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[Antibiotics dispensed upon the recommendation of staff in private dispensaries in Abidjan in the Ivory Coast].
J Pharm Belg. 2009 SepJP

Abstract

BACKGROUND

The inappropriate dispensing of antibiotics and inadequate antibiotic treatment leads to the emergence of bacterial resistance. The aim of this study is to assess and describe the antibiotics dispensed upon the recommendation of staff in private pharmacies in Abidjan. It is also a matter of determining whether the information given when the drug is dispensed encourages the correct compliance of the antibiotic treatment by the patients.

METHODS

Eighteen private pharmacies were in these private pharmacies was recorded using observation handbooks. Focus groups were set up with staff from the private pharmacies with the aim of better understanding of the actions observed. In the study, only antibiotics administered in systemic way were taken into account.

RESULTS

One thousand one hundred and twenty-three purchases of antibiotics were observed in total, 158 of which were dispensed upon the recommendation of staff in the private pharmacies (14.1%) [95% CI = 12.1-16.3%]. Penicillin, co-trimoxazole and macrolides constituted the most frequently recommended groups of antibiotics. Compared with the assistants, the pharmacists recommended antibiotics more frequently to customers. The three main groups of symptoms leading to the dispensing of antibiotics upon recommendation were respiratory, gastro-intestinal and cutaneous symptoms. The staff in private pharmacies almost systematically recommended antibiotics for loose coughs lasting more than three days without taking into account the customer's age, general condition and extra-respiratory signs. The duration of the antibiotic treatment was clearly given in 25 cases (15.8%) and information telling customers to take antibiotics at mealtimes was only given on exceptional occasions. It transpired from the meetings conducted with pharmacy staff that there were indirect financial incentives, known as "Unités Gratuites", offered by the medical reps from certain pharmaceutical laboratories, encouraging the excessive dispensing of antibiotics.

CONCLUSION

The staff in private pharmacies in Abidjan advise customers to take antibiotics even though they are prescription-only drugs. This leads to the inappropriate dispensing of antibiotics. Some information essential for the correct compliance of the treatment by patients, such as the duration of the treatment and taking it at mealtimes, are often omitted. Educational interventions aimed at pharmacy staff and measures encouraging the application of the law on the sale of antibiotics, are necessary to improve the dispensing of these drugs in private pharmacies in Abidjan.

Authors+Show Affiliations

Service de Microbiologie Médicale du Centre Hospitalier Universitaire de Liège, Université de Liège, Belgique. hounsa20003@yahoo.frNo affiliation info available

Pub Type(s)

Journal Article

Language

fre

PubMed ID

19873851

Citation

Hounsa, A, and P De Mol. "[Antibiotics Dispensed Upon the Recommendation of Staff in Private Dispensaries in Abidjan in the Ivory Coast]." Journal De Pharmacie De Belgique, 2009, pp. 99-104.
Hounsa A, De Mol P. [Antibiotics dispensed upon the recommendation of staff in private dispensaries in Abidjan in the Ivory Coast]. J Pharm Belg. 2009.
Hounsa, A., & De Mol, P. (2009). [Antibiotics dispensed upon the recommendation of staff in private dispensaries in Abidjan in the Ivory Coast]. Journal De Pharmacie De Belgique, (3), 99-104.
Hounsa A, De Mol P. [Antibiotics Dispensed Upon the Recommendation of Staff in Private Dispensaries in Abidjan in the Ivory Coast]. J Pharm Belg. 2009;(3)99-104. PubMed PMID: 19873851.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Antibiotics dispensed upon the recommendation of staff in private dispensaries in Abidjan in the Ivory Coast]. AU - Hounsa,A, AU - De Mol,P, PY - 2009/10/31/entrez PY - 2009/10/31/pubmed PY - 2009/12/16/medline SP - 99 EP - 104 JF - Journal de pharmacie de Belgique JO - J Pharm Belg IS - 3 N2 - BACKGROUND: The inappropriate dispensing of antibiotics and inadequate antibiotic treatment leads to the emergence of bacterial resistance. The aim of this study is to assess and describe the antibiotics dispensed upon the recommendation of staff in private pharmacies in Abidjan. It is also a matter of determining whether the information given when the drug is dispensed encourages the correct compliance of the antibiotic treatment by the patients. METHODS: Eighteen private pharmacies were in these private pharmacies was recorded using observation handbooks. Focus groups were set up with staff from the private pharmacies with the aim of better understanding of the actions observed. In the study, only antibiotics administered in systemic way were taken into account. RESULTS: One thousand one hundred and twenty-three purchases of antibiotics were observed in total, 158 of which were dispensed upon the recommendation of staff in the private pharmacies (14.1%) [95% CI = 12.1-16.3%]. Penicillin, co-trimoxazole and macrolides constituted the most frequently recommended groups of antibiotics. Compared with the assistants, the pharmacists recommended antibiotics more frequently to customers. The three main groups of symptoms leading to the dispensing of antibiotics upon recommendation were respiratory, gastro-intestinal and cutaneous symptoms. The staff in private pharmacies almost systematically recommended antibiotics for loose coughs lasting more than three days without taking into account the customer's age, general condition and extra-respiratory signs. The duration of the antibiotic treatment was clearly given in 25 cases (15.8%) and information telling customers to take antibiotics at mealtimes was only given on exceptional occasions. It transpired from the meetings conducted with pharmacy staff that there were indirect financial incentives, known as "Unités Gratuites", offered by the medical reps from certain pharmaceutical laboratories, encouraging the excessive dispensing of antibiotics. CONCLUSION: The staff in private pharmacies in Abidjan advise customers to take antibiotics even though they are prescription-only drugs. This leads to the inappropriate dispensing of antibiotics. Some information essential for the correct compliance of the treatment by patients, such as the duration of the treatment and taking it at mealtimes, are often omitted. Educational interventions aimed at pharmacy staff and measures encouraging the application of the law on the sale of antibiotics, are necessary to improve the dispensing of these drugs in private pharmacies in Abidjan. SN - 0047-2166 UR - https://www.unboundmedicine.com/medline/citation/19873851/[Antibiotics_dispensed_upon_the_recommendation_of_staff_in_private_dispensaries_in_Abidjan_in_the_Ivory_Coast]_ L2 - https://medlineplus.gov/antibioticresistance.html DB - PRIME DP - Unbound Medicine ER -