Assessment of the Knowledge and Self-medication Practices towards Antibiotics among Future Healthcare Professionals in Ajman, United Arab Emirates

Main Article Content

Mariam Aboulilah
Sara Ahmed
Razan Jarjouma
Razan Sabri
Subish Palaian

Abstract

Objectives: The aim of the study is to assess the knowledge and self-medication behavior among health professions students regarding antibiotic usage.

Methods: A cross-sectional study was performed using a self-administrated questionnaire. A sample of 424 questionnaires was distributed randomly among health science students of a medical university in Ajman, UAE. The questionnaire is categorized into three sections which are Socio-demographic details of the participant, knowledge and self-medication practice of antibiotic. The data was entered in MS Excel spread sheet and analyzed as per the study objectives.

Key Findings: Upon assessing the knowledge of respondents, authors found 85.8% of the students were familiar with the term ‘antibiotic resistance’. Half of the students agreed that antibiotics treat common cold quickly. Regarding the self-medication practices, 55.6% (n= 236) of students reported that they always take antibiotic without prescription. Cold and flu was the common reason for using antibiotics. Augmentin (amoxicillin and clavulanic acid) was the common medication used among the students. Nearly one third of the respondents (32.78%; n=139) saved the antibiotics in case of reinfection.

Conclusions: In conclusion, antibiotic usage was common among study respondents. Preventive strategies, antibiotic stewardship programs, training, education programs and more restriction towards antibiotic dispensing should be implemented to avoid the misuse and antibiotic resistance.

Keywords:
Anti-bacterial agents, antimicrobial resistance, self-medication, health professions students, United Arab Emirates

Article Details

How to Cite
Aboulilah, M., Ahmed, S., Jarjouma, R., Sabri, R., & Palaian, S. (2020). Assessment of the Knowledge and Self-medication Practices towards Antibiotics among Future Healthcare Professionals in Ajman, United Arab Emirates. Journal of Pharmaceutical Research International, 32(9), 24-34. https://doi.org/10.9734/jpri/2020/v32i930479
Section
Original Research Article

References

Fiske CT, Bloch KC. Infectious Diseases. In: Hammer GD, McPhee SJ. Eds. Pathophysiology of disease: An introduction to clinical medicine, 8e New York, NY: McGraw-Hill; 2014.

Rather IA et al. Self-medication and antibiotic resistance: Crisis, current challenges, and prevention. Saudi J Biol Sci. 2017;24(4):808-812.

Bennadi D. Self-medication: A current challenge. J Basic Clin Pharm. 2013;5 (1):19-23.

Dye C. After 2015: infectious diseases in a new era of health and development. Philos Trans R Soc Lond B Biol Sci. 2014;369 (1645):20130426.

WHO. Interventions and strategies to improve the use of antimicrobials in developing countries Drug management program; 2001.

Available:www.who.int/drugresistance/Interventions_and_strategies_to_improve_the_use_of_antim.pdf

Hashemi S, et al. Irrational antibiotic prescribing: A local issue or global concern? EXCLI J. 2013;12:384–395.

Knobler SL, et al. The resistance phenomenon in microbes and infectious disease vectors: Implications for human health and strategies for containment: Workshop Summary. National Academies Press (US); 2003.

Ministry of Health and Prevention issues warning against dispensing antibiotics without medical prescription - Ministry of Health and Prevention – UAE; 2017.

Available:http://www.mohap.gov.ae/en/MediaCenter/News/Pages/1921.aspx

(Accessed 23 February 2019)

Helal R, Abou-El, Wafa H. Self-medication in University Students from the City of Mansoura, Egypt. J Environ Public Health. 2017;1-7.

Alshogran O, et al. Patterns of self-medication among medical and nonmedical University students in Jordan. Risk Manag Healthc Policy. 2018; 11:169-176.

Sawalha A. A descriptive study of self-medication practices among Palestinian medical and nonmedical university students. Research in Social and Administrative Pharmacy. 2008;4(2):164-172.

