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Biblioteca Digital do IPG >
Escola Superior de Saúde (ESS) >
Artigos em Revista Internacional (ESS) >
Utilize este identificador para referenciar este registo:
http://hdl.handle.net/10314/6299
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| Título: | Antibiotic Dispensation without a Prescription Worldwide: A Systematic Review |
| Autores: | Batista, Ana Daniela
Rodrigues, Daniela A
Figueiras, Adolfo
Zapata-Cachafeiro, Maruxa
Roque, Fátima
Herdeiro, Maria Teresa |
| Palavras Chave: | antibiotics
non-prescription antibiotic dispensing
pharmacy practice
self-medication |
| Data: | 7-Nov-2020 |
| Resumo: | 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. |
| URI: | http://hdl.handle.net/10314/6299 |
| ISSN: | 33171743 |
| Aparece nas Colecções: | Artigos em Revista Internacional (ESS)
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Ficheiros deste Registo:
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Descrição |
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| antibiotics-fr.pdf | | 864Kb | Adobe PDF | Ver/Abrir | |
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