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Diseases 2018, 6(2), 49; https://doi.org/10.3390/diseases6020049

Prevalence and Determinants of Antibiotic Self-Medication among Adult Patients with Respiratory Tract Infections in the Mboppi Baptist Hospital, Douala, Cameroon: A Cross-Sectional Study

1
Medical Doctors Research Group (MDRG), Douala 15161, Cameroon
2
Mboppi Baptist Hospital Douala, Douala 15161, Cameroon
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Health and Human Development (2HD) Research Network, Douala 4856, Cameroon
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Nuffield Department of Medicine, University of Oxford, Oxford OX1 3SY, UK
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District Hospital Ekondo-Titi, Ekondo-Titi 281, Cameroon
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School of Public Health – University of Brussels, Brussels CP 598, B-1070, Belgium
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Department of International Public Health, Liverpool School of Tropical Medicine, Liverpool L3 5QA, UK
*
Author to whom correspondence should be addressed.
Received: 30 April 2018 / Revised: 4 June 2018 / Accepted: 7 June 2018 / Published: 8 June 2018
(This article belongs to the Section Infectious Disease)
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Abstract

Antibiotic self-medication in patients with respiratory tract infections (RTI) is increasing globally and has been reported to be one of the prime contributors to antimicrobial resistance (AMR). Our study aims to provide data on the prevalence of antibiotic self-medication and identify the factors contributing to self-medication in adult patients with respiratory tract infection in an urban setting in Cameroon. This was cross-sectional study carried out at Mboppi Baptist Hospital, Douala, Cameroon. A validated structured questionnaire was administered to 308 consenting participants with diagnosed RTIs, to collect data on socio-demographic characteristics and history of antibiotic self-medication. Significance was set at a p-value < 0.05. The prevalence of antibiotic self-medication amongst individuals with RTIs was 41.9% (95% CI 36.5% to 47.5%). Patients with a history of pulmonary tuberculosis (TB) were significantly less likely to self-medicate with antibiotics (p-value = 0.043). The most common source of antibiotic self-medication was pharmacies (62%) and Cotrimoxazole and Amoxicillin were the most commonly used antibiotics (38.8% (50), 26.4% (34), respectively). Self-medication with antibiotics in adult patients with RTIs is common in Cameroon. Control of the use of antibiotics, organisation of medication stewardship programs, and education of the general population on the adverse consequences of antibiotic self-medication are required. View Full-Text
Keywords: self-medication; prevalence; risk factors; antibiotics; respiratory tract infection; Cameroon; Africa; antimicrobial resistance self-medication; prevalence; risk factors; antibiotics; respiratory tract infection; Cameroon; Africa; antimicrobial resistance
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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Ngu, R.C.; Feteh, V.F.; Kika, B.T.; F., E.K.N.; Ayeah, C.M.; Chifor, T.; Njim, T.; Fankem, A.M.; Yengo, F.K.F. Prevalence and Determinants of Antibiotic Self-Medication among Adult Patients with Respiratory Tract Infections in the Mboppi Baptist Hospital, Douala, Cameroon: A Cross-Sectional Study. Diseases 2018, 6, 49.

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