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Main arrow Archive of previous Issues arrow 3 2017 (55) arrow ROLE OF PHARMACISTS IN APPROPRIATE USE OF ANTIBIOTICS
ROLE OF PHARMACISTS IN APPROPRIATE USE OF ANTIBIOTICS Print
Friday, 23 June 2017

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, theyve 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.

References

  1. Andreeva I.V. Farmakoepidemiologiya antibakterial'nykh preparatov u naseleniya [Pharmacoepidemiology of antibacterial drugs in the population]: avtoref. dis. kand. med. nauk. Smolensk. 2003. 21 s. (In Russian).
  2. Zharkova L.P, Andreeva I.V., Pasechnik E.S, Kozlov S.N. Praktika samolecheniya v gorodakh Rossii: rezul'taty mnogotsentrovogo opisatel'nogo issledovaniya FarSaR.[The practice of self-treatment in Russian: the results of a multi-center descriptive study "FarSAR.] Klinicheskaya farmakologiya i terapiya. 2016; (2):1319. (In Russian).
  3. O poryadke otpuska lekarstvennykh sredstv [On the order of the dispensing of medicinal products]: Prikaz Ministerstva zdravookhraneniya i sotsial'nogo razvitiya RF ot 14 dekabrya 2005 g. N 785, v red. Prikazov Minzdravsotsrazvitiya RF N 302 ot 24.04.2006, N 703ot 13.10.2006, N 109 ot 12.02.2007, N 110ot 12.02.2007, N 521 ot 06.08.2007. [cited 2017 May 20]. Available from: http://base.garant.ru/12144352/ (In Russian).
  4. FIP, FIP statement of policy control of antimicrobial medicines resistance (AMR) [Online]. FIP, The Hague, The Netherlands, 2008. [cited 2017 May 20]. Available from: http://apps.who.int/medicinedocs/en/d/Js19755en/
  5. Grigoryan L., Haaijer-Ruskamp F.M., Burgerhof J.G.M., Mechtler R., Deschepper R., Tambic-Andrasevic A., et al. Self-medication with antimicrobial drugs in Europe. Emerg Infect Dis. 2006; 12(3): 452459.
  6. Mainous III AG, Hueston WJ, Davis MP, Pearson WS. Trends in antimicrobial prescribing for bronchitis and upper respiratory infections among adults and children. Am J Public Health [Online]. 2003; 93(11):19101914. [cited 2017 May 20]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1448075/
  7. Morgan D.J., Okeke I.N., Laxminarayan R., Perencevich E.N. Non-prescription antimicrobials use worldwide: a systematic review. Lancet Infect Dis. 2011; 11(9): 692701.
  8. Nga D.T.T., Chuc N.T.K., Hoa N.P., Hoa N.Q., Nguyen N.T.T., Loan H.T., et al. Antibiotic sales in rural and urban pharmacies in northern Vietnam: an observational study. BMC Pharmacol Toxicol. 2014; 15(1): 6.
  9. ONeill J. Antimicrobial Resistance : Tackling a crisis for the health and wealth of nations. Rev Antimicrob Resist. 2014; (December):116.
  10. Ocan M., Bwanga F., Bbosa G.S., Bagenda D., Waako P., Ogwal-Okeng J., et al. Patterns and predictors of self-medication in northern Uganda. PLoS One. 2014; 9(3):17.
  11. Ocan M., Obuku E.A., Bwanga F., Akena D., Richard S., Ogwal-Okeng J., et al. Household antimicrobial self-medication: a systematic review and meta-analysis of the burden, risk factors and outcomes in developing countries. BMC Public Health; 2015; 15(1):742.
  12. WHO Regional Office for Europe. The role of pharmacist in encouraging prudent use of antibiotics and averting antimicrobial resistance: a review of policy and experience. World Heal Organ [Online]. 2014; 57. [cited 2017 May 20].Available from: http://apps.who.int/medicinedocs/documents/s22244en/s22244en.pdf
  13. WHO. Antimicrobial resistance e: global report on surveillance. Bull World Health Organ [Online]. 2014; 61(3):383394. [cited 2017 May 20]. Available from: http://apps.who.int/iris/bitstream/10665/112642/1/9789241564748_eng.pdf?ua=1
  14. WHO. Global Action Plan on Antimicrobial Resistance [Online]. 2015. [cited 2017 May 20]. Available from: http://www.wpro.who.int/entity/drug_resistance/resources/global_action_plan_eng.pdf
  15. WHO. Guidelines for the Regulatory Assessment of Medicinal Products for Use in Self-Medication [Online]. Obstetrics and Gynecology. 2000. [cited 2017 May 20]. Available from: http://apps.who.int/medicinedocs/en/d/Js2218e/
  16. WHO. The evolving threat of antimicrobial resistance: Options for action. WHO Publ [Online]. 2014; 1119. [cited 2017 May 20]. Available from: http://apps.who.int/iris/bitstream/10665/44812/1/9789241503181_eng.pdf
  17. Zoorob R., Grigoryan L., Nash S., Trautner W., Trautner B.W. Nonprescription antimicrobial use in a primary care population in the United States. Antimicrob Agents Chemother. 2016; 60(9): 55275532.

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