Awareness of Antibiotics and Analgesics Use In Marmara University Hospital

Document Type : Original Article

Authors

Department of Endodontics, Faculty of Dentistry, Marmara University, Istanbul, Turkey

Abstract

Background and aim: Inappropriate use of antibiotics and non-narcotic analgesics may lead to adverse side effects. This survey aimed to investigate the awareness, knowledge, and attitudes of patients regarding the dental use of antibiotics and non-narcotic analgesics.
Material and methods: The questionnaire which contained 20 questions was prepared based on similar surveys. The survey with a validated self-administered questionnaire carried out among patients administered to the Department of Endodontics of Marmara University. The questionnaires were given from and retrieved by the same operator. Patients' identities remained anonymous. The questionnaire included questions about accessibility, attitude toward usage, efficacy, side effects, resistance, and usage for dental issues.
Results: Of all questionnaires distributed, 92.5% were deemed usable. The most frequently used self-medication was non-narcotic analgesics (33%), followed by antibiotics (15%). Of the respondents, 82% reported they knew about the correct time of antibiotic use; however, only 67% of them followed that. Most of the respondents (52%) reported quitting the antibiotic use when they believed they were better. The most frequent reasons for antibiotic use were to relieve dental pain (35%), and after root canal treatment (38%). In case of swelling, 31% reported they should take a course of antibiotics before a dental visit.
Conclusion: This survey revealed the misuse of antibiotics and non-narcotic analgesics associated with many misconceptions and inadequate knowledge. Also, the necessity of antibiotics and non-narcotic analgesics to treat dental disease and after dental procedures were unclear for the respondents.

