Abstract
Background:
The practice of self-medication with antibiotics is expanding globally, particularly in developing countries. This practice is associated with increasing rates of health-related problems, including antibiotic resistance.
Objective:
A survey was conducted to investigate knowledge, attitudes, and practices regarding self-medication with antibiotics among senior undergraduate pharmacy students in Jordan.
Methods:
A cross-sectional study was performed by using a validated questionnaire for data collection. This questionnaire was randomly distributed online to senior undergraduate pharmacy students from a range of universities. Respondents’ knowledge of, attitudes towards, and practice of self-medication with antibiotics were thus assessed. Data analysis was performed using IBM SPSS version 24.0 (IBM Corp., Armonk, NY, USA).
Results:
Among the 250 respondents, who represented a response rate of 66.3%, 80.8% had self-medicated with antibiotics. The majority (85.6%) of antibiotics used for such self-medication were purchased from pharmacy drug stores. The most frequently used antibiotic for self-medication during the prior 6 months was amoxicillin (53.2%), ciprofloxacin (42.4%), and metronidazole (34.4%). Respiratory health issues were the most common reason for self-medication, with tonsilitis (90%) being major reason, then skin infections (34%). About 34% of students had changed their dose during treatment, while 30% kept some antibiotics for future use. Additionally, the majority of students (69.6%) recommended antibiotics to others without prescription, with 24% of students using antibiotics despite receiving advice that these were not required. The mean score for students’ attitudes was 4.06, which indicated a positive attitude towards antibiotics use. The undergraduate senior pharmacy students had good knowledge and positive attitudes yet demonstrated poor practice with regard to antibiotic use, as the prevalence of self-medication was alarmingly high.
Conclusion:
This malpractice highlights the importance of identifying effective and urgent interventions to be performed at different levels, including by educational and regulatory authorities, to mitigate the misuse of antibiotics.
