Patient Preference and Adherence (Sep 2022)
Prevalence and Determinants of Antibiotic Self-Administration Among Adult Antibiotic Users: A Cross-Sectional Study
Abstract
Humayun Kabir,1,* Md Kamrul Hasan,1,2,* Ariful Haque Tutul,3,* Mohammad Shahidul Islam,3,* Safayet Jamil,4 Bikash Chandra Das,1 Md Fakrul Islam,1 Hasina Jannat,1 Rawshan Ara,5 Ojifa Akter,6 Lila Biswas,7 Md Ebrahim Miah,6,8 Dipak Kumar Mitra1 1Department of Public Health, North South University, Dhaka, 1229, Bangladesh; 2Department of Biochemistry and Molecular Biology, Tejgaon College, Dhaka, 1215, Bangladesh; 3Dhaka Medical College and Hospital, Dhaka, 1000, Bangladesh; 4Department of Pharmacy, Khwaja Yunus Ali University, Sirajganj, 6751, Bangladesh; 5Prime College of Nursing, Dhaka, 1229, Bangladesh; 6School of Medical Sciences, Shahjalal University of Science & Technology, Sylhet, 3114, Bangladesh; 7Department of Nursing, CRP Nursing College, Savar, 1343, Bangladesh; 8Institute of Social Welfare and Research, University of Dhaka, Dhaka, 1000, Bangladesh*These authors contributed equally to this workCorrespondence: Humayun Kabir; Md Kamrul Hasan, Department of Public Health, North South University, Dhaka, 1229, Bangladesh, Tel +880 1785811449; +880 1684867565, Email [email protected]; [email protected]: Each year, antibiotics save hundreds of thousands of lives; nonetheless, antibiotic self-administration is a major concern all over the world. This study aimed to investigate the prevalence of antibiotic self-administration among two-month adult antibiotic users as well as the factors contributing to this prevalence.Method and Participants: This cross-sectional study was conducted among 295 Bangladeshi adults between May 22nd and June 15th, 2021, during the COVID-19 pandemic. Descriptive statistics included frequency distribution, while inferential statistics included the Pearson chi-square test. For data analysis, the statistical software STATA-16 was used.Results: In this study, the prevalence of antibiotic self-administration was 17.97%. Antibiotic self-administration was found to be significantly more prevalent among those who were unable to take antibiotic on time, incomplete doses, did not know over prescriptions may cause antibiotic resistance, and could not correctly recognize amoxicillin and azithromycin are antibiotics.Conclusion: Due to the increased rate of antibiotic self-administration among adults in Bangladesh, the responsible authority should give more attention towards the factors responsible for antibiotic self-administration and revise their current policy to ensure the safe and effective use of antibiotics.Keywords: antibiotic, self-administration, antibiotic resistance, Bangladesh