Self-medication with antibiotics--does it really happen in Europe?

Area of Science:

• Pharmacology
• Public Health
• Epidemiology

Background:

• Self-medication with antibiotics is a growing global concern.
• Understanding regional variations in antibiotic use is crucial for public health initiatives.

Purpose of the Study:

• To investigate the prevalence of antibiotic self-medication among Finnish immigrants in southern Spain.
• To identify reasons for antibiotic self-medication and potential failures in the healthcare system.

Main Methods:

• A survey was conducted among 530 Finnish residents in the Costa del Sol region, Spain.
• Data collected in 2002 included antibiotic usage patterns and indications.

Main Results:

• 28% of respondents used antibiotics in the prior six months, with 41% obtaining them without a prescription.
• Common cold (45%) and sore throat (17%) were the primary reasons for antibiotic use.
• No significant differences in usage or adverse reactions were found between prescription and non-prescription users.

Conclusions:

• Unnecessary antibiotic self-medication appears prevalent among Finnish immigrants in southern Spain.
• This suggests potential shortcomings in the Spanish healthcare system, including community pharmacies, in promoting rational medicine use.
• EU member states must collaborate on national policies to minimize antibiotic resistance and promote public health goals.