Self-medication practices among university students from Karachi, Pakistan
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20173635Keywords:
Self-medication, Antibiotics, Antibiotic resistance, Karachi, Pakistan, StudentsAbstract
Background: Self-medication, practiced globally is an important public health problem. Research studies have indicated inappropriate self‐medication results in adverse drug reactions, disease masking, antibiotic resistance and wastage of healthcare resources. The objectives of the study were to explore overall self-medication and antibiotic self-medication prevalence among students of university students in Karachi, Pakistan along with probable reasons, indications, and sources of advice for self-medication.
Methods: A descriptive, cross-sectional, questionnaire-based study was carried out among students from university of Karachi, Pakistan during the time period of September to November 2016. Pretested questionnaire was distributed to 320 students, collected data was analyzed using IBM SPSS version 24.
Results: From 320 students, 311 (83 male and 228 female) students participated in the study giving a response rate of 97%. Prevalence of self-medication was 66%. Belonging to higher monthly family income group was associated with likelihood of self-medication. Antibiotic self-medication prevalence was 39%. Lack of time (39%), and old prescription (35%) were the main reasons for self-medication. Pharmacy shop (75%) was the main source for self-medication. In case of antibiotics, 44% students changed the dosage of antibiotic and 50% students stopped antibiotics after the disappearance of the symptoms.
Conclusions: Antibiotic self-medication (39%) and self-medication with other drugs among university students of Karachi is a worrisome problem. Our findings highlight the need for planning interventions to promote the judicious use of general medicines as well as that of antibiotics.
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References
World Health Organization: Guidelines for the regulatory assessment of Medicinal Products for use in self-medication 2000. Available at: http://apps. who.int/medicinedocs/pdf/s2218e/s2218e.pdf. Accessed on 4 March 2017.
Osemene K, Lamikanra A. A Study of the Prevalence of Self-Medication Practice among University Students in Southwestern Nigeria. Trop J Pharm Res. 2012;11(4):683-9.
Selvaraj K, Kumar S, Ramalingam A. Prevalence of self-medication practices and its associated factors in Urban Puducherry, India. Perspect Clin Res. 2014;5:32-6.
Agbor M, Azodo C. Self-medication for oral health problems in Cameroon. Int Dent J. 2011;61(4):204-9.
Grigoryan L, Haaijer-Ruskamp F, Burgerhof J. Self-medication with antimicrobial drugs in Europe. Emerging Infect Dis. 2006;12(3):452-9.
Martins AP, Miranda Ada C, Mendes Z, Soares MA, Ferreira P, Nogueira A. Self-medication in a Portuguese urban population:a prevalence study. Pharmacoepidemiol Drug Saf. 2002;11:409–14.
Kopecna E, Mica M, Vlcek J. Use of medicines among students of high schools in the Czech Republic. Acta Pol Pharm. 2015;72(2):389-96.
Kumar N, Kanchan T, Unnikrishnan B. Perceptions and Practices of Self-Medication among Medical Students in Coastal South India. PLoS ONE. 2013;8(8):e72247.
Afridi M, Rasool G, Tabassum R, Shaheen M, Siddiqullah, Shujauddin M. Prevalence and pattern of self-medication in Karachi:A community survey. Pak J Med Sci. 2015;31(5):1241-5.
Al Rasheed A, Umar Yagoub U, Alkhashan H, Abdelhay O, Alawwad A, Al Aboud A, et al. Prevalence and predictors of Self-Medication with antibiotics in Al Wazarat Health Center, Riyadh City, KSA. Biomed Res Int. 2016;2016:3916874.
Oshikoya K, Senbanjo I, Njokanma O. Self-medication for infants with colic in Lagos, Nigeria. BMC Pediatr. 2009;9:9.
Zafar S, Syed R, Waqar S, Zubairi AJ, Vaqar T, Shaikh M, et al. Self-medication amongst University Students of Karachi: Prevalence, Knowledge and Attitudes. J Pak Med Assoc. 2008;58:214-7.
Kumar R, Goyal A, Padhy B, Gupta YK. Self-medication practice and factors influencing it among medical and paramedical students in India:A two-period comparative cross-sectional study. J Nat Sci Biol Med. 2016;7(2):143–8.
Jakaria M, Hasant A, Tarek M, Islam MZ, Zaman R, Parvez M, et al. Evaluation of self-medication among students from different universities in chittagong, Bangladesh. J Med. 2017;18:15-20.
Ali S, Ibrahim M, Palaian S. Medication storage and self-medication behaviour amongst female students in Malaysia. Pharm Pract (Granada). 2010;8(4):226-32.
Auta A, Banwat S, Sariem C, Shalkur D, Nasara B, Atuluku MO. Medicines in Pharmacy Students’ Residence and Self-medication Practices. Young Pharmacists. 2012;4:119-23.
Mumtaz Y, Jahangeer S, Mujtaba T. Self Medication among University Students of Karachi. JLUMHS. 2011;10(3):102-5.
da Silva C, Soares M, Muccillo-Baisch A. Self-medication in university students from the city of Rio Grande, Brazil. BMC Public Health. 2012;12:339.
Alam N, Saffoon N, Uddin R. Self‑medication among medical and pharmacy students in Bangladesh. BMC Res Notes. 2015;8:763.
Sohair E Ali S, Ibrahim M, Palaian S. Medication storage and self-medication behaviour amongst female students in Malaysia. Pharm Pract (Granada). 2010;8(4):226-232.
Shah S, Ahmad H, Rehan R. Self-medication with antibiotics among non-medical university students of Karachi: a cross-sectional study. BMC Pharmacol Toxicol. 2014;15:74.
Javed M. Self-Medication of Anti-Biotics amongst University Students of Islamabad:Prevalence, Knowledge and Attitudes. IOSR J Pharm Biological Sci. 2013;6(4):1-4.
Shehnaz S, Khan N, Sreedharan J, Issa KJ, Arifulla M. Self-medication and related health complaints among expatriate high school students in the United Arab Emirates. Pharm Pract. 2013;11(4):211-8.