Extent of storage and wastage of antibacterial agents in Palestinian households
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Objective Inappropriate use of antibacterial agents may lead to drug wastage and potential therapeutic failures in the future. The objective of this study was to investigate the extent of storage, and wastage of antibacterial agents in households in Palestine. Method This was a cross sectional, questionnaire-based study of households in northern Palestine. Any antibacterial agents present in the surveyed households were investigated and family members were interviewed. Main outcome measure Number and type of antibacterial agents stored in each household. Results The total number of antibacterial agents in the 465 surveyed households was 641, constituting 11.3% of the total stored medications. The average number of antibacterial agents was 1.4 ± 1.74 per household. The most common antibacterial agents encountered were amoxicillin (29.5%) and amoxicillin/clavulanic acid (11.6%). Family size (P < 0.001), total number of stored medications (P < 0.001), and presence of elderly residents (>65 years) (P < 0.001) were significantly associated with the presence of antibacterial agents. Furthermore, the level of parental education was significantly and positively (P = 0.009, r = 0.128; P = 0.013, r = 0.122 for father and mother respectively) correlated with the number of antibacterial agents found in the households. More than one-third (37.4%) of antibacterial agents were stored within the reach of children. Wasted antibacterial agents, defined as those which had expired or those with no clear expiry date were 16.4 and 10.1%, respectively. The percentage of antibacterial agents that were not currently in use was 69.3%. Estimated total value of antibacterial agents found in the study was $4,769, approximately $11.5 per household. The total wastage of antibacterial agents was valued at $2,790, approximately $6.7 per household. Conclusion Antibacterial agents were commonly encountered in Palestinian households, and a relatively large percentage was being wasted.
KeywordsAntibacterial agents ATC system Cost Household Palestine Storage Utilisation Wastage
The author would like to acknowledge An-Najah National University pharmacy students for their help in accomplishing this project.
No funding was available for this project.
Conflicts of interest
The authors declare no conflicts of interest directly relevant to the content of this manuscript.
- 1.Palestinian Central Bureau of Statistics. Palestinians in numbers, 2007. May, 2008.Google Scholar
- 3.DFID. West Bank and Gaza health sector expenditure review, 2006. London: Department for International Development; 2006. http://www.opml.co.uk/policy_areas/public_financial_management/palestine_health_per.html.
- 4.Sawalha AF, Sweileh WM, Zyoud SH, Al-Jabi SW, Bani Shamseh FF, Odah AA. Analysis of prescriptions dispensed at community pharmacies in Palestine. East Mediterr Health J. 2010 (in press).Google Scholar
- 6.Bronzwaer SL, Cars O, Buchholz U, Mölstad S, Goettsch W, Veldhuijzen IK, Kool JL, Sprenger MJ, Degener JE, European Antimicrobial Resistance Surveillance System. A European study on the relationship between antimicrobial use and antimicrobial resistance. Emerg Infect Dis. 2002;8(3):278–82.CrossRefPubMedGoogle Scholar
- 10.Sawalha AF. Self-medication with antibiotics: a study in Palestine. Int J Risk Saf Med. 2008;20(4):213–22.Google Scholar
- 11.Orero A, González J, Prieto J. Antibiotics in Spanish households medical and socioeconomic implications. URANO Study Group. Med Clin (Barc). 1997;109(20):782–5.Google Scholar
- 12.Stratchounski LS, Andreeva IV, Ratchina SA, Galkin DV, Petrotchenkova NA, Demin AA, Kuzin VB, Kusnetsova ST, Likhatcheva RY, Nedogoda SV, Ortenberg EA, Belikov AS, Toropova IA. The inventory of antibiotics in Russian home medicine cabinets. Clin Infect Dis. 2003;37(4):498–505. Epub 2003 Aug 1.Google Scholar
- 17.Sweileh WM. Self-medication and over-the-counter practices: a study in Palestine. J Al-Aqsa Univ. 2004;8:1–9.Google Scholar
- 18.Sweileh W, Arafat R. Attitudes toward medications: a pilot study in Palestine. Islam Univ J (Ser Nat Stud Eng). 2006;14(2):21–30.Google Scholar