Bogale Kassie Achenef, Mengie Ayele Teklie, Mekonnen Agidew Melaku
Department of Pharmacy, College of Health Sciences, Debre Tabore University, Debre Tabore, Amhara Regional State, Ethiopia.
Department of Biomedical Science, College of Health Sciences, Debre Tabore University, Debre Tabore, Amhara Regional State, Ethiopia.
Integr Pharm Res Pract. 2023 Jul 25;12:171-183. doi: 10.2147/IPRP.S416830. eCollection 2023.
Pharmacy professionals in community drug retail outlets, as the most accessible personnel for the community, are engaged in consultation and responding to health problems in addition to filling prescriptions. In doing so, different dispensing malpractices are observed and much is not known on the issue in Ethiopia.
The study aimed at assessing dispensing malpractice at pharmacies, drug stores and drug vendors in South Gondar zone.
A cross-sectional study design with a descriptive approach was applied from April 1 to June 30. The data was collected using the simulated patient method. Seven prescription-only medicines and a diarrheal case were requested during visit. All drug retail outlets in South Gondar zone that were in service during data collection were visited.
Almost all prescription-only medications were dispensed without prescription at all community drug retail outlets. Of all the dispensaries, 19 (82.6%) provided a partial dosage regimen of amoxicillin. Presence of fever and pregnancy status were asked about by dispensers in only 8% and 20% of visits for diarrhea, respectively. Medication history was also rarely requested. Medication was dispensed in 80% of visits for diarrhea, all of which included antimicrobials. Oral rehydration salt was considered in only two (10%) dispensaries.
Dispensing medications without a prescription is common in community drug retail outlets in South Gondar zone in Amhara Regional State. Our findings also showed that detailed assessments of patients' signs and symptoms are not performed properly by the dispensers to understand the diarrheal case. Training of pharmacy professionals and strict regulatory control are needed.
社区药品零售网点的药学专业人员是社区中最容易接触到的人员，除了配药外，还参与咨询和应对健康问题。在这个过程中，观察到了不同的配药不当行为，而在埃塞俄比亚，关于这个问题还有很多未知之处。
本研究旨在评估南贡德尔地区药店、药房和药品供应商的配药不当情况。
采用描述性横断面研究设计，时间为4月1日至6月30日。数据通过模拟患者方法收集。在就诊时要求提供七种处方药和一例腹泻病例。走访了南贡德尔地区在数据收集期间营业的所有药品零售网点。
几乎所有社区药品零售网点都在没有处方的情况下配出了处方药。在所有配药处中，19家（82.6%）提供了阿莫西林的部分剂量方案。在腹泻就诊中，只有8%的配药人员询问了发热情况，20%的配药人员询问了妊娠状况。用药史也很少被询问。腹泻就诊中有80%配了药，所有配药都包含抗菌药物。只有两家（10%）配药处考虑了口服补液盐。
在阿姆哈拉州南贡德尔地区的社区药品零售网点，无处方配药的情况很常见。我们的研究结果还表明，配药人员没有对患者的体征和症状进行详细评估以了解腹泻病例。需要对药学专业人员进行培训并加强严格的监管。
