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Antibiotic Dispensation without a Prescription Worldwide: A Systematic Review
dc.contributor.author | Batista, A. D. | |
dc.contributor.author | A Rodrigues, D. | |
dc.contributor.author | Figueiras Guzmán, Adolfo | |
dc.contributor.author | Zapata-Cachafeiro, M. | |
dc.contributor.author | Roque, F. | |
dc.contributor.author | Herdeiro, M. T. | |
dc.date.accessioned | 2022-04-12T11:38:05Z | |
dc.date.available | 2022-04-12T11:38:05Z | |
dc.date.issued | 2020 | |
dc.identifier.issn | 2079-6382 | |
dc.identifier.other | https://www.ncbi.nlm.nih.gov/pubmed/33171743 | es |
dc.identifier.uri | http://hdl.handle.net/20.500.11940/16464 | |
dc.description.abstract | Antibiotic resistance still remains a major global public health problem and the dispensing of antibiotics without a prescription at community pharmacies is an important driver of this. MEDLINE, Pubmed and EMBASE databases were used to search and identify studies reporting the dispensing of non-prescribed antibiotics in community pharmacies or drugstores that sell drugs for human use, by applying pharmacy interviews/questionnaires methods and/or simulated patient methods. Of the 4683 studies retrieved, 85 were included, of which 59 (69.4%) were published in low-and middle-income countries. Most of the papers (83.3%) presented a percentage of antibiotic dispensing without a prescription above 60.0%. Sixty-one studies evaluated the active substance and the most sold antibiotics without a prescription were amoxicillin (86.9%), azithromycin (39.3%), ciprofloxacin (39.3%), and amoxicillin-clavulanic acid (39.3%). Among the 65 articles referencing the diseases/symptoms, this practice was shown to be mostly associated with respiratory system problems (100.0%), diarrhea (40.0%), and Urinary Tract Infections (30.8%). In sum, antibiotics are frequently dispensed without a prescription in many countries and can thus have an important impact on the development of resistance at a global level. Our results indicate the high need to implement educational and/or regulatory/administrative strategies in most countries, aiming to reduce this practice. | en |
dc.rights | Atribución 4.0 Internacional | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
dc.title | Antibiotic Dispensation without a Prescription Worldwide: A Systematic Review | en |
dc.type | Journal Article | es |
dc.authorsophos | Batista, A. D.;A Rodrigues, D.;Figueiras, A.;Zapata-Cachafeiro, M.;Roque, F.;Herdeiro, M. T. | |
dc.identifier.doi | 10.3390/antibiotics9110786 | |
dc.identifier.pmid | 33171743 | |
dc.identifier.sophos | 38931 | |
dc.issue.number | 11 | es |
dc.journal.title | Antibiotics (Basel, Switzerland) | es |
dc.organization | Servizo Galego de Saúde::Estrutura de Xestión Integrada (EOXI)::Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS) | es |
dc.page.initial | 786 | es |
dc.rights.accessRights | openAccess | |
dc.subject.keyword | IDIS | es |
dc.typefides | Artículo de Revisión | es |
dc.typesophos | Artículo de Revisión | es |
dc.volume.number | 9 | es |