Drug used pattern by self-medication among the RT-PCR positive health workers in Dhaka city
DOI:
https://doi.org/10.18203/2319-2003.ijbcp20213186Keywords:
Self-medication, Health workers, Self-treatment, Drugs patternAbstract
Background: To date there is no effective treatment against COVID-19. Self-medication played one of the major modes of treatment among general population as well as the health workers during this pandemic. Studying the pattern of self-medication among the health care workers (HCWs) may indicate their knowledge and skills towards rational use of medicines. The aim of the study was to assess the pattern self-medication among the COVID-19 affected HCWs.
Methods: This cross-sectional survey assessed the pattern of drug used by self-medication among the health workers who were RT-PCR positive in context to Bangladesh.
Results: A total of 267 HCWs data were collected. Most of the HCWs were in middle age group between 31-40 years with the mean age of 32.2±5.2. Doctors (83.9%) enrolled five times more than the nurses (16.1%). Most of the HCWs (60.3%) commenced medications just after appearance of symptoms and 27.0% went for the RT-PCR testing. Only 3.7% went to health care facilities for treatment. More than sixty percent of the respondents took medication by themselves just after start the symptoms, 19 (33.7%) took advised from the specialists and attended at health facilities 2.6%. Most of the patients (42.7%) used azithromycin as antimicrobial agent. Paracetamol was the most used drug among the participants (78.65%) followed by antihistamines (67.79%). Average number of drugs used by patients 3.1% and percentage of antibiotics per patients 42.6%.
Conclusions: The prescribing practice of antibiotics shows deviation from the standard recommendation. Awareness regarding essentials drug list should be needed.
References
Oyediran O, Ayandrian EO, Olatubi MI. Awareness of risk associated with self-medication among patients attending out-patient department of a tertiary hospital in south western Nigeria. Int J Africa Nursing Sci. 2019;10:110-5.
WHO. Report of the WHO Expert Committee on National Drug Policies. Geneva, Ed: 1, 1995. Available at: https://apps.who.int/iris/handle/ 10665/63068?locale-attribute=n&showfull. Accessed on 13 June 2021.
Hughes CM, McElnay JC, Fleming GF. Benefits and risks of self-medication. Drg Saf. 2001;24:1027-37.
Hussain S, Malik F, Hameed A, Riaz H. Exploring health seeking behavior, medicine use and self-medication in rural and urban Pakistan. Southern Med Rev. 2008;3:32-4.
Lai CC, Shih TP, Ko WC, Tang HJ, Hsueh PR. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges. Int J Antimicrob Agents. 2020;55(3):105924.
Holmes KV. SARS coronavirus: a new challenge for prevention and therapy. J Clin Invest. 2003;111(11):1605-9.
Holmes KV. SARS coronavirus: a new challenge for prevention and therapy. J Clin Invest. 2003;111(11):1605-9.
Bogren M, Erlandsson K, Johansson A, Kalid M, Igal A, Mohamed J, et al. Health workforce perspectives of barriers inhibiting the provision of quality care in Nepal and Somalia - A qualitative study. Sex Reprod Healthc. 2020;23:100481.
Kretchy, IA, Danso M, Kretchy JP. Medication management and adherence during the COVID-19 pandemic: Perspectives and experiences from low-and middle-income countries. Research in social & administrative pharmacy. RSAP. 2021;17(1):2023-6.
Roberts T, Miguel EG, Krupchanka D, Shidhaye R, Patel V, Rathod S. Factors associated with health service utilisation for common mental disorders: a systematic review. BMC Psychiatry. 2018;18(1):262.
WHO. Coronavirus disease (COVID-2019) Bangladesh situation reports, 2021. Available at:https://www.who.int/docs/defaultsource/searo/bangladesh/covid19whobangladeshsituationreports/who-covid-19-update1820200629. Accessed on 13 June 2021.
Disease Control Division, Directorate General of Health Services Ministry of Health & Family Welfare; Government of the People's Republic of Bangladesh. National Guidelines on Clinical Management of Coronavirus Disease 2019 (Covid-19), by Version-4, 2020. Available at: https://dghs.gov.bd/index.php/ en/home/5343-covid-19-update. Accessed on 13 June 2021.
Baggio MA, Formaggio FM. Self-medication: showing self-carelessness by nursing professionals. Rev Enferm UERJ. 2009;17(2):224.
Roberts T, Miguel EG, Krupchanka D, Shidhaye R, Patel V, Rathod S. Factors associated with health service utilisation for common mental disorders: a systematic review. BMC Psychiatry. 2018;18(1):262.
Wind TR, Komproe IH. The mechanisms that associate community social capital with post-disaster mental health: a multilevel model. Soc Sci Med. 2012;75(9):1715-20.
Chowdhury N, Islam MR, Hasan MM. Cephalosporin-3G, Highly Prescribed Antibiotic to Outpatients in Rajshahi, Bangladesh: Prescription Errors, Carelessness, Irrational Uses are the Triggering Causes of Antibiotic Resistance. Int J Pharmacy Teaching Practices. 2013;4(1):504-10.
News Report. Available at: https://thelogicalindian. com/storyfeed/awareness/selfmedicationcoronavirus- covid-19-pandemic-20327. Accessed on 13 June 2021.
Caly L, Druce JD, Catton MG, Jans DA, Wagstaff KM. The FDA-approved drug ivermectin inhibits the replication of SARS-CoV-2 in vitro. Antiviral Res. 2020;178:104787.
National Guidelines on Clinical Management of Coronavirus Disease 2019 (COVID-19), by Disease Control Division, Directorate General of Health Services Ministry of Health and Family Welfare; Government of the People’s Republic of Bangladesh Version-4. Available at: https://dghs.gov. bd/index.php/en/home/5343covid19update. Accessed on 13 June 2021.
Ocan M, Obuku EA, Bwanga F, Akena D, Richard S, Ogwal J, et al. Household antimicrobial self-medication: a systematic review and meta-analysis of the burden, risk factors and outcomes in developing countries. BMC Public Health. 2015;15:742.
Morgan DJ, Okeke IN, Laxminarayan R, Perencevich EN, Weisenberg S. Non-prescription antimicrobial use worldwide: a systematic review. Lancet Infect Dis. 2011;11(9):692-701.
Islam MS. Self-medications among higher educated population in Bangladesh: an email based exploratory study. Internet J Health. 2007;5:2.
Okeke IN, Klugman KP, Bhutta ZA, Duse AG, Jenkins P, Brien TF, et al. Antimicrobial resistance in developing countries. Part II: strategies for containment. Lancet Infect Dis. 2005;5(9):568-80.
WHO. Community-Based Surveillance of Antimicrobial use and Resistance in Resource constrained settings. A report on five pilot projects, 2009. Available at: http//www.apps.who.int/ medicinedocsdocuments/s16168e.pdf. Accessed on 13 June 2021.
Desalegn AA. Assessment of drug use pattern using WHO prescribing indicators at Hawassa University Teaching and Referral Hospital, south Ethiopia: a cross-sectional study. BMC Health Serv Res. 2013;13:170.
DGDA. Medicine supply, prices managed well amid crisis, 2020. Available at: https://www.thedaily star.net/frontpage/news/medicine-supply-prices-managed-well-amid-crisis. Accessed on 13 June 2021.
