Prevalence and correlates of antibiotic sharing in the Philippines: antibiotic misconceptions and community‐level access to non‐medical sources of antibiotics

Barber, Daniel A.; Casquejo, Efren; Ybañez, Purita L.; Pinote, Magdaleno T.; Casquejo, Luz; Pinote, Lucia S.; Estorgio, Magdalena; Young, April M.

doi:10.1111/tmi.12854

Cited by 38 publications

(86 citation statements)

References 35 publications

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“…This is in the range of Beyene et al’s systemic review . Previous studies from developing countries showed that the prevalence of borrowing and lending prescription medication ranged from 35–78% and 32.7–78%, respectively, which is much higher compared with the results of our study. This is because the current study focused on recent history of borrowing or lending behaviour rather than participants’ reported history of ever borrowing or lending prescription medication, the prevalence of borrowing or lending prescription medication found in the current study is likely to be an underestimate, and the true prevalence may be higher than the prevalence identified in our study.…”

Section: Discussionsupporting

confidence: 86%

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‘Sharing may not be caring’ — Prescription medication sharing among adults in Saudi Arabia

Alhomoud

2019

International Journal of Pharmacy Practice

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ObjectivesThe aim of the current study was to describe prescription medication sharing behaviours (i.e. borrowing and lending) among adults living in Saudi Arabia. Methods This cross-sectional survey was conducted in Saudi Arabia during December 2018. The eligibility criteria were an ability to communicate in Arabic or English and aged ≥18 years. An online survey was distributed to a convenience sample, supplemented by snowballing, by email and social media via an Internet link leading to a web-based survey platform in QuestionPro to assess their medication sharing behaviours. Bivariate and multivariate analyses were used to assess the associations. Key findings A total of 667 completed the questionnaire. The prevalence of borrowing and lending prescription medication was found to be 14% and 16% in 2018 (past year), respectively. Twenty per cent of participants revealed that they had given a medication prescribed for one child to another child in their care, and 75% reported having leftover prescription medicine at home. The majority (90%) had borrowed or lent on one to three occasions. A wide range of medications were borrowed and lent mainly between immediate family members. Different reasons have been identified for medicine borrowing or lending behaviours. Conclusions Borrowing and lending prescription medications are a common practice in the Saudi population. Further research is warranted into the development of successful approaches or interventions to reduce medication sharing behaviour. 256Prescription medication sharing Results Survey response and participants' characteristicsA total of 667 completed the questionnaire. The majority of participants were female (485/667; 72.7%), were Saudis Faten Alhomoud 257 AOR, adjusted odds ratio; CI, confidence interval; P, probability value. a Reference category for the logistic regressions.

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Section: Discussionsupporting

confidence: 86%

“…Consistent with previous studies, painkillers, antibiotics and allergy medicine were the most frequently borrowed and lent medicines . This is possibly because, in Saudi Arabia, allergy medications and some pain medications are easily accessible and can be obtained either with or without a prescription over the counter (OTC).…”

Section: Discussionsupporting

confidence: 82%

‘Sharing may not be caring’ — Prescription medication sharing among adults in Saudi Arabia

Alhomoud

2019

International Journal of Pharmacy Practice

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“…The highest negative response was found in giving one's own antibiotic to a sick family member (88.4%). This proportion is considerably higher compared to other studies done in Singapore (6.8%) and the Philippines (37%) [21,22]. This is followed by keeping leftover antibiotics to use later in case of a respiratory illness (78.9%).…”

Section: Discussionmentioning

confidence: 59%

Knowledge and Attitude Towards Antibiotic Usage: A Questionnaire-Based Survey Among Pre-Professional Students at King Saud bin Abdulaziz University for Health Sciences on Jeddah Campus, Saudi Arabia

