Antibiotic use and knowledge in the community of Yemen, Saudi Arabia, and Uzbekistan

  • Tatyana Belkina Faculty of Pharmacy in Hradec Kralove, Charles University in Prague, Czech Republic
  • Abdullah Al Warafi Faculty of Dentistry, Ibb University, Republic of Yemen
  • Elhassan Hussein Eltom Faculty of Medicine, Northern Borders University, Arar, Kingdom of Saudi Arabia
  • Nigora Tadjieva Tashkent Medical Academy, Tashkent, Republic of Uzbekistan
  • Ales Kubena Faculty of Pharmacy in Hradec Kralove, Charles University, Prague, Czech Republic
  • Jiri Vlcek Faculty of Pharmacy in Hradec Kralove, Charles University, Prague, Czech Republic

Abstract

Introduction: Inappropriate use of antibiotics has resulted in a dramatic increase of antimicrobial resistance in developing countries. We examined knowledge, attitudes, and practices of antibiotic use in three Asian countries.

Methodology: A nationwide cross-sectional study of teachers in large cities of Yemen, Saudi Arabia, and Uzbekistan was conducted. A random sample of 1,200 teachers was selected in each country. Data were collected through a questionnaire-based survey and then analyzed using descriptive and multivariate statistical methods.

Results: The prevalence of non-prescription antibiotic use ranged from 48% in Saudi Arabia to 78% in Yemen and Uzbekistan. Pharmacies were the main source of non-prescribed antibiotics. The most common reasons for antibiotic use were cough (40%) and influenza (34%). Forty-nine percent of respondents discontinued antibiotics when they felt better. Although awareness of the dangers of antibiotic use correlated inversely with self-medication, understanding of the appropriate use of antibiotics was limited.

Conclusions: The prevalence of antibiotic self-medication in the educated adult population in the studied countries was found to be alarmingly high. Effective strategies involving regulatory enforcement prohibiting sales of antibiotics without prescription should be implemented along with educational interventions for health professionals and the public.

Published
2014-04-15
How to Cite
Belkina T, Al Warafi A, Hussein Eltom E, Tadjieva N, Kubena A, Vlcek J (2014) Antibiotic use and knowledge in the community of Yemen, Saudi Arabia, and Uzbekistan. The Journal Of Infection In Developing Countries 8 (04): 424-429. https://doi.org/10.3855/jidc.3866
Section
Original Articles

Keywords

antibiotics; drug resistance; self–medication; developing countries