Antibiotics Overuse and its Consequences: Raising Awareness and Promoting Responsible Use
DOI:
https://doi.org/10.48047/HM.10.2.2024.1909-1919Keywords:
Antibiotic misuse, , Anti-microbial resistance, Public health, Self-medicationAbstract
Antibiotic misuse in District Rawalpindi has emerged as a critical public health challenge, driven by factors such as self-medication, over prescription, and inadequate awareness of antimicrobial resistance (AMR). In this study of 200 respondents, 95% were familiar with antibiotics, yet 50% reported self-medication, and 35% admitted to not completing prescribed courses, underscoring significant gaps in responsible use. While 90% recognized the link between antibiotic overuse and resistance, only 30% had participated in public health initiatives addressing the issue. Key drivers of misuse include cultural misconceptions, economic constraints, and the unregulated availability of antibiotics. Healthcare providers, often seen as primary sources of antibiotic information, also contribute to cover prescription due to patient demands and systemic pressures. These behaviors have led to adverse health outcomes, as reported by 40% of respondents. Addressing these challenges requires multifaceted interventions, including stricter prescription policies, public education campaigns, improved healthcare access, and training for providers in antimicrobial stewardship. These strategies are essential to mitigating AMR and preserving the efficacy of antibiotics in Rawalpindi and beyond.
Downloads
References
Byrne MK, Miellet S, McGlinn A, Fish J, Meedya S, Reynolds N, Van Oijen AM. The drivers of antibiotic use and misuse: the development and investigation of a theory driven community measure. BMC public health. 2019 Dec; 19:1-1.
Attah F, Angulu CN, Mamman G, Udensi E, Anyebe EO, Daniel EN, Ajanya BU, Olaruwaju GA. Rising cases of antibiotics self-medication and its associated predicament. Fudma Journal of Sciences. 2020 Sep 30;4(3):668-71.
Saleem Z, Godman B, Azhar F, Kalungia AC, Fadare J, Opanga S, Markovic-Pekovic V, Hoxha I, Saeed A, Al-Gethamy M, Haseeb A. Progress on the national action plan of Pakistan on antimicrobial resistance (AMR): A narrative review and the implications. Expert review of anti-infective therapy. 2022 Jan 2;20(1):71-93.
Chen J, Sidibi AM, Shen X, Dao K, Maiga A, Xie Y, Hesketh T. Lack of antibiotic knowledge and misuse of antibiotics by medical students in Mali: a cross-sectional study. Expert Review of Anti-infective Therapy. 2021 Jun 3;19(6):797-804.
Polianciuc SI, Gurzău AE, Kiss B, Ştefan MG, Loghin F. Antibiotics in the environment: causes and consequences. Medicine and pharmacy reports. 2020 Jul;93(3):231.
Latif R, Wajid U. Isolation and Identification of Bacteriumon DiagnosticPathology Laboratory Hardware. International Journal of Natural Medicine and Health Sciences. 2024 Mar 31;3(2):01-12.
Ifeadi CN, Agodi F. MISUSE AND ABUSE OF PRESCRIPTION DRUGS: AN OVERVIEW. Disseminating Scholarly Research Across The Globe. 2024:27.
Dhyani V, Dhyani A, Joshi R. Antibiotic resistance: Pathophysiology, implications of overuse, and strategies for recovery. InHazardous Chemicals 2025 Jan 1 (pp. 795-811). Academic Press.
Luqman M, Arif A, Zahra N, Wajid U, Abid S. DETECTION AND REMOVAL OF SEASONAL AFM1 OCCURRENCE IN VARIOUS MILK SAMPLES COLLECTED FROM DIFFERENT SHOPS OF LAHORE. Chelonian Research Foundation. 2024 Mar 28;19(01):422-33.
Kassa T, Al-Sayidi RH. Impact of antibiotics on public health. World Journal of Experimental Biosciences (ISSN: 2313-3937). 2023 Sep 20:25-30.
Salam A, Waseem S, Akhtar L, Manan HA, Malik MA, Siddique N. Parental Self-Medication with Antibiotics in Pakistan. Pakistan Journal of Medical & Health Sciences. 2023 May 25;17(04):228.
Saif A, Khan TM, Bukhsh A, Yaseen MO, Saif A. Cross-sectional survey to explore knowledge, attitude, practices and impact of an intervention programme related to antibiotic misuse and self-medication among general population of Pakistan. BMJ Public Health. 2024 Feb 1;2(1).
Anwar P, Naeem A, Khan M, Arif A, Zahid A, Wajid U. Prevalence of Helicobacter pylori infections in patients visiting to gestroenterology department Rehman Medical Institute Khyber Pakhtunkhwa. International Journal of Natural Medicine and Health Sciences. 2023 Sep 30;2(4):37-43.
Aruković E, Fetahović D, Pehlivanović B. Impact of Antibiotic Misuse on Genetics Alterations of Bacteria. InCMBEBIH 2019: Proceedings of the International Conference on Medical and Biological Engineering, 16 ̶̶ 18 May 2019, Banja Luka, Bosnia and Herzegovina 2020 (pp. 617-621).
Paris Anwar AA, Imtiaz M, Usman Wajid MD, Muccee F, Sajid-ur-Rehman MA, Sumreen L, Imran MY, Arshad S. PREVALENCE AND ANTIBIOGRAM OF MRSA ISOLATED FROM VARIOUS CLINICAL SPECIMENS IN A TERTIARY CARE HOSPITAL IN PESHAWAR.
Mshelia MB, Zenoh DA, Fasogbon IV, Micheal NY, Obi C, Adam M, Nuhu T. Antibacterial Resistance Genes Frequently Detected in Nigeria. African Journal of Biomedical Research. 2024 Sep 17;27(2):225-41.
Wang T, Wu J, Li J, Zhou P, Li Q, Xu X, Gong Y, Yin X. Is self-medication with Antibiotics among the public a global concern: a Mixed-Methods Systematic Review. Expert Review of Anti-infective Therapy. 2024 Dec 1(just-accepted).
Chokshi A, Sifri Z, Cennimo D, Horng H. Global contributors to antibiotic resistance. Journal of global infectious diseases. 2019 Jan 1;11(1):36-42.
Fatma A, Ahuja V, Ahuja A, Kumar S, Srivastava SK, Thosar NR. Evaluation of Antibacterial Activity of Madhuca longifolia (Mahua) Stem Extract Against Streptococcus mutans: An In Vitro Study. Cureus. 2024 Jan;16(1).
Liu Y, Cui Y, Lu L, Gong Y, Han W, Piao G. Natural indole‐containing alkaloids and their antibacterial activities. Archiv der Pharmazie. 2020 Oct;353(10):2000120.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Mahmoona Sehar Hanif, Muhammad Aqeel Sultan, Abida Raza, Muhammad Javaid Asad, Tasawar Sultana, Muhammad Ishfaq Hussain, Usman Wajid (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.