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无处方销售抗菌药物——远不止是一个管理问题。

Selling antimicrobials without prescription - Far beyond an administrative problem.

作者信息

Guinovart Maria C, Figueras Albert, Llor Carles

机构信息

Departament de Farmacologia, de Terapèutica i de Toxicologia, Facultat de Medicina, Universitat Autònoma de Barcelona, Spain; Unitat de Farmàcia, Regió Sanitària Camp de Tarragona, CatSalut, Spain.

Departament de Farmacologia, de Terapèutica i de Toxicologia, Facultat de Medicina, Universitat Autònoma de Barcelona, Spain; Fundació Institut Català de Farmacologia, Barcelona, Spain.

出版信息

Enferm Infecc Microbiol Clin (Engl Ed). 2018 May;36(5):290-292. doi: 10.1016/j.eimc.2016.10.006. Epub 2016 Nov 17.

DOI:10.1016/j.eimc.2016.10.006
PMID:27866752
Abstract

INTRODUCTION

Selling antibiotics without prescription is common in many countries; beyond the administrative restrictions, this practice is a risk for patients and society. The aim of the study was to evaluate the information provided by the staff of the pharmacy to a simulated patient requesting an antibiotic.

MATERIAL AND METHODS

A prospective study was carried out in January 2013 - February 2014 in the Health Region of Tarragona, in which a mystery shopper visited 220 pharmacies requesting an antibiotic to be sold.

RESULTS

The actress was not asked about allergies in 73.9% of cases and never was asked about possible pregnancy. Recommendation to see a doctor was observed in 36.1% of cases. When antibiotics were not sold, the explanation provided by the staff was reasoned only in 9.9% of the cases.

CONCLUSION

It is necessary and urgent to improve the training of pharmacists in dispensing antibiotics but also strengthen basic health knowledge among the population.

摘要

引言

在许多国家,无处方销售抗生素的现象很常见;除行政限制外,这种做法对患者和社会都有风险。本研究的目的是评估药房工作人员向一名模拟的抗生素需求患者提供的信息。

材料与方法

2013年1月至2014年2月在塔拉戈纳健康地区进行了一项前瞻性研究,其中一名暗访者走访了220家药房,要求购买抗生素。

结果

在73.9%的案例中,女演员未被询问过敏情况,且从未被询问是否可能怀孕。在36.1%的案例中观察到了建议去看医生的情况。当抗生素未售出时,工作人员给出的解释只有9.9%是合理的。

结论

改善药剂师在抗生素配药方面的培训是必要且紧迫的,同时也需要加强民众的基本健康知识。

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