Self-medication practices, prevalence and associated factors among Syrian adult patients: a cross-sectional study

Abdelwahed, Rawan N. K.; Jassem, Manaf; Alyousbashi, Ayham

doi:10.21203/rs.3.rs-1470108/v1

Cited by 8 publications

(9 citation statements)

References 10 publications

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“…This article has been submitted as a preprint “Self-medication practices, prevalence, and associated factors among Syrian adult patients: a cross-sectional study”, https://www.researchsquare.com/article/rs-1470108/v1 [ 23 ].…”

Section: Disclosurementioning

confidence: 99%

Self‐Medication Practices, Prevalence, and Associated Factors among Syrian Adult Patients: A Cross‐Sectional Study

Abdelwahed¹,

Jassem

Alyousbashi

2022

Journal of Environmental and Public Health

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Objectives. Self-medication (SM) means using drugs to treat self-diagnosed diseases or symptoms. Despite its important role in reducing the load on medical services, it may bear many risks. This study aims to determine the prevalence of SM and its determinants among adult inpatients of Damascus Hospital, Syria. Study design. Cross-sectional study. Methods. 453 adult inpatients were asked to complete a questionnaire through face-to-face interviews. Data were analysed using statistical package for the social sciences (SPSS). A chi-square test was used to detect correlation between variables. Results. Out of 453 respondents, 67.3% practiced self-medication. Most used drugs were analgesics, antipyretics, and antibiotics. The main indications for SM included headache, cough/flu, and body aches. Pharmacists were the main source of knowledge about the drugs used in SM. The leading reason for practicing SM was the mildness of the complaint. Approximately half of the participants declared they read leaflets of drugs they used in SM. In this study, SM was significantly associated with monthly income, age, and living place. Conclusions. The prevalence of SM in Damascus Hospital is high. Larger, nationwide studies are needed to identify the prevalence and determining factors of SM in Syria and to suggest the appropriate measures to control this phenomenon.

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Section: Disclosurementioning

confidence: 99%

Self‐Medication Practices, Prevalence, and Associated Factors among Syrian Adult Patients: A Cross‐Sectional Study

Abdelwahed¹,

Jassem

Alyousbashi

2022

Journal of Environmental and Public Health

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“…This can be justi ed by weak healthcare systems, and lack of diagnosis instruments necessary to properly handle infections [18]. In Syria, there are no regulations to limit purchasing antibiotics without prescription [19], and in a study on Syrian adult patients, about 11% of practiced self-medication using antibiotics [20]. Furthermore, multidrug resistant microbes were detected during and after the Syrian crisis [21].…”

Section: Discussionmentioning

confidence: 99%

“…The risk of AMR in Syria was thoroughly described and various articles had encouraged to addressing this major threat [12,13,14]. Furthermore, the use of antibiotics without prescription was detected among the Syrian population [15]. However, only few studies, with various limitations, have been conducted in this regard [16,17].…”

Section: Introductionmentioning

confidence: 99%

Antibiotic sensitivity pattern of bacterial pathogens in two tertiary care hospitals in Damascus, Syria: A cross-sectional study

Abdelwahed¹,

Jassem²,

Kakaje

et al. 2022

Preprint

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Background Antibiotics resistance is a major concern as it renders antibiotics ineffective, which would have disastrous effects on patient care. The contribution of the Middle Eastern countries in limiting antimicrobial resistance is diminished due to instability and deteriorating healthcare infrastructure. This study aims to report on the antimicrobial resistance pattern in two tertiary care hospitals in Damascus, the capital of Syria in bloods, sputum, urine and others. Methods A cross-sectional study based on reports of bacterial cultures was performed between April and November in 2020 in microbiology labs of Damascus Hospital and Al-Razi Hospital. Identification of bacteria was performed using standard microbiological procedures. Susceptibility testing was performed using disk diffusion method. Interpretation of the results was done according to the guidelines of the Clinical and Laboratory Standard Institute. Data were analyzed using the statistical package for social sciences version 26. Results 412 cultures were positive for pathogens. Most frequently isolated pathogens were Enterobacter, Staphylococcus aureus, and Escherichia coli. Enterobacter was completely sensitive to doripenem and cefoperazone-sulbactam. The resistance rates of Staphylococcus aureus to vancomycin and linezolid were 23.5% and 24.5%, respectively. Escherichia coli was resistant to ciprofloxacin in 72.4% of samples. Klebsiella pneumonia had shown various resistance rates to all used antibiotics. Females had significantly higher frequency of Escherichia coli, Enterobacter, and Klebsiella pneumoniae in urine samples, while males had significantly higher frequency of Pseudomonas aeruginosa and Proteus mirabilis. Conclusions This study highlighted the high prevalence of antimicrobial resistance in Damascus Hospital and Al-Razi Hospital, two of major hospitals in Damascus. The decreasing potency of antimicrobials is concerning and may require urgent interventions, such as effective surveillance, development of national guidelines for prescribing antibiotics to treat common infections, and awareness campaigns in the community.

