Antibiotic Self-Medication and Risk Factors among Medical Students in an Iranian University: a Cross Sectional Study

Background: Self-medication with antibiotic is a widely prevalent practice all over the world especially among medical students. This study was aimed to evaluate the prevalence and the pattern of self-medication among medical students in Tehran, Iran. Materials and Methods: A cross-sectional questionnaire-based study was conducted among the undergraduate medical students from a referral university in Tehran, Iran. All data obtained were analyzed using the statistical package for social sciences program (SPSS) version 20. Results: A total of 201 students were enrolled in the current study. According to the analysis, 129 (64.1%) of the study population reported that they have self-medicated with antibiotics at least once in their student life. The principal morbidities for seeking self-medication include cough and common cold (23.4%) followed by fever (14.9%). The most frequent antibiotics used to self-medicate the mentioned morbidities were: amoxicillin (62%), co-amoxiclav (19.4%), penicillin (17%), cefixime (16%), azithromycin (14%) and tetracycline (9%). The majority of the participants stated cost saving, convenience and lack of confidence as their reasons for self-medication. The drug selection was mostly based on opinion of family members (31.8%), their own experience (27.4%) and the least commonly reported was selection based on recommendation by net citizens (0.5%). Conclusion: Our study indicates that self-medication is widely practiced among students of the college. In this situation, the health care system should create as effective awareness and educate their students regarding advantages and disadvantages of self-medication.