A cross‑sectional study of antimicrobial use among self‑medicating COVID‑19 cases in Nyeri County, Kenya
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Antimicrobial Resistance & Infection Control
2024
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| Online Access: | https://repository.daystar.ac.ke/handle/123456789/4610 |
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| author | Kimathi George, Kiarie Jackline, Njarambah Lydiah , Onditi Jorum and Ojakaa David |
| author_facet | Kimathi George, Kiarie Jackline, Njarambah Lydiah , Onditi Jorum and Ojakaa David |
| author_sort | Kimathi George, Kiarie Jackline, Njarambah Lydiah , Onditi Jorum and Ojakaa David |
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| id | oai:repository.daystar.ac.ke:123456789-4610 |
| institution | Daystar University |
| language | English |
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| spelling | oai:repository.daystar.ac.ke:123456789-46102024-05-13T08:50:54Z A cross‑sectional study of antimicrobial use among self‑medicating COVID‑19 cases in Nyeri County, Kenya Kimathi George, Kiarie Jackline, Njarambah Lydiah , Onditi Jorum and Ojakaa David Self-medication Antimicrobial resistance Survey Nyeri County Kenya COVID-19 symptoms Journal Article Background: During the COVID-19 pandemic, Nyeri County in Kenya was among the regions reporting a high number of confirmed cases. This exemplified the increased need of addressing potential antimicrobial resistance (AMR) and self-medication during disease outbreaks. This study examined the extent of self-medication with antimicrobials among COVID-19 confirmed cases in the County. Methods: A cross-sectional survey using phone-based interviews was conducted in August 2021 among a sample of 280 out of 2317 confirmed COVID-19 cases in the County using a pre-coded questionnaire. Descriptive analyses of frequencies and causal logistic regression were conducted using STATA version 13. Results: A total of 193 (68.9%) of the respondents indicated developing COVID-19 related symptoms-mainly cough (41.5%), headache (38.3%), and fatigue (34.7%). Over one-fifth (23.4%) of the respondents had self-medicated with antibiotics, 60.6% of whom did so at the onset of symptoms before the confirmatory test, and 51.5% self-medicating more than once. Common antibiotics used were Azithromycin (40.0%) and Amoxycilline (23.3%), with a considerable 21.7% having difficulty remembering the name of the drugs. Only half (50.4%) of the respondents (128/254) were aware of regulations towards self-medication with antibiotics. Age was the only socio-demographic variable significantly related to reduced self-medication, with older persons less likely to self-medicate. On the other hand, developing COVID-19 symptoms, awareness of COVID regulations, and appreciation of the need for self-medication awareness were related to increased self-medication. Conclusion: Being older, developing COVID-19 symptoms, and appreciating self-medication awareness have influential effects on the use of antimicrobials. Public health interventions should be timely during infectious disease outbreaks to prevent undesirable health-seeking behavior such as irrational antimicrobial use. AMR policies should enhance awareness of the risks of self-medication and address barriers that deter people from timely access of health services during disease outbreaks. Further research should be conducted on the self-medication and AMR nexus, especially during health emergencies. 2024-05-13T08:45:33Z 2024-05-13T08:45:33Z 2022 Article Kimathi G., Kiarie J., Njarambah L., Onditi J., and Ojakaa D. (2022): A cross‑sectional study of antimicrobial use among self‑medicating COVID‑19 cases in Nyeri County, Kenya. Antimicrobial Resistance & Infection Control. Article Link https://doi.org/10.1186/s13756-022-01150-7 https://repository.daystar.ac.ke/handle/123456789/4610 en application/pdf Antimicrobial Resistance & Infection Control |
| spellingShingle | Self-medication Antimicrobial resistance Survey Nyeri County Kenya COVID-19 symptoms Kimathi George, Kiarie Jackline, Njarambah Lydiah , Onditi Jorum and Ojakaa David A cross‑sectional study of antimicrobial use among self‑medicating COVID‑19 cases in Nyeri County, Kenya |
| title | A cross‑sectional study of antimicrobial use among self‑medicating COVID‑19 cases in Nyeri County, Kenya |
| title_full | A cross‑sectional study of antimicrobial use among self‑medicating COVID‑19 cases in Nyeri County, Kenya |
| title_fullStr | A cross‑sectional study of antimicrobial use among self‑medicating COVID‑19 cases in Nyeri County, Kenya |
| title_full_unstemmed | A cross‑sectional study of antimicrobial use among self‑medicating COVID‑19 cases in Nyeri County, Kenya |
| title_short | A cross‑sectional study of antimicrobial use among self‑medicating COVID‑19 cases in Nyeri County, Kenya |
| title_sort | cross‑sectional study of antimicrobial use among self‑medicating covid‑19 cases in nyeri county, kenya |
| topic | Self-medication Antimicrobial resistance Survey Nyeri County Kenya COVID-19 symptoms |
| url | https://repository.daystar.ac.ke/handle/123456789/4610 |
| work_keys_str_mv | AT kimathigeorgekiariejacklinenjarambahlydiahonditijorumandojakaadavid acrosssectionalstudyofantimicrobialuseamongselfmedicatingcovid19casesinnyericountykenya AT kimathigeorgekiariejacklinenjarambahlydiahonditijorumandojakaadavid crosssectionalstudyofantimicrobialuseamongselfmedicatingcovid19casesinnyericountykenya |
Nyeri county development profile / 
Antimicrobial polymers