Faculty of Public Health, Lebanese University, Fanar, Lebanon.
CERIPH, Center for Research in Public Health - Pharmacoepidemiology Surveillance Unit, Faculty of Public Health, Lebanese University, Fanar, Lebanon.
J Epidemiol Glob Health. 2019 Mar;9(1):44-49. doi: 10.2991/jegh.k.190305.001.
This study aims to evaluate the antibiotic prescribing rate for acute bacterial rhinosinusitis in community pharmacies and to study the corresponding attitude and behavior of participants. A cross-sectional, nationwide study was conducted using a patient-simulated case of bacterial rhinosinusitis. Descriptive data were reported for the medications prescribed, questions asked, and recommendations made. Bivariate analysis was conducted to identify factors affecting the aforementioned. Out of the 250 community pharmacies visited, 77 (30.8%) prescribed antibiotics, 15 (6%) referred the patient to a physician, and 79 (32%) made the right diagnosis. Amoxicillin/clavulanic acid (69.7%) was the most prescribed antibiotic. The majority of the participants prescribed antibiotics according to guidelines. Overall, 108 (43.2%) participants questioned about symptoms and few questioned about patient age, pregnancy, and history of rhinosinusitis. None counseled about interactions or in case a dose is missed. We concluded that antibiotics are easily prescribed in Lebanese community pharmacies. This misuse should be tackled by legislative authorities to restrict such practices.
本研究旨在评估社区药店中急性细菌性鼻-鼻窦炎的抗生素处方率，并研究参与者的相应态度和行为。采用细菌性鼻-鼻窦炎患者模拟病例进行了一项横断面、全国性研究。报告了所开药物、提出的问题和建议的描述性数据。采用双变量分析来确定影响上述因素的因素。在 250 家受访社区药店中，有 77 家（30.8%）开出了抗生素，15 家（6%）将患者转介给医生，79 家（32%）做出了正确诊断。阿莫西林/克拉维酸（69.7%）是最常开的抗生素。大多数参与者根据指南开了抗生素。总体而言，108 名（43.2%）参与者询问了症状，很少有参与者询问患者年龄、怀孕和鼻-鼻窦炎病史。没有人就药物相互作用或漏服剂量进行咨询。我们得出结论，抗生素在黎巴嫩社区药店中很容易开处方。这种滥用应该由立法机构来解决，以限制这种做法。