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“…Dispepsia merupakan salah satu gejala yang paling banyak menyebabkan masyarakat mencari intervensi kesehatan dimana salah satunya berupa praktik swamedikasi [10,12]. Dispepsia adalah kumpulan gejala yang timbul dari saluran pencernaan bagian atas, yang meliputi nyeri abdomen bagian atas, heartburn, reflux asam lambung, mual dan muntah, dan terjadi selama 4 minggu atau lebih [13].…”

Section: Pendahuluanunclassified

Profil Tipe dan Ketepatan Rekomendasi Apoteker pada Kasus Vignette Dispesia di Salah Satu Kabupaten di Jawa Timur Indonesia

Primulyanto¹,

Wibowo²,

Setiawan³

et al. 2022

MPI

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Dispepsia merupakan salah satu gejala yang umum dijumpai di apotek, dan oleh karena itu apoteker perlu untuk mampu memberikan rekomendasi yang tepat pada pasien dengan gejala dispepsia. Penelitian ini bertujuan untuk mendeskripsikan tipe dan ketepatan rekomendasi pada dua kasus vignette dispepsia. Penelitian ini menggunakan desain potong lintang dan 42 apoteker berpartisipasi dalam penelitian ini. Instrumen penelitian menggunakan kuesioner yang berisi: (1) karakteristik apoteker dan apotek serta (2) dua kasus vignette: kasus dispepsia tanpa alarm symptoms dan kasus dispepsia karena Na diklofenak. Pengambilan data dilakukan dengan wawancara terstruktur. Analisis data dilakukan dengan inductive content analysis. Ketepatan rekomendasi dinilai berdasarkan literatur dan opini expert panel. Tipe rekomendasi yang paling sering diberikan oleh apoteker pada dua kasus di atas adalah memberikan produk untuk gejala dispepsia. Ketepatan rekomendasi pada kasus dispepsia tanpa alarm symptom dan pada kasus dispepsia karena Na diklofenak secara berturut-turut adalah 83% dan 21% dari 42 apoteker yang berpartisipasi. Dapat disimpulkan bahwa ketepatan rekomendasi bervariasi tergantung kasus. Perlu adanya peningkatan kemampuan apoteker dalam memberikan rekomendasi yang tepat, terutama pada kasus swamedikasi dispepsia yang membutuhkan rujukan ke dokter. Dyspepsia is a symptom commonly seen in community pharmacies, and therefore pharmacists need to be able to provide appropriate recommendations for patients with dyspepsia. This study aims to describe the types and the appropriateness of the recommendation provided by pharmacists when responding to two vignette cases of dyspepsia. This study was a cross sectional study, and 42 community pharmacists participated in the study. A questionnaire consisting of (1) pharmacists and pharmacy characteristics, and (2) two vignette cases of dyspepsia without alarm symptoms and dyspepsia due to Na diclofenac was developed. A structured interview was used for data collection, and an inductive content analysis was used to analyse the cases. The appropriateness of the recommendation was assessed based on the literature and expert panel opinion. The most common type of recommendation provided in the 2 vignette cases was recommending product for dyspepsia. Appropriate recommendation was provided by 83% and 21% of the 42 participating pharmacists in the case of dyspepsia without alarm symptoms and in the case of dyspepia due to Na diclofenac respectively. The appropriateness of the recommendation varied depending on the case. There is a need to improve the capability of pharmacists in providing appropriate recommendation, particularly for a dyspepsia case that needs medical referral.

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Self-medication practices, prevalence and associated factors among Syrian adult patients: a cross-sectional study

Cited by 8 publications

References 10 publications

Self‐Medication Practices, Prevalence, and Associated Factors among Syrian Adult Patients: A Cross‐Sectional Study

Self‐Medication Practices, Prevalence, and Associated Factors among Syrian Adult Patients: A Cross‐Sectional Study

Antibiotic sensitivity pattern of bacterial pathogens in two tertiary care hospitals in Damascus, Syria: A cross-sectional study

Profil Tipe dan Ketepatan Rekomendasi Apoteker pada Kasus Vignette Dispesia di Salah Satu Kabupaten di Jawa Timur Indonesia

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