DOI: 10.21045/2071-5021-2017-55-3-5

Klimova T.M., Kuzmina A.A., Malogulova I.Sh.
Medical Institute of the North-Eastern Federal University named after M.K. Ammosov, Yakutsk

Contacts: Tatiana M. Klimova, This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about authors:
Klimova T.M., http://orcid.org/0000-0003-2746-0608
Kuzmina A.A., http://orcid.org/0000-0001-5220-0766
Malogulova I.Sh.,http://orcid.org/0000-0003-0687-7949
Acknowledgments.The study had no sponsorship.
Conflct of interests. The authors declare no conflict of interest.

Abstract. Significance.  Antibiotic resistance is a major challenge to human health throughout the world. Factors contributing to the development of antibiotic resistance include: irrational or unreasonable prescription of medicines, use of low quality drugs, self-medication with antibiotics, and use of antibiotics in agriculture.

The purpose of this study was to analyze the routine practice of antibiotic use in the Republic of Sakha (Yakutia) and attitude of pharmaceutical workers to the use of antibiotics.

Methods. A self-administered questionnaire was completed in March 2017 by pharmacists of 17 pharmacies in Yakutsk and 10 districts of the Republic of Sakha (Yakutia). Participants were recruited on a voluntary basis. The sample covered 78 respondents, including 33 (42.3%) with a higher pharmaceutical education, 59 (78%) with work experience over three years.

Results. According to the survey of pharmaceutical workers in the Republic of Sakha (Yakutia), consumers often use antibiotics without any prescription. Pharmacists are informed about the risk of developing resistance to antibiotics. However, from 40 to 70% of the respondents are likely to recommend antibiotics to treat different symptoms of acute respiratory infections, while 18-54% of the respondents - to treat symptoms of acute intestinal infections.

Conclusions. According to the survey in Republic of Sakha (Yakutia), self-medication with antibiotics is widely popular among people and one can buy antibiotics over the counter. Pharmacists do know about the risk of developing antibiotic resistance, however, they’ve got wrong ideas about administrating antibiotics for acute respiratory and diarrheal diseases. These factors increase the risk of antibiotic resistance.

Given appropriate training pharmacists can influence the use of antibiotics and have a crucial role to play in combating antimicrobial resistance. It is necessary to use potential of pharmaceutical workers to raise awareness of consumers about harmful effects of self-medication, correct use of medicines and risks associated with antibiotics.

Keywords: antibiotics; antibiotic resistance; pharmacist; self-medication.

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