Access to Antibiotics through Prescription and Non-Prescription Media in Private Pharmacies in Lomé, Togo

• 作者: Anoumou Y. Dagnra Dossim Sika Koumavi D. Ekouevi Prince-David Mireille Rasak Soukouratou Salou Mounerou Yao Potchoo Yerima Mouhoudine
• 来源期刊: 药理与制药(英文)
• 学科: 医学
• 关键词: ANTIBIOTICS PRESCRIPTION MEDIA Non-Prescription MEDIA Antibiotic User PRESCRIPTION Compliance PRIVATE Pharmacy TOGO
• 年，卷（期）: 2019,（1）
• 页码范围: 31-47
• 页数: 17页
• 分类号: R5

摘要

Objectives: The present study was conducted to describe and analyze antibiotic demands via prescription and non-prescription media received in private pharmacies in Lomé. Methods: A cross-sectional study was conducted in 26 private pharmacies in Lomé (Togo) from August to October 2013. The study was based on a survey conducted with a standardized questionnaire to collect data representing the daily activity of the pharmacies. Data on prescription documents, non-prescription media, patients’ and prescribers’ identification, and antibiotics requested were collected and analyzed. Key findings: During the study period, 596 antibiotic prescriptions were collected. Various prescription and non-prescription media permitted available antibiotic access in private pharmacies. Seventy-nine percent (79%) of the received orders contained one antibiotic. All categories of health care professionals were found among antibiotic prescribers. Prescribers were not identifiable in 40.2% of all prescription tools received for antibiotics demand. Forty-four percent (44%) of antibiotic orders were supported by a prescription. The study found that many people ordering antibiotic (61%) were not the direct users. Some elements of prescription compliance were mentioned at the rate of 82%, 44.7% and 59% (date, prescribers’ identity and qualification), 3/4 of the prescription material (patients’ identity and sex), more than 87% (accuracy of the dosage), 79.7% (oral route of administration) and less than 1/3 (duration of treatment). The results also indicated that Beta-lactams (41%), quinolones (17%), and 5-nitroimidazoles (15%) were the most prescribed classes of antibiotics. Conclusions: The study revealed that more than half of the antibiotics orders, received in pharmacies were non-compliant. This calls for an awareness of healthcare workers and populations on the rational use of antibiotics. Access to antibiotics should be further controlled (prescription dispensing), community should ban other media of obtaining antibiotics wit