Antibiotic and Antimalarial Selfmedication in Antananarivo, Madagascar

In order to assess prevalence and characteristics of antimicrobial self-medication in Antananarivo, Madagascar. We conducted a cross-sectional study among 101 patients in Department of Infectious Disease in the Academic Hospital Center of Antananarivo. Eighty-eight percent of patients had practiced self-medication whose 40% were employees of the primary sector. Antibiotic and antimalarial are used in 48% and 22%, respectively. Chloroquine is the most commonly used antimalarial while chloroquinoresistance is widespread in Madagascar. Amoxicillin was the most widely used antibiotic. The practice of selfmedication is related especially to the development of the illicit sale of drugs in Madagascar.