Assessment of self-medication in population buying antibiotics in pharmacies: a pilot study from Beirut and its suburbs

Int J Public Health. 2014 Apr;59(2):319-27. doi: 10.1007/s00038-013-0493-y. Epub 2013 Aug 13.

Abstract

Objectives: This study was performed to assess self-medication with antibiotics (ATB) in the general population and its associated factors.

Methods: Face to face interviews using a structured questionnaire were conducted to collect data from ATB buyers in pharmacies in Beirut area. Data were analyzed using descriptive statistics and Chi-square test. A multivariate logistic regression was performed to predict self-medication.

Results: 42 % of 319 participants were buying ATB without prescription and the pharmacists were the main helpers (18.8 %). Saving time was the most common cited reason for self-medication with ATB (39.7 %). The logistic regression showed that self-medication with ATB was significantly increased among men [OR = 3.03; IC 95 % (2-5)]; it was associated with sore throat symptoms [OR = 2.38; IC 95 % (1.40-4.03)] and the ignorance of ATB use dangers [OR = 3.33; IC 95 % (1.96-5.55)]. In addition, it was prominent with amoxicillin [OR = 1.93; IC 95 % (0.17-1.34)], and inversely related to quinolone [OR = 0.44; IC 95 % (0.18-1.03)] and cephalosporin families [OR = 0.28; IC 95 % (0.11-1.68)] or other ATB classes [OR = 0.96; IC 95 % (0.41-2.22)].

Conclusions: Self-medication with antibiotics is a relatively frequent problem in Beirut area. Interventions are required to reduce antibiotic misuse.

MeSH terms

  • Adolescent
  • Adult
  • Anti-Bacterial Agents / therapeutic use*
  • Cross-Sectional Studies
  • Female
  • Humans
  • Lebanon
  • Male
  • Middle Aged
  • Pharmaceutical Services*
  • Pilot Projects
  • Self Medication / statistics & numerical data*
  • Sex Factors
  • Suburban Population
  • Surveys and Questionnaires
  • Urban Population
  • Young Adult

Substances

  • Anti-Bacterial Agents