Antibiotic self-medication and public awareness during the 2023 Gaza war: a cross-sectional investigation - Takeaways - MDSpire
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Public Awareness and Self-Medication with Antibiotics During the 2023 Gaza Conflict: A Cross-Sectional Study

  • By

  • Sundus A. Altalla

  • Ayman M. Abu Mustafa

  • Abdelraouf A. Elmanama

  • September 18, 2026

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  • 1

    Antibiotic self-medication means using antibiotics without a prescription or medical supervision. The paper links inappropriate use to treatment failure, adverse effects, and antimicrobial resistance.

  • 2

    The study surveyed 422 Gaza residents in 2025. Reported antibiotic self-medication rose from 60.4% before the war to 80.6% during it.

  • 3

    During the war, participants cited difficulty accessing healthcare (75.4%), overcrowded facilities (74.6%), and treatment costs (69.0%) as reasons for self-medication.

  • 4

    Reported purchases from pharmacies without a prescription rose from 23.7% before the war to 80.6% during it; black-market acquisition rose from 2.1% to 41.0%.

  • 5

    The authors call for public education, antibiotic stewardship, better healthcare access, and stronger oversight of antibiotic distribution.

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