Parental self‐medication of antibiotics for children in Jordan

Mukattash, Tareq L.; Alkhatatbeh, Mohammad J.; Andrawos, Shireen; Jarab, Anan S.; Farha, Rana Abu; Nusair, Mohammad B.

doi:10.1111/jphs.12331

Cited by 18 publications

(28 citation statements)

References 29 publications

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“…The results from this current study are in line with our 2006 results, 13 as patients continue to self‐medicate with antibiotics for self‐reported viral infection (ie, influenza and the common cold) and believing that it could irradiate such infections. Similar antibiotics self‐medication practices were also reported in several studies 9,27,35 . Interestingly, this study reported a significant increase in patients accessibility to pharmacies as a source of antibiotic supply compared with results from 2006 13 …”

Section: Discussionsupporting

confidence: 84%

The prevalence and patterns of self‐medication with antibiotics in Jordan: A community‐based study

et al. 2020

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Background Self‐medication with antibiotics is one of the leading causes of antibiotic resistance and drug therapy problems, making antibiotic self‐medication practices a global concern. Despite global efforts to limit these practices, self‐medication with antibiotics remains prevalent in developing countries. This study aimed to investigate the prevalence and patterns of self‐medication with antibiotics in Jordan and to compare the findings of self‐medication practices with antibiotics with results from 2006. Method A cross‐sectional community‐based study used a convenient sampling technique and recruited a large sample from all over Jordan. Between February and April 2019 trained 5th‐year pharmacy students recruited participants (eg, door to door) who had taken antibiotics in the preceding month. The questionnaire consisted of 14 questions that aimed to describe the patterns of self‐medication with antibiotics. Results A total of 1928 participants took part in this study. Of the 1928 respondents, 40.4% reported having used an antibiotic without a prescription in the previous month. Participants who had self‐medicated with antibiotics had primarily used them for sore throat and influenza. Self‐medicated participants had obtained antibiotics primarily from pharmacies (57.2%) and relied primarily on pharmacists (34.8%) and their own previous experience (35.2%) for information on the proper use of antibiotics. The rate of self‐medication with antibiotics in Jordan in 2019 (40.4%) had not changed significantly since 2006 (39.5%, P = .295). However, self‐medication practices (eg, source of antibiotic supply and information) have changed over the year. Conclusion The findings of this study revealed that the prevalence of self‐medication with antibiotics in Jordan remains high. This is a significant concern that requires a quick response from the government authorities to develop a collaborative approach to stop the dispensing of antibiotics without a prescription.

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Section: Discussionsupporting

confidence: 84%

The prevalence and patterns of self‐medication with antibiotics in Jordan: A community‐based study

et al. 2020

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“…However, it was only 4.0% in urban U.S., 12.1% in suburban U.S. [ 53 ], and 22.7% in the Greece [ 23 ]. As for other Asian countries, it was 43.9%, 39.2% and 29.8% in Saudi Arabia [ 54 ], Jordan [ 55 ] and Vietnam [ 56 ], respectively. It’s worth noting that nationality was associated with the practices of PSMA in this study, showing that Chinese parents were more likely to self-medicate with antibiotics for children than Occidental parents, the same as the above findings conducted in separate countries [ 18 , 20 , 23 , 48 , 52 , 53 ].…”

Section: Discussionmentioning

confidence: 98%

Understanding parental self-medication with antibiotics among parents of different nationalities: a cross-sectional study

