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Prevalence of Self-Medication

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Prevalence of Self-Medication
Antibiotic self-medication among university medical undergraduates in Northern Nigeria
Joseph O. Fadare 1* and Igbiks Tamuno 2
1Department of Medicine, Kogi State Specialist Hospital, Lokoja, Nigeria 2Department of Pharmacology, Bayero University, Kano, Kano State, Nigeria.
Accepted 20 April, 2011
Self-medication is becoming a common type of self-care behavior among the population of many countries. Many international studies have investigated the prevalence and nature of self-medication practices at the population level. In Nigeria, some workers have also looked at the population prevalence of self-medication in general; however the prevalence of antibiotic self-medication among medical undergraduates has not yet been studied. The interest in studying this practice among this select group is due to the fact that they are the future prescribers and health educators of the population of Nigeria. The study was a cross-sectional pre-tested questionnaire-based study carried out among medical students of the Bayero University, Kano, North-West Nigeria during a two-week period in August 2008. The information from the returned questionnaire were coded, entered and analyzed using SPSS Version 12 statistical software. A total of 183 students filled and returned the questionnaire giving a response rate of 83.2%. Out of these respondents, 120 (65.6%) were males and the mean age of respondents was 23.2 ± 2.5 years (Range 17 to 31). 71 (38.8%) of the medical students admitted to the practice and there was no statistically significant difference among the different levels of medical education (p >0.05). Antibiotics from the penicillin group (ampicillin/cloxacillin, amoxicillin and ampicillin) were the most frequently used. Self-medication with antibiotics is prevalent among medical undergraduates in Northern Nigeria. There is a need for an intervention to address this practice.
Key words: Antibiotics, self-medication, medical undergraduates, Nigeria.



References: Afolabi AO (2008). Factors influencing the pattern of self-medication in an adult Nigerian population. Ann. Afr. Med., 7(3): 120-127. Al-Azzam SI, Al-Husein BA, Alzoubi F, Masadeh MM, Al-Horani MS (2007). Self-Medication with antibiotics in Jordanian population. Int. J. Occup. Med. Environ. Health, 20 (4): 373-380. Aswapokee N, Vaithayapichet S, Heller RF (1990). Pattern of antibiotic use in medical wards of a university hospital, Bangkok, Thailand. Rev. Infect. Dis., 12 (1): 136-141. Awad A, Eltayeb I, Matowe L Thalib L (2005). Self-medication with antibiotics and antimalarials in the community of Khartoum State, Sudan. J. Pharm. Pharm. Sci., 8: 326–331. Awad AI, Ball DE, Eltayeb IB (2007). Improving rational drug use in Africa: the example of Sudan. East Mediterr. Health J., 13 (5): 1202- 1211. Awad AI, Eltayeb IB (2007). Self-medication practices with antibiotics and antimalarials among Sudanese undergraduate university students. Ann. Pharmacother., 41(7): 1249-1255. Bamgboye EA, Amoran OE, Yusuf OB (2006). Self medication practices among workers in a tertiary hospital in Nigeria. Afr. J. Med. Sci., 35(4): 411-415. Berzanskyte A, Valinteliene R, Haaijer-Ruskamp FM, Gurevicius R, Grigoryan L (2006). Self-medication with antibiotics in Lithuania. Int. J. Occup. Med. Environ. Health, 19 (4): 246-253. Buke C, Hosgor-Limoncu M, Ermertcan S, Ciceklioglu M, Tuncel M,Köse T, Eren S (2005) Irrational use of antibiotics among university students. J. Infect., 51(2): 135-139. Chowdhury N, Matin F, Chowdhury SF (2009). Medication taking behavior of students attending a private university in Bangladesh. Int. J. Adolesc. Med. Health. 21 (3): 361-370. James H, Handu SS, Al Khaja KA, Otoom S, Sequeira RP (2006). Evaluation of the knowledge, attitude and practice of self-medication among first-year medical students. Med. Princ. Pract., 15 (4): 270- 275. James H, Handu SS, Khaja KA, Sequeira RP (2008). Influence of medical training on self-medication by students. Int. J. Pharmacol. Ther., 46 (1):23-29. Lucas R, Lunet N, Carvalho R, Langa J, Muanantatha M, Nkunda LP, Barros H (2007). Patterns in the use of medicines by university students in Maputo, Mozambique. Cad. Saude. Publica, 3(12): 2845- 2852. Martins AP, Miranda Ada C, Mendes Z, Soares MA, Ferreira P, Nogueira A (2002). Self-medication in a Portuguese urban population: a prevalence study. Pharmacoepidemiol. Drug Saf., 11(5): 409-414. Okeke NI, Lamikanra A, Edelman R (1999). Socioeconomic and Behavioral Factors Leading to Acquired Bacterial Resistance to Antibiotics in Developing Countries. Emerg. Infect. Dis., 5: 18-27. Raz R, Edelstein H, Grigoryan L, Haaijer-Ruskamp FM (2005). Self- medication with antibiotics by a population in northern Israel. Isr. Med. Assoc. J., 7(11): 722-725. Sawalha AF (2008). A descriptive study of self-medication practices among Palestinian medical and nonmedical university students. Res. Social. Adm. Pharm., 4 (2):164-172. Shankar PR, Partha P, Shenoy N (2002). Self-medication and non- doctor prescription practices in Pokhara valley, Western Nepal: a questionnaire-based study. BMC Fam. Pract., 3: 17. Tünger O, Dinç G, Ozbakkaloglu B, Atman UC, Algün U (2000). Evaluation of rational antibiotic use. Int. J. Antimicrob. Agents, 15 (2): 131-135. Vaananen MH, Pietila K, Airaksinen M (2006). Self-medication with antibiotic — does it really happen in Europe, Health Policy, 77: 166- 171. Yousef AM, Al-Bakri AG, Bustanji Y, Wazaify M (2008). Self-medication patterns in Amman, Jordan. Pharm World Sci., 30(1): 24-30. Zafar SN, Syed R, Waqar S, Zubairi AJ, Vaqar T, Shaikh M, Yousaf W, Shahid S, Saleem S (2008). Self-medication amongst university students of Karachi: prevalence, knowledge and attitudes. J. Pak.

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