Self-medication practice among undergraduate medical students of a Saudi tertiary institution

Purpose: To assess the knowledge, attitude and magnitude of self-medication among medical students of Jazan University, Jazan, Saudi Arabia.Methods: A cross-sectional, self-administered questionnaire-based study was conducted among undergraduate medical students of Jazan University, Jazan, Saudi Arabia. A total of 300 students were selected by random sampling.Results: Self-medication practice was highly prevalent among the medical students, with 87 % reporting that they indulge in it. Self-medication was more prevalent among female students than male. Sedatives were the most common drugs used by students for self-medication (58 %). The most common reason adduced for self-medication practice was their belief that they have sufficient information, previous experience, and the experience of others, such as family members and colleagues, with regard to the drugs. A huge proportion (84.5 %) of the respondents agreed that selfmedication could be harmful and is associated with adverse effects, while 52.6 % stated that they would not advise other persons to indulge in self-medication.Conclusion: Self-medication is prevalent among third-year medical students of Jazan University in Saudi Arabia. Although the students exhibited sufficient awareness of self-medication, the findings highlight the need for intervention programmes regarding the practice of self-medication.Keywords: Self-medication, Prevalence, Awareness, Sedatives, Medical student

SARS-CoV-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study

Background: Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numbers are limited so this study aimed to inform their prioritization by modelling. Methods: The primary outcome was the number needed to vaccinate (NNV) to prevent one COVID-19-related death in 1 year. NNVs were based on postoperative SARS-CoV-2 rates and mortality in an international cohort study (surgical patients), and community SARS-CoV-2 incidence and case fatality data (general population). NNV estimates were stratified by age (18-49, 50-69, 70 or more years) and type of surgery. Best- and worst-case scenarios were used to describe uncertainty. Results: NNVs were more favourable in surgical patients than the general population. The most favourable NNVs were in patients aged 70 years or more needing cancer surgery (351; best case 196, worst case 816) or non-cancer surgery (733; best case 407, worst case 1664). Both exceeded the NNV in the general population (1840; best case 1196, worst case 3066). NNVs for surgical patients remained favourable at a range of SARS-CoV-2 incidence rates in sensitivity analysis modelling. Globally, prioritizing preoperative vaccination of patients needing elective surgery ahead of the general population could prevent an additional 58 687 (best case 115 007, worst case 20 177) COVID-19-related deaths in 1 year. Conclusion: As global roll out of SARS-CoV-2 vaccination proceeds, patients needing elective surgery should be prioritized ahead of the general population