ArticleInfection and drug resistance2021
Antibiotic Practices, Perceptions and Self-Medication Among Patients at a National Referral Hospital in Uganda.
Article in Infection and drug resistance, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.
What it found
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- The intersection of the social determinants of health and antimicrobial resistance in human populations: a systematic review.BMJ global health · 2025Pooled it
- The global prevalence of antibiotic self-medication among the adult population: systematic review and meta-analysis.Systematic reviews · 2025Pooled it
- The nature of self-medication in Uganda: a systematic review and meta-analysis.BMC public health · 2025Pooled it
- Prevalence of Missed Medication Doses and Outcomes of Hospitalized Patients Living with HIV in Uganda.Drug, healthcare and patient safety · 2026Article
- Prevalence and Determinants of Self‑Medication Among Adult Outpatients in a Rural Health Facility in Northern Uganda: A Cross‑Sectional Study.Patient preference and adherence · 2026Article
- Practices and perspectives on antimicrobial drug misuse in Southern Ethiopia: a mixed-method study, 2024.Antimicrobial resistance and infection control · 2026Article
- Prevalence and Associated Factors of Self-Medication Among Adults With Hypertension in Central Uganda: A Cross-Sectional Study.International journal of hypertension · 2026Article
- Pollution by antimicrobials and antibiotic resistance genes in East Africa: Occurrence, sources, and potential environmental implications.Toxicology reports · 2025Review
- Multiple antimicrobial resistance indices of Staphylococcus aureus from the nares of goats and slaughterhouse attendants in Kampala city, Uganda- a cross sectional study.BMC microbiology · 2025Article
- Knowledge, attitude, and practices regarding antibiotic use and antimicrobial resistance among urban slum dwellers in Uganda.Antimicrobial resistance and infection control · 2025Article
- Antibiotic self-medication in Otuke District, Northern Uganda: Prevalence and associated factors.PloS one · 2025Article
- Extensively and multidrug-resistant bacterial strains: case studies of antibiotics resistance.Frontiers in microbiology · 2024Review
- Colonization of patients hospitalized at orthopedic department of tertiary hospital in Uganda with extended-spectrum beta-lactamase-producing enterobacterales.Antimicrobial resistance and infection control · 2023Article
- Microbiological Findings and Clinical Outcomes in Ugandan Patients with Infected Burn Wounds.European burn journal · 2023Article
- Article
- Knowledge, perceptions and practices on antimicrobial resistance in humans and animals in Wakiso district, Uganda: A cross sectional study.PLOS global public health · 2023Article
- Addressing gaps in AMR awareness in the public: an evidence-based policy brief to guide school curriculum review in Uganda.Frontiers in public health · 2023Article
- The Utility of Internet-Enabled Antibiotic Self-Medication and Its Associated Factors Among Patients Attending Private Clinics in Kawempe Division in Kampala Capital City, Uganda: Community-Based Cross-Sectional Study.Drug, healthcare and patient safety · 2023Article
- Self-medication and the 'infodemic' during mandatory preventive isolation due to the COVID-19 pandemic.Therapeutic advances in drug safety · 2022Article
- Knowledge, Attitudes, and Practices of Self-Medication among Healthcare Students in Saudi Arabia.Journal of pharmacy & bioallied sciencesArticle
Corrections and comments
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Authors and funding
13 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundAntimicrobial resistance (AMR) is a major global health concern with increasing reports of microorganisms resistant to most of the available antibiotics. There are limited data on antibiotic practices, perceptions and self-medication among Ugandans, necessitating this study.
methodsA cross-sectional study was conducted among patients at Kiruddu National Referral Hospital, Kampala, Uganda. A pre-tested interviewer administered a questionnaire that was used to collect data after an informed consent. Chi-square tests and logistic regression were used to assess associations between outcome and exposure variables. A P<0.05 was statistically significant.
resultsA total of 279 patients (response rate=71%) with a median age of 32 years participated in the study. The majority were females (55.6%, n=155) and from the outpatient department (74.9%, n=209). Overall, 212 (76%) participants had taken an antibiotic in the past 6 months, and some 22.2% (n=47) of the participants had practiced self-medication. Male participants (adjusted odds ratio (aOR)=2.13, 95% confidence intervals (CI): 1.01 to 4.50, P=0.046) and Muslims (aOR=4.37, 96% CI:1.54 to 12.44, P=0.006) were more likely to self-medicate. Employees (aOR=0.06, 95% CI:0.01 to 0.51, P=0.010) and patients with tertiary education (aOR=0.14, 95% CI: 0.02 to 0.81, P=0.028) were less likely to practice self-medication. About 33% (n=70) of the participants had not completed treatment dosage during their last course of antibiotic treatment because of feeling better (60%, n=42), lack of money to purchase the medication (15.7%, n=11) and side effects (10%, n=7). Whereas 169 participants (79.7%) believed that not completing treatment would have an impact on their personal health, only 96 participants (45.3%) believed that this behaviour could affect the health of others.
conclusionAntibiotic misuse is significant among patients in Uganda. Continuous health education programs aimed at informing the public on antimicrobial resistance, and its dangers are recommended to curtail this challenge.
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