dc.contributor.author | Erku, Daniel Asfaw | |
dc.contributor.author | Aberra, Sisay Yifru | |
dc.date.accessioned | 2020-08-24T03:12:09Z | |
dc.date.available | 2020-08-24T03:12:09Z | |
dc.date.issued | 2018 | |
dc.identifier.issn | 2047-2994 | |
dc.identifier.doi | 10.1186/s13756-018-0389-y | |
dc.identifier.uri | http://hdl.handle.net/10072/396685 | |
dc.description.abstract | Background: Although prohibited by law and legal regulatory frameworks, non-prescribed sale of antibiotics in community medicine retail outlets (CMROs) remains a serious problem in Ethiopia. The aim of this study was to document the extent of and motivations behind non-prescribed sale of antibiotics among CMROs in Gondar town, Ethiopia. Methods: A 2 phase mixed-methods study (a simulated patient visit followed by an in-depth interview) was conducted among CMROs in Gondar town, Ethiopia. Two clinical case scenarios (acute childhood diarrhea and upper respiratory tract infection) were presented and the practice of non-prescribed sale were measured and results were reported as percentages. Pharmacy staff (pharmacists and pharmacy assistants) were interviewed to examine factors/motivations behind dispensing antibiotics without a valid prescription. Results: Out of 100 simulated visits (50 each scenarios) presented to drug retail outlets, 86 cases (86%) were provided with one or more medications. Of these, 18 (20.9%) asked about past medical and medication history and only 7 (8.1%) enquired about the patient's history of drug allergy. The most frequently dispensed medication for acute childhood diarrhoea simulation were oral rehydration fluid (ORS) with zinc (n = 16) and Metronidazole (n = 15). Among the dispensed antibiotics for upper respiratory infection simulation, the most common was Amoxicillin (n = 23) followed by Amoxicillin-clavulanic acid capsule (n = 19) and Azithromycin (n = 15). Perceived financial benefit, high expectation and/or demand of customers and competition among pharmacies were cited as the main drivers behind selling antibiotics without a prescription. Conclusions: A stringent law and policy enforcement regarding the sale of antibiotics without a valid prescription should be in place. This will ultimately help to shift the current pharmacy practices from commercial and business-based interests/practices to the provision of primary healthcare services to the community. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | BMC | |
dc.relation.ispartofpagefrom | 92 | |
dc.relation.ispartofissue | 1 | |
dc.relation.ispartofjournal | Antimicrobial Resistance & Infection Control | |
dc.relation.ispartofvolume | 7 | |
dc.subject.fieldofresearch | Microbiology | |
dc.subject.fieldofresearch | Clinical sciences | |
dc.subject.fieldofresearch | Medical microbiology | |
dc.subject.fieldofresearchcode | 3107 | |
dc.subject.fieldofresearchcode | 3202 | |
dc.subject.fieldofresearchcode | 3207 | |
dc.subject.keywords | Science & Technology | |
dc.subject.keywords | Life Sciences & Biomedicine | |
dc.subject.keywords | Public, Environmental & Occupational Health | |
dc.subject.keywords | Infectious Diseases | |
dc.title | Non-prescribed sale of antibiotics for acute childhood diarrhea and upper respiratory tract infection in community pharmacies: a 2 phase mixed-methods study | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dcterms.bibliographicCitation | Erku, DA; Aberra, SY, Non-prescribed sale of antibiotics for acute childhood diarrhea and upper respiratory tract infection in community pharmacies: a 2 phase mixed-methods study, Antimicrobial Resistance & Infection Control, 2018, 7 (1) | |
dcterms.dateAccepted | 2018-07-25 | |
dcterms.license | http://creativecommons.org/licenses/by/4.0/ | |
dc.date.updated | 2020-08-24T03:06:12Z | |
dc.description.version | Version of Record (VoR) | |
gro.rights.copyright | © The Author(s). 2018. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. | |
gro.hasfulltext | Full Text | |
gro.griffith.author | Erku, Daniel | |