Fast Facts Community Antibiotic Use CDC Cdc.gov; 2018.

Available:www.cdc.gov/antibiotic-use/community/about/fast-facts.html [Accessed 23 February 2019]

About Antimicrobial Resistance Antibiotic/Antimicrobial Resistance CDC Cdc.gov; 2018.

Available:www.cdc.gov/drugresistance/about.html

[Accessed 23 February 2019]

Antibiotic resistance World Health Organization; 2018.

Available:www.who.int/en/news-room/fact-sheets/detail/antibiotic-resistance [Accessed 23 February 2019].

Al-Kubaisi, K et al. What drives using antibiotic without prescriptions? A qualitative interview study of university students in United Arab Emirates. Pharm Pract (Granada). 2018;16(2): 1172.

Sharif SI, Sharif RS. Antibiotics use with and without a prescription in healthcare students. Am J Pharmacol Sci. 2013;1(5): 96-99.

Khanam P, Haj Ali D. Assessment of the knowledge and self-medication behaviours towards antibiotics among nursing students at King Saud Bin Abdulaziz University for Health Sciences, Al Ahsa. J Nurs Care. 2017;6 (6):2-6.

Donmez S, et al. Knowledge, attitude and practice of self-medication with antibiotics among nursing students. Int J Pharmacol. 2017;14(1):136-143.

Donkor E, et al. Self-Medication practices with antibiotics among tertiary level students in Accra, Ghana: A cross-sectional study. Int J Environ Res Public Health. 2012;9(10):3519-3529.

Pal B, et al. Self-Medication with Antibiotics among Medical and Pharmacy Students in North India. Am Med J. 2016;7 (2):7-12.

Creative Research Systems. Sample Size Formulas; 2019.

Available:www.surveysystem.com/sample-size-formula.htm

(Accessed 20 February 2019).

Lukovic JA, et al. Self-medication practices and risk factors for self-medication among medical students in Belgrade, Serbia. PLoS ONE. 2014;9(12): e114644.

Soomro S, et al. Awareness and knowledge about antibiotic use and resistance among students of Northern Border University Saudi Arabia. J Trop Dis. 2017;05(05).

Inácio J, et al. Master of Pharmacy students’ knowledge and awareness of antibiotic use, resistance and stewardship. Curr Pharm Teach Learn. 2017;9(4):551-559.

Harakeh S, et al. Perceptions of medical students towards antibiotic prescribing for upper respiratory tract infections in Saudi Arabia. BMJ Open Respir Res. 2015;2(1): e000078.

Hu Y, et al. Knowledge, attitude and practice with respect to antibiotic use among Chinese medical students: A multicentre cross-sectional Study. Int J Environ Res Public Health. . 2018;15(6): 1165.

Abimbola IO, et al. Knowledge and practices in the use of antibiotics among a group of Nigerian university students. Int J Infect Contro. 2013;9(1).

Albawani SM, et al. Self-medication with antibiotics in Sana’a City, Yemen. Trop J Pharm Res. 2017;16(5):1195.

Hadi U, et al. Survey of antibiotic use of individuals visiting public healthcare facilities in Indonesia. Int J Infect Dis. 2008;12(6):622-629.

Núñez M, et al. Antibiotic self-medication in university students from Trujillo, Peru. Medicina Universitaria. 2016;18(73):205-9.

Akoria O, Tudjegbe I. Antibiotic use among final year undergraduates in university of Benin, Nigeria. West Afr J Pharmacol Drug Res. 2010;25(1).

Al-Hussaini M, et al. Self-medication among undergraduate medical students in Kuwait with reference to the role of the pharmacist. Journal of J Res Pharm Pract. 2014;3(1):23.

Lv B, et al. Knowledge, attitudes and practices concerning self-medication with antibiotics among university students in western China. Trop Med Int Health. 2014; 19(7):769-779.

Scaioli G, et al. Antibiotic use: A cross-sectional survey assessing the knowledge, attitudes and practices amongst students of a school of medicine in Italy. PLoS ONE. 2015;10(4):e0122476.