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Abstract：
BACKGROUND: Unused pharmaceuticals are currently a public health problem. This study aimed to identify unused pharmaceuticals, research practices about the disposal methods, classify the medicines according to Anatomical Therapeutic Chemical codes (ATC) and, to determine the number of unused medicines.
METHODS: The study was designed as a cross-sectional study. Data were collected between April and August 2023 in Burdur-Türkiye by non-probability sampling technique (convenience method). Pharmaceuticals were classified according to ATC. Statistical Package for Social Science SPSS (V.24) package program was used for data analysis.
RESULTS: A total of 1120 people, 1005 in the first sample group and 115 in the second sample group, participated in the study. Findings of first sample group: A total of 4097 boxes of unused pharmaceuticals (4.7 ± 4.3 boxes/per capita) were detected. It was found that pharmaceuticals were stored in areas such as kitchens (59.1%) and refrigerators (38.6%), the reason for keeping them was reuse (41%), and the disposal practice was household garbage (81%). Paracetamol (648 boxes), Other cold preparation (303 boxes), Dexketoprofen (239 boxes), Diclofenac (218 boxes), Amoxicillin and beta-lactamase inhibitor (190 boxes) were found to be the most frequently unused pharmaceuticals. Using the unused medicines at home without consulting a physician was 94.1% (self-medication). Findings of second sample group: Of the 6189 dosage forms in 265 boxes pharmaceutical, 3132(50.6%) dosage forms were used and 3057(49.4%) were found to be unused.
CONCLUSIONS: There is a significant amount and number of unused medicines in households, and self-medication is common. Medicines are not properly disposed of and some of them expire. Public information is needed. A \"drug take-back system\" for unused medicines can be useful in solving this problem.
METHODS: The study was designed as a cross-sectional study. Data were collected between April and August 2023 in Burdur-Türkiye by non-probability sampling technique (convenience method). Pharmaceuticals were classified according to ATC. Statistical Package for Social Science SPSS (V.24) package program was used for data analysis.
RESULTS: A total of 1120 people, 1005 in the first sample group and 115 in the second sample group, participated in the study. Findings of first sample group: A total of 4097 boxes of unused pharmaceuticals (4.7 ± 4.3 boxes/per capita) were detected. It was found that pharmaceuticals were stored in areas such as kitchens (59.1%) and refrigerators (38.6%), the reason for keeping them was reuse (41%), and the disposal practice was household garbage (81%). Paracetamol (648 boxes), Other cold preparation (303 boxes), Dexketoprofen (239 boxes), Diclofenac (218 boxes), Amoxicillin and beta-lactamase inhibitor (190 boxes) were found to be the most frequently unused pharmaceuticals. Using the unused medicines at home without consulting a physician was 94.1% (self-medication). Findings of second sample group: Of the 6189 dosage forms in 265 boxes pharmaceutical, 3132(50.6%) dosage forms were used and 3057(49.4%) were found to be unused.
CONCLUSIONS: There is a significant amount and number of unused medicines in households, and self-medication is common. Medicines are not properly disposed of and some of them expire. Public information is needed. A \"drug take-back system\" for unused medicines can be useful in solving this problem.
摘要：
背景：未使用的药物目前是一个公共卫生问题。这项研究旨在识别未使用的药物，关于处置方法的研究实践，根据解剖学治疗化学规范(ATC)对药物进行分类，以确定未使用药物的数量。
方法：本研究设计为横断面研究。数据是通过非概率抽样技术（便利方法）在2023年4月至8月在Burdur-Türkiye收集的。药物根据ATC分类。社会科学统计软件包SPSS（V.24）软件包程序用于数据分析。
结果：共有1120人，1005在第一样本组中，115在第二样本组中，参与研究。第一样本组结果:共检出未使用药品4097盒(4.7±4.3盒/人均)。发现药品存放在厨房(59.1%)和冰箱(38.6%)等区域,保留它们的原因是重复使用(41%)，处理方式是生活垃圾(81%)。扑热息痛（648箱），其他冷备(303箱),右酮洛芬（239盒），双氯芬酸（218盒），发现阿莫西林和β-内酰胺酶抑制剂（190盒）是最经常使用的药物。在家中使用未使用的药物而不咨询医生的比例为94.1％（自我药物治疗）。第二样本组的发现：在265盒药物中的6189个剂型中，使用3132(50.6%)个剂型,发现3057(49.4%)个未使用。
结论：家庭中大量未使用的药物，自我药物治疗是常见的。药品没有妥善处理，其中一些过期。需要公共信息。未使用药物的“药物回收系统”可用于解决此问题。
方法：本研究设计为横断面研究。数据是通过非概率抽样技术（便利方法）在2023年4月至8月在Burdur-Türkiye收集的。药物根据ATC分类。社会科学统计软件包SPSS（V.24）软件包程序用于数据分析。
结果：共有1120人，1005在第一样本组中，115在第二样本组中，参与研究。第一样本组结果:共检出未使用药品4097盒(4.7±4.3盒/人均)。发现药品存放在厨房(59.1%)和冰箱(38.6%)等区域,保留它们的原因是重复使用(41%)，处理方式是生活垃圾(81%)。扑热息痛（648箱），其他冷备(303箱),右酮洛芬（239盒），双氯芬酸（218盒），发现阿莫西林和β-内酰胺酶抑制剂（190盒）是最经常使用的药物。在家中使用未使用的药物而不咨询医生的比例为94.1％（自我药物治疗）。第二样本组的发现：在265盒药物中的6189个剂型中，使用3132(50.6%)个剂型,发现3057(49.4%)个未使用。
结论：家庭中大量未使用的药物，自我药物治疗是常见的。药品没有妥善处理，其中一些过期。需要公共信息。未使用药物的“药物回收系统”可用于解决此问题。
