Low sale of antibiotics without prescription: a cross-sectional study in Zimbabwean private pharmacies
Low sale of antibiotics without prescription: a cross-sectional study in Zimbabwean private pharmacies
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DOI：
10.1093/jac/dkm013
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发表时间：
2007-04-01
影响因子：
5.2
通讯作者：
Lundborg, C. Stalsby
中科院分区：
文献类型：
--
作者：
Nyazema, N.;Viberg, N.;Lundborg, C. Stalsby
目的：评估私营药房的质量，重点是津巴布韦四个城市私营药房无处方抗生素销售的程度，涉及两种示踪传染病-女性和男性性传播感染（STI）和儿童腹泻。方法：一项横断面研究，包括在哈拉雷和其他三个城镇的药店。通过结构化访谈收集每个药房的信息。使用不同的结构化面试指南对工作人员进行了面试，并使用模拟客户来评估工作人员的业绩。数据进行了统计分析，和步骤模型，以评估药剂师的表现。结果如下：大多数人（69%）表示，他们永远不会在没有处方的情况下出售抗生素，尽管患者需求很高，但实际上很少有人这样做。然而，很少有受访者在提供与指南有关的信息和建议方面表现令人满意：性传播感染男性为8%，性传播感染女性为33%，腹泻情况为22%。结论：该研究显示，无处方抗生素的销售量很低，显示出对法律条文的良好遵守。然而，很少有受访者在考虑示踪剂条件的信息和建议时，在有关准则方面的表现可以接受。
Objectives: To assess the quality of private pharmacy practice with a focus on the extent of antibiotic sales without prescription in private pharmacies in four Zimbabwean cities in relation to two tracer infectious conditions-sexually transmitted infections (STIs) among females and males, and diarrhoea in a child. Methods: A cross-sectional study including pharmacies in Harare and three other towns. Information about each pharmacy was collected through structured interviews. Staff were interviewed using a different structured interview guide and simulated clients were used to assess staff performance. Data were analysed statistically, and step models to evaluate pharmacist performance were developed. Results: A majority (69%) stated that they would never sell an antibiotic without a prescription and very few actually did in spite of a high patient demand. Few respondents however performed acceptably regarding provision of information and advice in relation to guidelines: 8% for the STI male, 33% for the STI female and 22% for the diarrhoea scenario. Conclusions: The study revealed low sales of antibiotics without prescription, showing good adherence to the letter of the law. However, few respondents performed acceptably in relation to guidelines when considering information and advice for the tracer conditions.