Department of Pharmacy, Annamalai University, Chidambaram, Tamil Nadu, India.
Department of Pharmacy Practice, Southern Institute of Medical Sciences, Guntur, Andhra Pradesh, India.
Indian J Pharmacol. 2020 Nov-Dec;52(6):482-487. doi: 10.4103/ijp.IJP_244_19.
The acquisition of antibiotic without a prescription by the general population is a typical practice found in community pharmacies across India, which is a notable contributor of antimicrobial resistance. According to the present regulation in India, sale of certain antimicrobials included in schedule H1 without prescription is unlawful. In this contest, a program was organized by the Drug Control Administration, Government of Andhra Pradesh, to educate pharmacists regarding schedule H1.
The aim of our study is to assess the impact of the program on the rate of antibiotics dispensed at community pharmacies.
A cross-sectional study was designed to investigate the nonprescription sale of antibiotics, from September to December 2018 through 200 community pharmacies located in and around Guntur city located in the state of Andhra Pradesh in India.
A simulated client methodology was used in this study. A total of 3 female actors including an author of this present study are prior trained to present a standardized simulation of clinical conditions (sore throat, urinary tract infection, cold, and fever) to the pharmacist at the community pharmacies.
Microsoft excel sheet was used for data analysis.
The simulated patients successfully obtained antibiotic from 78% pharmacies with the highest rate of urinary tract infection when compared to other conditions. Pharmacists who objected to dispense antibiotics (22%) are found in developed locations in the city and appeared well qualified.
The present study revealed that the antibiotics are continued to be sold without prescription even after the education program on schedule H1. The deregulation of the act is definitely the problem to be addressed by the government.
在印度的社区药店中，民众未经处方购买抗生素是一种常见做法，这是导致抗生素耐药性的一个重要因素。根据印度目前的规定，未经处方出售包括 H1 表在内的某些抗生素是违法的。在这种情况下，安得拉邦政府药物管制局组织了一个计划，对药剂师进行 H1 表的教育。
我们的研究旨在评估该计划对社区药店配给抗生素的比率的影响。
本研究采用横断面研究设计，于 2018 年 9 月至 12 月期间，通过位于印度安得拉邦贡土尔市及其周边的 200 家社区药店，调查非处方销售抗生素的情况。
本研究采用模拟客户方法。共有 3 名女性演员，包括本研究的作者之一，他们之前接受过培训，可以向社区药店的药剂师模拟标准的临床情况（喉咙痛、尿路感染、感冒和发烧）。
Microsoft excel 工作表用于数据分析。
模拟患者在 78%的药店成功获得了抗生素，与其他情况相比，尿路感染的抗生素获取率最高。反对配给抗生素的药剂师（22%）出现在城市的发达地区，他们看起来资质很好。
本研究表明，即使在 H1 表教育计划之后，抗生素仍继续未经处方出售。政府肯定需要解决该法规放宽的问题。