et al. 2020

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Introduction: Knowledge and attitudes towards proper antibiotic usage among students in medical and other health allied fields play a vital role in limiting the pandemic of antibiotic resistance. This study aimed to assess knowledge and attitudes toward antibiotic usage among pre-professional students at King Saud bin Abdulaziz University for Health Sciences on Jeddah Campus, Saudi Arabia. Methods: A self-administered cross-sectional survey of 347 first year students was conducted at the College of Science and Health Professions, King Saud bin Abdulaziz University for Health Sciences using a validated questionnaire. Results: Nearly 63% of the students had a moderate level of knowledge. Two third of the students (69.7%) correctly knew that antibiotics are indicated for the treatment of bacterial infections. However, about 36% of the students incorrectly thought that antibiotics are also used to treat viral infections, while 28.5% were not sure. Only 38.8% of the students were aware of antibiotic resistance phenomena in relation to the overuse of antibiotics. Furthermore, only 27.3% correctly knew that penicillin is an antibiotic, and 74.4% were not sure if Paracetamol is an antibiotic. With regard to attitudes, 25.7% believed that taking antibiotics when having cold symptoms could help them to recover faster, while 39.6% expected antibiotics to be prescribed for common cold symptoms. Conclusion: The students have misconception regarding antibiotic use indications. Therefore, awareness campaigns are needed to promote student’s use of antibiotics in young generations particularly among the pre-professional health sciences students.

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“…Evidence has shown that the use and misuse of antibiotics may be associated with broader sociocultural [44] and sociodemographic factors [45]. In the Philippines, a study by Barber et al, found accessing unprescribed antibiotics from the local sari sari (small retail business) stand and antibiotic sharing amongst family and friends was a common practice [46]. Antibiotic prescribers are also found to be influenced by their patient's sociodemographic factors, and may adapt treatment to patient's income, antibiotic accessibility in the area and their patient's medication history [43].…”

Section: Antibiotic Use and Antibiotic Resistance In The Pork-valuechainmentioning

confidence: 99%

The challenges of investigating antimicrobial resistance in Vietnam - what benefits does a One Health approach offer the animal and human health sectors?

et al. 2020

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Background: The One Health concept promotes the enhancement of human, animal and ecosystem health through multi-sectorial governance support and policies to combat health security threats. In Vietnam, antimicrobial resistance (AMR) in animal and human health settings poses a significant threat, but one that could be minimised by adopting a One Health approach to AMR surveillance. To advance understanding of the willingness and abilities of the human and animal health sectors to undertake investigations of AMR with a One Health approach, we explored the perceptions and experiences of those tasked with investigating AMR in Vietnam, and the benefits a multi-sectorial approach offers. Methods: This study used qualitative methodology to provide key informants' perspectives from the animal and human health sectors. Two scenarios of food-borne AMR bacteria found within the pork value chain were used as case studies to investigate challenges and opportunities for improving collaboration across different stakeholders and to understand benefits offered by a One Health approach surveillance system. Fifteen semi-structured interviews with 11 participants from the animal and six from the human health sectors at the central level in Hanoi and the provincial level in Thai Nguyen were conducted. Results: Eight themes emerged from the transcripts of the interviews. From the participants perspectives on the benefits of a One Health approach: (1) Communication and multi-sectorial collaboration; (2) Building comprehensive knowledge; (3) Improving likelihood of success. Five themes emerged from participants views of the challenges to investigate AMR: (4) Diagnostic capacity; (5) Availability and access to antibiotics (6) Tracing ability within the Vietnamese food chain; (7) Personal benefits and (8) Managing the system. Conclusion: The findings of this study suggest that there is potential to strengthen multi-sectorial collaboration between the animal and human health sectors by building upon existing informal networks. Based on these results, we recommend an inclusive approach to multi-sectorial communication supported by government network activities to facilitate partnerships and create cross-disciplinary awareness and participation. The themes relating to diagnostic capacity show that both sectors are facing challenges to undertake investigations in AMR. Our results indicate that the need to strengthen the animal health sector is more pronounced.

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Prevalence and correlates of antibiotic sharing in the Philippines: antibiotic misconceptions and community‐level access to non‐medical sources of antibiotics

Cited by 38 publications

References 35 publications

‘Sharing may not be caring’ — Prescription medication sharing among adults in Saudi Arabia

‘Sharing may not be caring’ — Prescription medication sharing among adults in Saudi Arabia

Knowledge and Attitude Towards Antibiotic Usage: A Questionnaire-Based Survey Among Pre-Professional Students at King Saud bin Abdulaziz University for Health Sciences on Jeddah Campus, Saudi Arabia

The challenges of investigating antimicrobial resistance in Vietnam - what benefits does a One Health approach offer the animal and human health sectors?

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