Survey of antibiotic use of individuals visiting public healthcare facilities in Indonesia.
Publication year
2008Source
International Journal of Infectious Diseases, 12, 6, (2008), pp. 622-9ISSN
Publication type
Article / Letter to editor

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Organization
Primary and Community Care
Internal Medicine
Otorhinolaryngology
Journal title
International Journal of Infectious Diseases
Volume
vol. 12
Issue
iss. 6
Page start
p. 622
Page end
p. 9
Subject
N4i 1: Pathogenesis and modulation of inflammation; N4i 3: Poverty-related infectious diseases; UMCN 4.1: Microbial pathogenesis and host defenseAbstract
OBJECTIVES: To estimate the antibiotic use of individuals visiting public healthcare facilities in Indonesia and to identify determinants of use against a background of high resistance rates. METHODS: Patients on admission to hospital (group A), visiting a primary health center (group B), and healthy relatives (group C) were included in the study. A questionnaire on demographic, socioeconomic, and healthcare-related items including health complaints and consumption of antibiotics was used. Logistic regression was performed to determine the co-variables of antibiotic use. RESULTS: Of 2996 individuals interviewed, 486 (16%) had taken an antibiotic. Compared to group C (7% consumption), groups B and A exhibited a three-fold and four-fold higher use of antibiotics, respectively. Respiratory (80%) and gastrointestinal (13%) symptoms were most frequent. Aminopenicillins and tetracyclines accounted for 80% of the prescribed antibiotics. Similar antibiotics were self-medicated (17% of users). Age less than 18 years and health insurance were independent determinants of antibiotic use. Urban provenance, being adult, male, and having no health insurance were independent determinants of self-medication. CONCLUSIONS: In addition to health complaints, other factors determined antibiotic consumption. In view of the likely viral origin of respiratory complaints and the resistance of intestinal pathogens, most antibiotic use was probably unnecessary or ineffective. Future interventions should be directed towards healthcare providers.
This item appears in the following Collection(s)
- Academic publications [227864]
- Electronic publications [107341]
- Faculty of Medical Sciences [86218]
- Open Access publications [76461]
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