PARENTAL SELF MEDICATION OF ANTIBIOTICS FOR CHILDREN IN BAGHDAD CITY
Objective: to evaluate many factors associated with self medication practice of parents for the behalf of their children.
Methods: This study was designed as the cross sectional descriptive study in which the data was collected via direct interviews with the parents using previously prepared questionnaires. A total of 124 parents with the practice of self medication for their children were included.
Results: The majority of children were 1-6 years old and male children were slightly more than females. The main reason of self medication was dealing with same current ailments previously followed by considering the current illness as mild one. The major sources of information about self medicated antibiotics were previous prescription and community pharmacists. The most frequent source of antibiotics was the community pharmacies. Upper respiratory tract conditions were the commonest indication for self medication. Amoxicillin was found to be the most frequently acquired and utilized antibiotic in this study.
Conclusion: Many parents considered that self medicated antibiotics are powerful agents in treating a wide range of children conditions without confirming the microbial cause of these conditions. Community pharmacists could play very important roles in improving the practice of parental self medication.
2. Olayemi SO, Akinyede AA, Oreagba AI. Prescription pattern at primary health care centres in lagos state. Niger Postgrad Med J 2006;13:220-4.
3. Oshikoya KA, Njokanma OF, Bello JA, Ayorinde EO. Family self-medication for children in an urban area of Nigeria. Paediatr Perinat Drug Ther 2007;8:3.
4. Zaki A, Abdel-Fattah M, Bassili A, Arafa M, Bedwani R. The use of medication in infants in Alexandria. Egypt East Mediter Health J 1999;5:320-7.
5. Ali. Self-medication practices among health care professionals in a private university. Malaysia Intern Curr Pharm J 2012;1(10):302-10.
6. Montastruc JL. Pharmacovigilance of self-medication. Ther 1997;52(2):105-10.
7. Guidelines for the regulatory assessment of medicinal products for use in self-medication. Geneva, World Health Organization, (WHO) 2000.
8. Abobakr A, Jiri V, Mohammed A, Ales K. Self-medication with antibiotics by the community of abu dhabi emirate, United arab emirates. J Infect Dev Ctries 2009;3(7):491-7.
9. Hughes CM, McElnay JC, Fleming GF. Benefits and risks of self medication. Drug Safe 2001;24 (14):1027-37.
10. Oshikoya KA. Evaluation of paediatric drug prescriptions in a teaching hospital in nigeria for rational prescribing. Paed Perinat Drug Ther 2006;7:183-8.
11. Sharma R, Verma U, Sharma CL, Kapoor B. Self medication among urban population of Jammu city. Indian J Pharmacol 2005;37:37-45.
12. Wise R. Antimicrobial resistance: priorities for action. J Antimicrob Chemother 2001;49:585â€“6.
13. Al-Azzam SI. Self-medication with antibiotics in Jordanian population. Int J Occup Med Envir Health 2007;20(4):373-80.
14. Grigoryan L. Self-medication with antimicrobial drugs in Europe. Emerg Infec Dis 2006;12:452-9.
15. Mitsi G. Patterns of antibiotic use among adults and parents in the community: a questionnaire-based survey in a Greek urban population. Intern J Antimic Agents 2005;25(5):439-43.
16. Friedman CR, Whitney CG. Itâ€™s time for a change in practice: Reducing antibiotic use can alter antibiotic resistance. J Infect Dis 2008;197:1082â€“3.
17. Vila J, Pal T. Update on antibacterial resistance in low-income countries: Factors favouring the emergence of resistance. Open Infect Dis J 2010;4:38â€“54.
18. Fadara JO, Tamuno I. Antibiotic Self-medication among university medical undergraduates in northern nigeria. J Pub Health Epidemiol 2011;3(5):217-20.
19. Goossens H, Ferech M, Vander Stichele R. Outpatient antibiotic use in europe and association with resistance: a cross-national database study. Lancet 2005;365:579â€“87.
20. Shankar PR, Partha P, Shenoy N. Self-medication and non-doctor prescription practices in Pokhara valley, Western Nepal: a questionnaire-based study. BMC Family Practice 2002;3:17.
21. Kamat VR, Nichter M. Pharmacies, self-medication and pharmaceutical marketing in Bombay, India. Soc Sci Med 1998;47(6):779-94.
