. We also determined phylogenetic relationships using PFGE, whole and core genome multilocus sequence typing (wg/cgMLST), and whole‐genome single nucleotide polymorphism (wgSNP) analyses. Epidemiological investigations identified a correlation between cake consumption and food poisoning. Thirteen strains isolated from patients and one strain isolated from the cake were confirmed as SE. Among the 14 strains, only six shared the same AST pattern (AMP‐AMS‐Sul‐STR). Isolates from patients and cakes were indistinguishable in PFGE results. All four methods, namely PFGE, wgMLST, cgMLST, and wgSNP were appropriate for bacterial typing in SE‐related outbreak investigation. However, wgSNP can assign 12 SE strains from the first outbreak to one cluster and assign two SE strains from the second outbreak to another cluster, while PFGE, wgMLST, cgMLST did not successfully distinguish the SE strains from different outbreaks. Thus, we conclude that SNP‐based phylogenetic analysis might be a viable method for differentiating SE strains at the outbreak level.

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“…This low prevalence rate is comparable to other global studies and another study conducted in central Kerala which shows 3.3%. [6][7][8] But there are studies from different parts of India which shows higher prevalence rate. 5,9 Differences in social determinants of health, tradition, culture, economic level, and developmental status may be the main causes of the wide diversity in the prevalence of the practice of self-medication.…”

Section: Discussionmentioning

confidence: 99%

Antibiotic self-medication-prevalence and trends among adults attending an urban health centre in South Kerala

Mohanlal

Eliza

Nair

et al. 2022

Int J Community Med Public Health

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Background: Antibiotics acts as an essential tool, especially in the developing world where infectious diseases are the major cause of mortality. But widespread inappropriate use of antibiotics has been identified as the major reason for antimicrobial resistance. Objectives were to estimate the prevalence of antibiotic self-medication among adults attending an urban health centre in South Kerala and to assess the trends of antibiotic self-medication in the study groupMethods: This cross-sectional study was conducted among community dwelling adults attending the health centre which covers the urban field practice area of Pushpagiri institute of medical sciences, Tiruvalla. Data was collected using interviewer administered questionnaire from adults aged 18 years and above using consecutive sampling methodResults: Out of 236 participants, 138(58.5%) were females and 98 (41.8%) males. The mean age of the study population was 50.10±18.27 SD. Overall prevalence of antibiotic self-medication among the study group was 12.7%. In our study, age group (p<0.001), education (p<0.001) and socio-economic status (p<001) were significantly associated with antibiotic self-medication. The most common drug among study population was azithromycin (66.7%).Conclusions: Even though the overall prevalence of antibiotic self-medication was low among community dwelling adults in South Kerala, higher rates were seen in a certain stratum of the population. The study necessitates the need for better understanding of the effects of antibiotic self-medication which can be done through effective strategies like behavior change communication and promoting further research into the cause and effects of antibiotic self-medication

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Prevalence of self-medication with antibiotics and its related factors among Chinese residents: a cross-sectional study

Cited by 13 publications

References 34 publications

Self-Medication as an Important Risk Factor for Antibiotic Resistance: A Multi-Institutional Survey among Students

Self-Medication as an Important Risk Factor for Antibiotic Resistance: A Multi-Institutional Survey among Students

Phenotypic and genotypic characterization of salmonella Enteritidis isolated from two consecutive Food‐Poisoning outbreaks in Sichuan, China

Antibiotic self-medication-prevalence and trends among adults attending an urban health centre in South Kerala

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