"You could lose when you misuse" - factors affecting over-the-counter sale of antibiotics in community pharmacies in Saudi Arabia: a qualitative study.
"You could lose when you misuse" - factors affecting over-the-counter sale of antibiotics in community pharmacies in Saudi Arabia: a qualitative study.
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DOI：
10.1186/s12913-018-3753-y
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发表时间：
2018-12-03
影响因子：
2.8
通讯作者：
Alhomoud FK
中科院分区：
文献类型：
--
作者：
Alhomoud F;Almahasnah R;Alhomoud FK
在没有处方的情况下销售抗生素引起了全球公共卫生问题。在没有处方的情况下配发抗生素在很大程度上被认为是抗生素滥用和过度使用的原因，这可能会导致抗生素耐药性、反复感染、增加成本和治疗的不良影响。尽管沙特阿拉伯的非处方药销售正在增加，但还没有定性研究来探索抗生素非处方药(OTC)销售的原因。对居住在沙特阿拉伯东部省份的社区药剂师进行了定性访谈，采用面对面的开放式问题。采访被录音并逐字转录。访谈记录使用主题分析和NVivo 10软件进行分析。所有参与者都声称，在非处方药的基础上，抗生素经常在没有药物处方的情况下出售。OTC销售抗生素的主要原因被发现与与其他医疗服务相比更容易获得社区药房、药剂师和患者的专业知识和信任、公众对抗生素使用的误解和不当做法、客户压力、药剂师需要确保业务生存和监管执法机制薄弱有关。下文使用与会者成绩单中的说明性引语更详细地介绍了这些问题。非处方销售抗生素在沙特阿拉伯仍然是一种常见的做法，尽管这是一个问题。这项研究的结果强调了设计干预措施以促进合理使用抗生素的必要性。本文的在线版本(10.1186/s12913-0183753-y)包含补充材料，可供授权用户使用。
The sale of antibiotics without a prescription poses a global public health concern. Antibiotics dispensed without a prescription are largely recognised as a cause of antibiotic misuse and overuse which may result in antibiotic resistance, recurrent infection, increased cost and adverse effects of treatment. There have been no qualitative studies to explore the reasons for over-the-counter (OTC) sale of antibiotics, despite the fact that non-prescription sale of antibiotics are increasing in Saudi Arabia. Qualitative interviews were conducted with community pharmacists living in the Eastern Province of Saudi Arabia using face-to-face, open-ended questions. Interviews were audio-recorded and transcribed verbatim. The interview transcripts were analysed using thematic analysis and NVivo 10 software. All participants declared that antibiotics were frequently sold without a medical prescription on an OTC basis. The main reasons for OTC sale of antibiotics were found to be related to the ease of access to community pharmacies compared to other healthcare services, expertise and knowledge of pharmacists and patients’ trust, misconceptions and inappropriate practices of the public towards antibiotic use, customer pressure, pharmacists’ need to ensure business survival and weak regulatory enforcement mechanism. These are presented in more detail below by using illustrative quotes from participants’ transcripts. The non-prescribed sale of antibiotics is still a common practice in Saudi Arabia, despite being a problem. The results of this study highlight the need to design interventions to promote rational use of antibiotics. The online version of this article (10.1186/s12913-018-3753-y) contains supplementary material, which is available to authorized users.
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DOI：
10.1016/0749-5978(91)90020-t
发表时间：
1991-12-01
影响因子：
4.6
作者：
AJZEN, I
通讯作者：
AJZEN, I
影响因子：
4.5
作者：
Ocan M;Obuku EA;Bwanga F;Akena D;Richard S;Ogwal-Okeng J;Obua C
通讯作者：
Obua C
影响因子：
5.5
作者：
Aly, Mahmoud;Balkhy, Hanan H.
通讯作者：
Balkhy, Hanan H.
影响因子：
3.4
作者：
Stålsby Lundborg C;Tamhankar AJ
通讯作者：
Tamhankar AJ
影响因子：
1.9
作者：
Belkina, Tatyana;Al Warafi, Abdullah;Vlcek, Jiri
通讯作者：
Vlcek, Jiri