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Survey of antibiotic use of individuals visiting public healthcare facilities in Indonesia.
Int J Infect Dis. 2008 Nov; 12(6):622-9.IJ

Abstract

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.

Authors+Show Affiliations

Department of Internal Medicine, Dr. Soetomo Hospital - School of Medicine, Airlangga University, Jl. Manyar Tirtomoyo II/21, Surabaya 60118, Indonesia. i.gyssens@aig.umcn.nlNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18396084

Citation

Hadi, Usman, et al. "Survey of Antibiotic Use of Individuals Visiting Public Healthcare Facilities in Indonesia." International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases, vol. 12, no. 6, 2008, pp. 622-9.
Hadi U, Duerink DO, Lestari ES, et al. Survey of antibiotic use of individuals visiting public healthcare facilities in Indonesia. Int J Infect Dis. 2008;12(6):622-9.
Hadi, U., Duerink, D. O., Lestari, E. S., Nagelkerke, N. J., Werter, S., Keuter, M., Suwandojo, E., Rahardjo, E., van den Broek, P., & Gyssens, I. C. (2008). Survey of antibiotic use of individuals visiting public healthcare facilities in Indonesia. International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases, 12(6), 622-9. https://doi.org/10.1016/j.ijid.2008.01.002
Hadi U, et al. Survey of Antibiotic Use of Individuals Visiting Public Healthcare Facilities in Indonesia. Int J Infect Dis. 2008;12(6):622-9. PubMed PMID: 18396084.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Survey of antibiotic use of individuals visiting public healthcare facilities in Indonesia. AU - Hadi,Usman, AU - Duerink,D Offra, AU - Lestari,Endang Sri, AU - Nagelkerke,Nico J, AU - Werter,Susanne, AU - Keuter,Monique, AU - Suwandojo,Eddy, AU - Rahardjo,Eddy, AU - van den Broek,Peterhans, AU - Gyssens,Inge C, AU - ,, Y1 - 2008/04/18/ PY - 2007/11/18/received PY - 2008/01/15/accepted PY - 2008/4/9/pubmed PY - 2009/1/28/medline PY - 2008/4/9/entrez SP - 622 EP - 9 JF - International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases JO - Int. J. Infect. Dis. VL - 12 IS - 6 N2 - 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. SN - 1878-3511 UR - https://www.unboundmedicine.com/medline/citation/18396084/Survey_of_antibiotic_use_of_individuals_visiting_public_healthcare_facilities_in_Indonesia_ L2 - http://linkinghub.elsevier.com/retrieve/pii/S1201-9712(08)00035-0 DB - PRIME DP - Unbound Medicine ER -