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Dispensing Antibiotics without a Prescription for Acute Cough Associated with Common Cold at Community Pharmacies in Shenyang, Northeastern China: A Cross-Sectional Study

The inappropriate use of antibiotics is a major health issue in China. We aimed to assess nonprescription antibiotic dispensing and assess pharmacy service practice at community pharmacies in Shenyang, northeastern China, and to compare these practices between pediatric and adult cases. A cross-sect...

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Autores principales: Shi, Li, Chang, Jie, Liu, Xiaoxi, Zhai, Panpan, Hu, Shuchen, Li, Pengchao, Hayat, Khezar, Kabba, John Alimamy, Feng, Zhitong, Yang, Caijun, Jiang, Minghuan, Zhao, Mingyue, Hu, Hao, Fang, Yu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7235837/
https://www.ncbi.nlm.nih.gov/pubmed/32268530
http://dx.doi.org/10.3390/antibiotics9040163
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author Shi, Li
Chang, Jie
Liu, Xiaoxi
Zhai, Panpan
Hu, Shuchen
Li, Pengchao
Hayat, Khezar
Kabba, John Alimamy
Feng, Zhitong
Yang, Caijun
Jiang, Minghuan
Zhao, Mingyue
Hu, Hao
Fang, Yu
author_facet Shi, Li
Chang, Jie
Liu, Xiaoxi
Zhai, Panpan
Hu, Shuchen
Li, Pengchao
Hayat, Khezar
Kabba, John Alimamy
Feng, Zhitong
Yang, Caijun
Jiang, Minghuan
Zhao, Mingyue
Hu, Hao
Fang, Yu
author_sort Shi, Li
collection PubMed
description The inappropriate use of antibiotics is a major health issue in China. We aimed to assess nonprescription antibiotic dispensing and assess pharmacy service practice at community pharmacies in Shenyang, northeastern China, and to compare these practices between pediatric and adult cases. A cross-sectional study was performed from March to May 2018 using the standardized client method. Two different simulated scenarios were presented at pharmacies, namely, pediatric and adult acute cough associated with a common cold. Of 150 pharmacy visits, 147 visits were completed (pediatric case: 73, adult case: 74). A total of 130 (88.4%) community pharmacies dispensed antibiotics without a prescription, with a significant difference between pediatric and adult cases (pediatric case, 79.5% versus adult case, 97.3%, p = 0.005). Symptoms were asked in most visits (pediatric case: 82.2%, adult case 82.4%). Patients’ previous treatment and history of allergies were both inquired more frequently in the pediatric cases than in the adult cases. Medication advice was provided more often in the adult cases than in pediatric cases. Antibiotics were easily obtained without a prescription in Shenyang, especially for adult patients. Adequate inquiries and counseling had not occurred in most pharmacies.
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spelling pubmed-72358372020-05-22 Dispensing Antibiotics without a Prescription for Acute Cough Associated with Common Cold at Community Pharmacies in Shenyang, Northeastern China: A Cross-Sectional Study Shi, Li Chang, Jie Liu, Xiaoxi Zhai, Panpan Hu, Shuchen Li, Pengchao Hayat, Khezar Kabba, John Alimamy Feng, Zhitong Yang, Caijun Jiang, Minghuan Zhao, Mingyue Hu, Hao Fang, Yu Antibiotics (Basel) Article The inappropriate use of antibiotics is a major health issue in China. We aimed to assess nonprescription antibiotic dispensing and assess pharmacy service practice at community pharmacies in Shenyang, northeastern China, and to compare these practices between pediatric and adult cases. A cross-sectional study was performed from March to May 2018 using the standardized client method. Two different simulated scenarios were presented at pharmacies, namely, pediatric and adult acute cough associated with a common cold. Of 150 pharmacy visits, 147 visits were completed (pediatric case: 73, adult case: 74). A total of 130 (88.4%) community pharmacies dispensed antibiotics without a prescription, with a significant difference between pediatric and adult cases (pediatric case, 79.5% versus adult case, 97.3%, p = 0.005). Symptoms were asked in most visits (pediatric case: 82.2%, adult case 82.4%). Patients’ previous treatment and history of allergies were both inquired more frequently in the pediatric cases than in the adult cases. Medication advice was provided more often in the adult cases than in pediatric cases. Antibiotics were easily obtained without a prescription in Shenyang, especially for adult patients. Adequate inquiries and counseling had not occurred in most pharmacies. MDPI 2020-04-06 /pmc/articles/PMC7235837/ /pubmed/32268530 http://dx.doi.org/10.3390/antibiotics9040163 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Shi, Li
Chang, Jie
Liu, Xiaoxi
Zhai, Panpan
Hu, Shuchen
Li, Pengchao
Hayat, Khezar
Kabba, John Alimamy
Feng, Zhitong
Yang, Caijun
Jiang, Minghuan
Zhao, Mingyue
Hu, Hao
Fang, Yu
Dispensing Antibiotics without a Prescription for Acute Cough Associated with Common Cold at Community Pharmacies in Shenyang, Northeastern China: A Cross-Sectional Study
title Dispensing Antibiotics without a Prescription for Acute Cough Associated with Common Cold at Community Pharmacies in Shenyang, Northeastern China: A Cross-Sectional Study
title_full Dispensing Antibiotics without a Prescription for Acute Cough Associated with Common Cold at Community Pharmacies in Shenyang, Northeastern China: A Cross-Sectional Study
title_fullStr Dispensing Antibiotics without a Prescription for Acute Cough Associated with Common Cold at Community Pharmacies in Shenyang, Northeastern China: A Cross-Sectional Study
title_full_unstemmed Dispensing Antibiotics without a Prescription for Acute Cough Associated with Common Cold at Community Pharmacies in Shenyang, Northeastern China: A Cross-Sectional Study
title_short Dispensing Antibiotics without a Prescription for Acute Cough Associated with Common Cold at Community Pharmacies in Shenyang, Northeastern China: A Cross-Sectional Study
title_sort dispensing antibiotics without a prescription for acute cough associated with common cold at community pharmacies in shenyang, northeastern china: a cross-sectional study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7235837/
https://www.ncbi.nlm.nih.gov/pubmed/32268530
http://dx.doi.org/10.3390/antibiotics9040163
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