Determinants of antibiotic dispensing without a medical prescription: a cross-sectional study in the north of Spain
Objectives: Antibiotic resistance is a major public health concern and is greatly exacerbated by inappropriate antibiotic use at a community level. The aim of this study was to ascertain which attitudes of community pharmacists were related to inappropriate antibiotic dispensing. Methods: We conduct...
| Autores: | , , , , , , |
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| Tipo de recurso: | artículo |
| Fecha de publicación: | 2014 |
| País: | España |
| Institución: | Servizo Galego de Saúde (SERGAS) |
| Repositorio: | RUNA. Repositorio da Consellería de Sanidade e Sergas |
| OAI Identifier: | oai:runa.sergas.gal:20.500.11940/12721 |
| Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195471/pdf/dku229.pdf https://pubmed.ncbi.nlm.nih.gov/24966275-determinants-of-antibiotic-dispensing-without-a-medical-prescription-a-cross-sectional-study-in-the-north-of-spain/?from_single_result=24966275 http://hdl.handle.net/20.500.11940/12721 |
| Access Level: | acceso abierto |
| Palabra clave: | Fear Drug Therapy Preventive Medicine Drug Resistance, Bacterial Drug Prescriptions Psychology Anti-Bacterial Agents Health Knowledge, Attitudes, Practice conocimientos, actitudes y prácticas sanitarias farmacoterapia miedo medicina preventiva prescripciones de medicamentos psicología antibacterianos farmacorresistencia bacteriana Resistencia Antibióticos Galicia Uso de antibióticos Farmaceuticos |
| Sumario: | Objectives: Antibiotic resistance is a major public health concern and is greatly exacerbated by inappropriate antibiotic use at a community level. The aim of this study was to ascertain which attitudes of community pharmacists were related to inappropriate antibiotic dispensing. Methods: We conducted a cross-sectional study of community pharmacists in a region situated in northern Spain (n = 393). Personal interviews were conducted using a self-administered questionnaire. The degree of agreement with each item of knowledge and attitude was measured using an unnumbered, horizontal visual analogue scale, with replies being scored from 0 (total disagreement) to 10 (total agreement). The data were analysed using logistic regression. Results: Of the total of 286 pharmacists (72.8%) who completed the questionnaire, 185 (64.7%) acknowledged having undertaken dispensing of antibiotics without a medical prescription (DAwMP). Attitudes such as patient complacency, external responsibility, indifference and insufficient knowledge were shown to be related to DAwMP. In contrast, no association was found with any of the pharmacists' personal or professional traits. Conclusions: This study confirms that, albeit unlawful, DAwMP is a common practice in Spanish pharmacies. DAwMP was seen to be usually associated with some of the attitudes evaluated. |
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