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Aslam, M. and T.B. Mirza, Selfmedication with Antibiotics among Secondary and Tertiary Level Students in Karachi, Pakistan: A Crossectional Study. Inventi Rapid: Pharmacy Practice, 2013. 3: p. 1-5.

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Article

Community Usage Pattern of Antibiotics within Lebanese Population: A Prospective Study

1Pharmaco-épidémiologie et évaluation de l'impact des produits de santé sur les populations, University de Bordeaux, Bordeaux, France

2Clinical & Epidemiological Research Laboratory, Faculty of Pharmacy, Lebanese University, Beirut, Lebanon


American Journal of Pharmacological Sciences. 2017, Vol. 5 No. 2, 49-56
DOI: 10.12691/ajps-5-2-5
Copyright © 2017 Science and Education Publishing

Cite this paper:
Malak Khalifeh, Nicholas Moore, Pascale Salameh. Community Usage Pattern of Antibiotics within Lebanese Population: A Prospective Study. American Journal of Pharmacological Sciences. 2017; 5(2):49-56. doi: 10.12691/ajps-5-2-5.

Correspondence to: Malak  Khalifeh, Pharmaco-épidémiologie et évaluation de l'impact des produits de santé sur les populations, University de Bordeaux, Bordeaux, France. Email: malak.k9@hotmail.com

Abstract

Introduction: Antibiotic misuse is a worldwide public health problem and a major cause of antibiotic resistance. Objective: The aim of this study therefore was to describe the usage pattern of antibiotics in Lebanon. Method: It is a prospective study in a community-based pharmacy setting in Lebanon. It uses a structured random interview to patients visiting community pharmacy seeking for antibiotics. Baseline characteristics and reason for self-medication were collected. Completing a self-administered questionnaire after 30 days provided information on safety, efficacy and usage pattern. Data were analyzed using descriptive statistics and Chi-square test. Results: 62.7% of 501 participants bought antibiotic without prescription. Pharmacists were the main helpers (34.7%). Amoxicillin/clavulanic acid was the most used antibiotic as self-medication (33.7%). The overall average dispensation was 9.07 DDD for short term use (< 2 weeks). In the follow up, the average DDD consumed by patient was7.07 DDD and 62.5% were consumed between 1 to 7 DDD. The average request per year was 3.35 which was significantly higher in patients without prescription than with prescription (p= .029).Males were dispensed more DDDs than females but the result was not significant. Patients with ages from 25-50 years old had significantly consumed more than 1 DDD per day (61.7%) compared to patients with age above than 50 years old (41%, p=.002). Conclusion: Antibiotic consumption in Lebanon is uncontrolled. Educational programs should be implemented for the public to reduce the usage of antibiotic.

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