Non-prescription sale and dispensing of antibiotics in community pharmacies in Zambia
Non-prescription sale and dispensing of antibiotics in community pharmacies in Zambia
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DOI：
10.1080/14787210.2016.1227702
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发表时间：
2016-12-01
影响因子：
5.7
通讯作者：
Simuwelu, Chimwemwe
中科院分区：
文献类型：
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作者：
Kalungia, Aubrey Chichonyi;Burger, Johanita;Simuwelu, Chimwemwe
背景：在赞比亚，抗生素被归类为处方药。没有处方的抗生素会对公众健康构成威胁，这是一个令人担忧的问题。因此，其目的是确定在赞比亚的社区pharmacists.Methods的抗生素的非处方销售和配药的程度：非处方销售和配药的做法进行了评估，在73个随机选择的社区零售药店，使用结构化的面试官管理的问卷调查与模拟的情况scenaries.Results：大多数（97%）表示，客户经常要求非处方抗生素。受访者通常会询问客户的适应症（94%），就剂量提供咨询（96%），并建议改变抗生素的选择（97%）。所有（100%）分发非处方抗生素。常用的抗生素包括阿莫西林（52%）、复方新诺明（25%）和甲硝唑（23%）。非处方销售和配药的抗生素显着相关的受访者的专业资格在四出五simulation.Conclusion：非处方销售和配药的抗生素是普遍存在的赞比亚。需要协调一致的公共和专业干预，加上更强有力的监管执法，以减少这种情况。
Background: In Zambia, antibiotics are categorized as prescription-only medicines. Antibiotics dispensed without a prescription pose a public health threat, which is a concern. Consequently, the aim is to ascertain the extent of non-prescription sales and dispensing of antibiotics in community pharmacies in Zambia.Methods: The practice of non-prescription sale and dispensing were assessed in 73 randomly selected community retail pharmacies, using a structured interviewer-administered questionnaire with simulated case scenarios.Results: Majority (97%) stated that clients frequently requested non-prescribed antibiotics. Interviewees usually asked clients' indications (94%), counselled on dosing (96%) and suggested changes to antibiotic choices (97%). All (100%) dispensed non-prescribed antibiotics. Commonly dispensed antibiotics included amoxicillin (52%), cotrimoxazole (25%) and metronidazole (23%). Non-prescription sale and dispensing of antibiotics was significantly associated with interviewees' professional qualification in four out of five simulations.Conclusion: Non-prescription sale and dispensing of antibiotics is widespread in Zambia. Concerted public and professional interventions are needed coupled with stronger regulatory enforcement to reduce this.