Zhou

Zhao

Zhang

et al. 2021

glob health res policy

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Background There is an increasing trend on the practices of parental self-medication with antibiotics (PSMA) around world, accelerating the antibiotic abuse. This study aims to examine the nationality differences in the practices of PSMA and knowledge, attitudes and practices (KAP) toward antibiotic use, and understand the practices of PSMA among parents of various nationalities in China. Methods A cross-sectional study based on a structured questionnaire survey was conducted in Xi’an, Shaanxi Province, China, from September 2018 to October 2018. A total of 299 respondents participated in. The practices of PSMA (a dichotomous variable) and KAP toward antibiotic use (a continuous variable) served as dependent variables. Participant’s nationality was regarded as the independent variable. Binary logistic regression and ordinary least square regression were employed to examine the association between parent’s nationality and the practices of PSMA, and KAP toward antibiotic use, respectively. Results 121 (40.88%) Chinese, 100 (33.76%) other Asians and 75 (25.34%) Occidentals were included in final analysis, with a sample size of 296. Chinese were more likely to practice PSMA (OR = 7.070; 95% CI 1.315, 38.01), with worse knowledge (Coef. = − 0.549; 95% CI − 1.021, − 0.078), attitudes (Coef. = − 3.069; 95% CI − 4.182, − 1.956) and practices (Coef. = − 1.976; 95% CI − 3.162, − 0.790) toward antibiotic use, compared to their Occidental counterparts. The main reasons for the practices of PSMA were enough previous medication experience (80.49%) and same ailments with no need to see a doctor (39.02%), with common symptoms such as fever (60.98%) and cough (58.54%). Purchasing antibiotics at pharmacies (92.08%) and using leftover antibiotics (26.83%) were usual approaches. Conclusions The study highlights the gaps in the practices of PSMA and KAP toward antibiotic use among parents of different nationalities. The access to obtain antibiotics from pharmacies reflects the pharmacists’ unaware of laws on prescription of antibiotics, fierce competition in the pharmacy market, and the government’s lax supervision in China. It suggests the need to improve pharmacists’ training, enforce current legislations on pharmacy market regarding the sale of antibiotics, and provide practical and effective educational interventions for residents about antibiotic use.

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“…2 For example, the use of non-prescribed antibiotics for the treatment of viral infection (ie, influenza and common colds) is not an appropriate indication. [3][4][5] Antibiotics consumed inappropriately by the people not only result in wastage of resources but also carry potential lifethreatening severe adverse effects and the emergence of bacteria with extensive drug resistance; 6,7 the reason behind this practice is the easy availability of antibiotics. Several studies reported that people from low and middleincome countries (LMICs) buy antibiotics easily without a proper prescription, and this is the most critical driver of antimicrobial overuse.…”

Section: Introductionmentioning

confidence: 99%

Self-Medication Practices with Antibiotics and Associated Factors among the Public of Malaysia: A Cross-Sectional Study

Aslam¹,

Zin²,

Rahman³

et al. 2021

DHPS

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Background: Self-medication with antibiotics (SMA) is an important public health issue, which can result in the facilitated development of antibiotic resistance, and may increase the risk of inappropriate utilization of antibiotics. So, the objective of the present study was to estimate the prevalence rate of SMA and to also explore SMA practices among the lay population of Kuala Lumpur (Malaysia). Methods: The current study was cross-sectional population-based and used a convenient sampling technique. Moreover, Lorenz's formula was used to calculate the sample size and the required sample size was 480. Data were collected through face-to-face interviews with a pre-validated questionnaire and the study was conducted in Kuala Lumpur (Malaysia). Descriptive statistics, cross-tabulation, and logistic regression were executed by using SPSS version 24. Results: Out of 480 participants, 45.8% were polled male and the prevalence of SMA in this study was found to be 15.1%. The majority of participants 23.1% indicated that they practiced antibiotics at least once in the last six months. The commonly self-medicated antibiotics were amoxicillin-clavulanate 20.6%, ampicillin/cloxacillin 14.2%, and levofloxacin 8.3%. Moreover, 64.8% of participants indicated that they bought their antibiotics from pharmacies. Whereas, most of the participants practice antibiotics to save money 19.2% and time 23.1%. Findings from multivariate logistic regressions showed that predictors of SMA were male gender, (95% CI: 0.300-0.877) occupation (95% CI: 0.122-10.797), health insurance (95% CI: 0.025-0.472), and education (95% CI: 0.084-0.800). Conclusion:The results of this study indicate that SMA persists among the community and education level has a significant impact on this behavior. Thus, concerning health management authorities should step in with developing legislation to stop this practice, and by implementing such interventions and policies to educate and to raise awareness about the risk of SMA for the future.

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Parental self‐medication of antibiotics for children in Jordan

Cited by 18 publications

References 29 publications

The prevalence and patterns of self‐medication with antibiotics in Jordan: A community‐based study

The prevalence and patterns of self‐medication with antibiotics in Jordan: A community‐based study

Understanding parental self-medication with antibiotics among parents of different nationalities: a cross-sectional study

Self-Medication Practices with Antibiotics and Associated Factors among the Public of Malaysia: A Cross-Sectional Study

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