22. Francis SV, FÃ¡bio B, Celso S, Ricardo C. Self-medication in children and adolescents. J Pediatria 2007;83(5):453-8.
23. Geissler PW, Nokes K, Prince RJ, Achieng RO, Aagaard-Hansen J, Ouma JH. Children and medicines: self-treatment of common illnesses among Luo school children in western Kenya. Soc Sci Med 2000;50:1771-83
24. Peng B, Shilu T, Parton KA. Family self-medication and antibiotics abuse for children and juveniles in a Chinese city. Soc Sci Med 2000;50:1445-50.
25. Ali LJ, Taqua AF, Salam ST. Self Medication practice among iraqi patients in baghdad city. Amer J Pharm Sci 2014;2(1):18-23.
26. Alghanim SA. Self-medication practice among patients in a public health care system. East Mediter Health J 2011;17(5):409-16.
27. Abdelmoneim A, Idris E, Lloyd M, Lukman T. Self-medication with Antibiotics and Antimalarials in the community of Khartoum State, Sudan. J Pharm Pharm Sci 2005;8(2):326-31.
28. Teferra A, Alemayehu W. Self-medication in three towns of North West Ethiopia. Ethiop J Health Dev 2001;15:25-30.
29. Amayo EO, Jowi JO, Njeru EK. Migraine headaches in a group of medical students at the Kenyatta National Hospital, Nairobi. East Afr Med J 1996;73(9):594-7.
30. Eric SD, Patience BT, Patrick N, Isaac OA. Self-Medication practices with antibiotics among tertiary level students in accra, ghana: a cross-sectional study. Int J Environ Res Public Health 2012;9:3519-29.
31. Erhun WO, Erhun MO. The qualitative impact of broadcasting media advertisement on the perception of medicines in Nigeria. J Consum Behav 2002;3(1): 8-19.
32. Olayemi OJ, Olayinka BO, Musa AI. Evaluation of antibiotic self-medication pattern amongst undergraduate students of ahmadu bello university, zaria. Res J Appl Sci Engin Tech 2010;2(1):35-8.
33. Kariyawasam SH, Nanayakkara DN, Mohottiarachchi MA, Nandasena YL. A descriptive cross sectional study on mothers self-medicating children. Sri Lanka J Chi Health 2005;34:7-12.
34. Adegboyega AA, Onayade AA, Salawu O. Careseeking behaviour of caregivers for common childhood illnesses in Lagos Island local government area, Nigeria. Niger J Med 2005;14:65-71.
35. Aris W, Sri S, Charlotte C, Janet EH. Self medication with antibiotics in Yogyakarta City Indonesia: a cross sectional population-based survey. BMC Res Notes 2011;4:491.
36. James H. Influence of medical training on self medication by students. Int J Clin Pharm Ther 2008;46(1):23-9.
37. Macfarlane J, Holmes W, Macfarlane R, Britten N. Influence of patientsâ€™ expectations on antibiotic management of acute lower respiratory tract illness in general practice: questionnaire study. BMJ 1997;315:1211â€“4.
38. Borg MA, Scicluna EA. Over-the-counter acquisition of antibiotics in the Maltese general population. Int J Antimicrob Agents 2002;20:253-7.
39. Agbaje EO, Uwakwe LO. Irrational use of antimicrobial agents in Surulere local government area of Lagos State, Nigeria. Niger Quart J Hosp Med 2003;13:68-71.
40. Ali SE, Ibrahim MI, Palaian S. Medication storage and self-medication behaviour amongst female students in Malaysia. Pharm Prac 2010;8:226-32.
41. Buke C. Irrational use of antibiotics among university students. J Infec 2005;51:135-9.
42. Christopher F. The effects of weather and climate on the seasonality of influenza: what we know and what we need to know. Geog Comp 2010;10:718-30.
43. Eccles R. An explanation for the seasonality of acute upper respiratory tract viral infections. Acta Otolaryngol 2002;122:183-91.
44. Chua SS, Sabki NH. Use of nonprescription medications by the general public in the Klang Valley. J App Pharm Scie 2011;1 (9):93-8.
45. Saradamma RD, Higginbotham N, Nichter M. Social factors influencing the acquisition of antibiotics without prescription in Kerala State, south India. Soc Sci Med 2000;50:891-903.
46. Sarahroodi S. Antibiotics self-medication among Southern Iranian University students. Int J Pharm 2010;6(1):48-52.
47. Oshikoya KA, Njokanma OF, Chukwura HA, Ojo IO. Adverse drug reactions in Nigerian children. Paed Perinat Dug Ther 2007;8:81-8.