Keywords

Main Subjects

References

  1. Costelloe C, Metcalfe C, Lovering A, Mant D, Hay AD. Effect of antibiotic prescribing in primary care on antimicrobial resistance in individual patients: systematic review and meta-analysis. Bmj. 2010 May 18;340:c2096.
  2. WlSe R, Hart T, Cars O. Antirnicrobial resistance Is a major threat to public health (editorial). BMJ. 1998;317:609-10.
  3. Gyssens IC. Quality measures of antimicrobial drug use. International journal of antimicrobial agents. 2001 Jan 1;17(1):9-19.
  4. BAIG QA, MUZAFFAR D, AFAQ A, Bilal S, Iqbal N. Prevalence of self medication among dental patients. Pakistan Oral & Dental Journal. 2012 Aug 1;32(2).
  5. López JJ, Dennis R, Moscoso SM. A study of self-medication in a neighborhood in Bogotá. Revista de Salud Pública. 2009 Jun;11(3):432-42.
  6. Aljadhey H, Assiri GA, Mahmoud MA, Al-Aqeel S, Murray M. Self-medication in Central Saudi Arabia: Community pharmacy consumers’ perspectives. Saudi medical journal. 2015;36(3):328.
  7. Al-Azzam S, Al-Husein B, Alzoubi F, Masadeh M, Ali M. Self-medication with antibiotics in Jordanian population. International journal of occupational medicine and environmental health. 2007 Jan 1;20(4):373-80.
  8. Belkina T, Al Warafi A, Eltom EH, Tadjieva N, Kubena A, Vlcek J. Antibiotic use and knowledge in the community of Yemen, Saudi Arabia, and Uzbekistan. The Journal of Infection in Developing Countries. 2014 Apr 15;8(04):424-9.
  9. Bretagne JF, Richard-Molard B, Honnorat C, Caekaert A, Barthelemy P. Gastroesophageal reflux in the French general population: national survey of 8000 adults. Presse medicale (Paris, France: 1983). 2006 Jan;35(1 Pt 1):23-31.
  10. Ilhan MN, Durukan E, Ilhan SÖ, Aksakal FN, Özkan S, Bumin MA. Self‐medication with antibiotics: questionnaire survey among primary care center attendants. Pharmacoepidemiology and drug safety. 2009 Dec;18(12):1150-7.
  11. Kalyan VS, Sudhakar K, Srinivas P, Sudhakar GV, Pratap KV, Padma TM. Evaluation of self-medication practices among undergraduate dental students of tertiary care teaching dental hospital in South India. Journal of Education and Ethics in Dentistry. 2013 Jan 1;3(1):21.
  12. Komolafe OO. Antibiotic resistance in bacteria-an emerging public health problem. Malawi medical journal. 2003;15(2):63-7.
  13. Ochoa C, Eiros JM, Inglada L, Vallano A, Guerra L, Spanish Study Group on Antibiotic Treatments. Assessment of antibiotic prescription in acute respiratory infections in adults. Journal of Infection. 2000 Jul 1;41(1):73-83.
  14. Pechere JC. Patients' interviews and misuse of antibiotics. Clinical infectious diseases. 2001 Sep 15;33(Supplement_3):S170-3.
  15. Metlay JP, Stafford RS, Singer DE. National trends in the use of antibiotics by primary care physicians for adult patients with cough.Archives of internal medicine. 1998 Sep 14;158(16):1813-8.
  16. McManus P, Primrose JG, Hammond ML, Whicker SD, Mant A, Fairall SR. Antibiotic use in the Australian community, 1990‐1995. Medical journal of Australia. 1997 Aug;167(3):124-7.
  17. Kaptan RF, Haznedaroglu F, Basturk FB, Kayahan MB. Treatment approaches and antibiotic use for emergency dental treatment in Turkey. Therapeutics and clinical risk management. 2013;9:443.
  18. Butler CC, Rollnick S, Pill R, Maggs-Rapport F, Stott N. Understanding the culture of prescribing: qualitative study of general practitioners' and patients' perceptions of antibiotics for sore throats. Bmj. 1998 Sep 5;317(7159):637-42.
  19. Dar-Odeh NS, Abu-Hammad OA, Al-Omiri MK, Khraisat AS, Shehabi AA. Antibiotic prescribing practices by dentists: a review. Therapeutics and clinical risk management. 2010;6:301.
  20. Abu-Mostafa NA, Al-Mejlad NJ, Al-Yami AS, Al-Sakhin FZ, Al-Mudhi SA. A survey of awareness related to the use of antibiotics for dental issues among non-medical female university students in Riyadh, Saudi Arabia. Journal of infection and public health. 2017 Nov 1;10(6):842-8.
  21. Simon AK, Rao A, Rajesh G, Shenoy R, Pai MB. Trends in self- medication for dental conditions among patients attending oral health outreach programs in coastal Karnataka, India. Indian journal of pharmacology. 2015 Sep;47(5):524.
  22. Worku S, Mariam AG. Practice of self-medication in Jimmatown, Nigeria. Ethiop J Health Dev. 2003;17:111-6.
  23. Angeles-Chimal P, Medina-Flores ML, Molina-Rodriguez JF. Self- medication in a urban population of Cuernavaca, Morelos. Salud publica de Mexico. 1992;34(5):554-61.
  24. Awad A, Eltayeb I, Matowe L, Thalib L. Self-medication with antibiotics and antimalarials in the community of Khartoum State, Sudan. J Pharm Pharm Sci. 2005 Aug 12;8(2):326-31.
  25. Adedapo HA, Lawal AO, Adisa AO, Adeyemi BF. Non-doctor consultations and self-medication practices in patients seen at a tertiary dental center in Ibadan. Indian Journal of Dental Research. 2011 Nov 1;22(6):795.
  26. Shehadeh M, Suaifan G, Darwish RM, Wazaify M, Zaru L, Alja’fari S. Knowledge, attitudes and behavior regarding antibiotics use and misuse among adults in the community of Jordan. A pilot study. Saudi Pharmaceutical Journal. 2012 Apr 1;20(2):125-33.
  27. Mouhieddine TH, Olleik Z, Itani MM, Kawtharani S, Nassar H, Hassoun R, Houmani Z, El Zein Z, Fakih R, Mortada IK, Mohsen Y. Assessing the Lebanese population for their knowledge, attitudes and practices of antibiotic usage. Journal of infection and public health. 2015 Jan 1;8(1):20-31.
  28. Lawan UM, Abubakar IS, Jibo AM, Rufai A. Pattern, awareness and perceptions of health hazards associated with self medication among adult residents of kano metropolis, northwestern Nigeria. Indian journal of community medicine: official publication of Indian Association of Preventive & Social Medicine. 2013 Jul;38(3):144.
  29. Oh AL, Hassali MA, Al-Haddad MS, Sulaiman SA, Shafie AA, Awaisu Public knowledge and attitudes towards antibiotic usage: a cross- sectional study among the general public in the state of Penang, Malaysia. The Journal of Infection in Developing Countries. 2011;5(05):338-47.
  30. André M, Vernby Å, Berg J, Lundborg CS. A survey of public knowledge and awareness related to antibiotic use and resistance in Sweden. Journal of Antimicrobial chemotherapy. 2010 Apr 1;65(6):1292-6.
  31. Yagupsky P. Selection of antibiotic-resistant pathogens in the community. The Pediatric infectious disease journal. 2006 Oct 1;25(10):974-6.
International Journal of Scientific Research in Dental and Medical Sciences
Volume 1, Issue 4
December 2019
Pages 57-61

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History

  • Receive Date: 30 August 2019
  • Revise Date: 21 October 2019
  • Accept Date: 12 November 2019

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