Browsing by Author "Pyakurel, Manita"
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Publication Knowledge, Attitude, and Practice of Self-Medication for Sore Throat Among Medical Students of Nepalgunj Medical College, Banke, Nepal(Society of Otolaryngologists of Nepal, 2025) Bhatta, Rishi; Shrestha, Kumar; Shrestha, Sagun; Pyakurel, ManitaAbstract: Aims and Objectives: Self-medication for minor problems like sore throat is very common, especially among medical students who can easily get medicines and have basic medical knowledge. Although it may show confidence in their own judgment, using medicines without proper guidance can cause problems such as antibiotic resistance and masking of serious illnesses. To assess the knowledge, attitude, and practice (KAP) of self-medication for sore throat among undergraduate medical students of Nepalgunj Medical College, Banke, Nepal. Methods: A cross-sectional study was conducted from 1st May 2018 to 30th April 2019 among 263 MBBS students using a structured, self-administered questionnaire. The tool consisted of 30 items divided into three sections: knowledge (10), attitude (10), and practice (10). Data were analyzed using descriptive statistics and chi-square tests. Results: Among 263 respondents, 150 (57.0%) were male and 113 (42.9%) female with a mean age of 21.9 ± 1.8 years. Overall, 74.5% had good knowledge, 47.5% showed a positive attitude toward rational self-medication, and 37.2% had appropriate practices for sore throat. The most commonly used drugs were paracetamol (69.9%), antihistamines (53.8%) NSAIDS and Paracetamol combination (39.3%), Antibiotics (34.9%) and Menthol (31.5%). Major reasons for self-medication were mild symptoms (63.5%), feeling of sufficient knowledge (7.7%). and previous experience of relief (7.7%). There was a positive correlation between all three domains of competency, however only knowledge and attitude have significant correlation. (p<0.03) Conclusion: Most medical students at Nepalgunj Medical College possessed good knowledge and a positive attitude toward responsible self-medication. However, inappropriate practice of self-medication and especially antibiotic use is a concern. Keywords: KAP study, Self-medication, Sore throatPublication Skin Prick Test Profile in Patients with Allergic Rhinitis: A Cross-Sectional Study in Western Nepal(Society of Otolaryngologists of Nepal, 2025) Bhatta, Rishi; Pyakurel, Manita; Pandey, SumitAbstract: Aims and Objectives: Allergic rhinitis (AR) is a common health problem in Western Nepal, often underdiagnosed and mismanaged due to limited allergen identification. This study aimed to determine the common allergens causing sensitization among patients with clinically diagnosed allergic rhinitis using Skin Prick Test (SPT). Methods: A hospital-based cross-sectional study was conducted from Feb 2014 to Feb 2020 at Nepalgunj Medical College, Nepalgunj, Banke, Nepal. Patients with symptoms suggestive of AR underwent SPT using a panel of 48 common allergens. The patients with wheal on at least one allergen during the test were included. Patients having no wheal on all tested allergens were excluded and advised for workup to rule out other diseases simulating allergic rhinitis. Results were interpreted according to standard wheal size criteria. Results: Out of 132 patients, 79 (59.8%) were male and 53 (40.1%) were female patients. The age ranges from 14 to 54 years with average being 28.54years. The most common allergens were house dust mite (Dermatophagoidespteronyssinus) (72%), cockroach extract (42%), Parthenium hysterophorus pollen (18%), wheat (17.4%), Candida albicans (15%) and peanut (14%). Multiple allergen sensitization was seen in 103 (78.0%) of the above patients with positive result in SPT. Conclusion: House dust mite, cockroach and Parthenium pollen are the leading allergens among AR patients in the Western region of Nepal. Keywords: allergen, allergic rhinitis, hypersensitivity, skin prick test