ABSTRACT
Background: Self-medication is commonly practiced worldwide and the irrational use of drugs for self-medication is a major cause of concern. The situation is more complex when a number of prescriptions only medicines are used for self-medication which are easily available over the counter through pharmacies without any prescription. The objective of this study was to assess the prevalence and practice of self-medication among undergraduate medical students and non-medical students.Methods: This cross-sectional questionnaire based study was carried out among 100 undergraduate students of a tertiary care medical college and 100 undergraduate students of an arts and science college in south India. The respondents were selected from the students who were present on the day of study. A pre-tested, self-assessing questionnaire was used to obtain the information on the prevalence and practice of self-medication.Results: Self-medication was practiced by 96% and 92% of medical and nonmedical students respectively. Overall practice of self-medication was 94%. Majority of females were self-medicating than males, 94% and 90% respectively. The most common symptom leading to self-medication among medical students were cough and common cold compared to headache among nonmedical students. The commonly used medicines for self-medication in both the groups were analgesics, antipyretics, cough suppressants and antibiotics. More number of medical students reported the use of antibiotics to treat infections (70%) which was statistically significant.Conclusions: The prevalence and practice of self-medication was alarming in both groups. The use of antimicrobials was also found to be very high among medical students. It is a need of the hour to create better awareness regarding the use of drugs for self-medication, to implement policies to prevent the dispensing of medicines without any prescription which would remain as the cornerstone for reducing the practice of self-medication.
ABSTRACT
Background: Early diagnosis of the disease and prompt initiation of treatment are essential for an effective tuberculosis (TB) control program. The delay in the diagnosis and treatment may worsen the disease, increases the risk of death and enhances tuberculosis transmission in the community. This study was done to assess the extent of various delays and their determinants among TB patients. Methods: A cross-sectional study including retrospective medical record review and patient interviews was conducted during the year 2010 in and around union territory of Puducherry in India. A structured questionnaire used in the WHO multi-country study to estimate the diagnostic and treatment delay in TB was used to interview the patients. Average estimates and proportions were calculated for continuous and categorical variables respectively. Unadjusted odds ratios (OR) were calculated. Level of significance was determined at 95% confidence level (P value <0.05) and all tests applied were two-sided. Results: A total of 138 new sputum smear positive TB patients were included in the study. The mean age of participants was 41.8 years ± 17.3 years (range 15-87 years). Majority (67.4%) of the patients were male and married (68.8%). Majority (86%) of the patients were literate. The median patient delay, health system delay and total delay was 36 days, 28.5 days and 81 days respectively. The place of residence (OR = 0.39, 95% CI = 0.18-0.87) and family size (OR = 0.45, 95% CI = 0.21-0.97) were found as the determinants of various delays for TB patients. Conclusion: Patient and health care system delay for TB patients is long. There is need to improve the referral mechanism to ensure an early initiation of treatment for TB patients diagnosed a tertiary care hospitals.