A cross-sectional survey to assess the drug disposal practices of unused and expired medicines among lay public visiting a tertiary care hospital in an urban metropolis

Q4 Pharmacology, Toxicology and Pharmaceutics Indian journal of physiology and pharmacology Pub Date : 2023-03-29 DOI:10.25259/ijpp_486_2022
R. Munshi, Alisha S. Dhiman, M. Maurya
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Abstract

A cross-sectional survey was conducted to evaluate the knowledge, awareness and practice among the lay public regarding storage and disposal of unused and expired medicines. This was an observational, cross-sectional, single-centre and questionnaire-based survey. After obtaining Institutional Ethics Committee approval, the study was conducted using a pre-validated structured questionnaire distributed among the lay public visiting a tertiary care hospital located in an urban metropolitan city. Four hundred of 720 individuals visiting the tertiary care hospital participated in the survey. The results revealed that 75% had never referred to any sources to get the correct information about the proper and safe disposal of medicines and had no knowledge regarding the same. About 12.75% of study participants reported that they were educated regarding the disposal of medicines by their treating physicians (RR: 0.71 [95% CI: 0.51–0.99]) when compared with the other sources of information (18%) with statistically significant contribution made by the physicians (p<0.05). About 67% of the public stored their medicines at room temperature. Majority (83.75%) of the study participants reported that they disposed unused and expired drugs in the dustbin. Only 42.5% of the public knew the detrimental effect of improper drug disposal on human health and our ecosystem. In addition, 80% (320/400) of the participants confirmed that, given the option, they would prefer to return the unused or expired drugs to the pharmacy shops from where the medicines were purchased. There is a need to educate drug consumers/general public about safe and proper disposal of unused/ expired medicines. Health-care professionals, governments and policymakers should offer training to educate the general public about Indian regulations for safe disposal of unused/expired medicines.
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一项横断面调查,以评估在城市大都市三级保健医院就诊的普通公众对未使用和过期药物的处置做法
进行了一项横断面调查,以评估公众对未使用和过期药品的储存和处置的知识、认识和做法。这是一项观察性、横断面、单中心、基于问卷的调查。在获得机构伦理委员会的批准后,该研究使用了一份预先验证的结构化问卷进行,该问卷在访问位于大都市的三级护理医院的非专业公众中分发。访问三级护理医院的720人中有400人参加了调查。结果显示,75%的人从未参考过任何来源来获得有关正确和安全处理药物的正确信息,也不知道这些信息。约12.75%的研究参与者报告称,与医生做出统计显著贡献的其他信息来源(18%)相比,他们接受了治疗医生对药物处置的教育(RR:0.71[95%CI:0.51–0.99])。约67%的公众在室温下储存药物。大多数(83.75%)的研究参与者报告说,他们将未使用和过期的药物丢弃在垃圾箱中。只有42.5%的公众知道不当药物处置对人类健康和生态系统的有害影响。此外,80%(320/400)的参与者确认,如果有选择,他们更愿意将未使用或过期的药物退回购买药物的药店。有必要对药品消费者/公众进行安全和适当处理未使用/过期药品的教育。卫生保健专业人员、政府和政策制定者应提供培训,教育公众了解印度关于安全处理未使用/过期药品的规定。
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来源期刊
Indian journal of physiology and pharmacology
Indian journal of physiology and pharmacology Pharmacology, Toxicology and Pharmaceutics-Pharmacology
CiteScore
0.50
自引率
0.00%
发文量
35
期刊介绍: Indian Journal of Physiology and Pharmacology (IJPP) welcomes original manuscripts based upon research in physiological, pharmacological and allied sciences from any part of the world.
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