Over-The-Counter Sales of Antibiotics at Community Pharmacies in Belize: A Cross-Sectional Simulated Client Visit study
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Keywords

Antibiotics
Antibiotic Resistance
Dispensing
Simulated Client
Over the Counter
Prescription
Belize

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How to Cite

1.
Husaini DC, Abubakar Y, Harris-Thurton L, Mphuthi DD. Over-The-Counter Sales of Antibiotics at Community Pharmacies in Belize: A Cross-Sectional Simulated Client Visit study . Integr J Med Sci [Internet]. 2021 Mar. 3 [cited 2024 Apr. 19];8. Available from: https://www.mbmj.org/index.php/ijms/article/view/455

Abstract

Aim: In Belize, antibiotics are categorized as prescription-only drugs, and their sales over the counter without a prescription is prohibited. This study assessed the sales and dispensing of antibiotics in community pharmacies without a prescription.
Methods: 36 community pharmacies in 4 districts of Belize were assessed for non-prescription sales of antibiotics using a simulated client method (SCM) approach from September to November 2019.
Results: The majority (19; 52.8%) of the community pharmacies assessed refused to sell antibiotics without a prescription from a physician. Approximately 17 (47.2%) sold and dispensed antibiotics to simulated clients (SCs) without a prescription. Adequate patient counseling was provided by the pharmacists to the SCs.
Conclusion: Some level of lack of compliance with the sales of antibiotics without prescription was observed among community pharmacists in this study. There is a need to reinforce stricter control on the sales and dispensing of antibiotics without prescription in the country of Belize.

https://doi.org/10.15342/ijms.2021.455
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References

Husaini DC, Kishan UJV, Wu CY, Guerra EN, Bush CJ, Perez AW, et al. Field-based screening of selected oral antibiotics in Belize. PLoS One. 2020;15(6):e0234814. https://doi.org/10.1371/journal.pone.0234814

WHO-Antibiotic resistance. Who int. [Accessed August 22, 2020]. Available From: https://www.who.int/news-room/fact-sheets/detail/antibiotic-resistance

Center for Disease Control. Antibiotic / antimicrobial Resistance. Cdc.gov. Published July 20, 2020. [Accessed August 22, 2020]. Available From: https://www.cdc.gov/drugresistance/index.html

Hu Y, Gao GF, Zhu B. The antibiotic resistome: gene flow in environments, animals and human beings. Front Med. 2017;11(2):161-168. https://doi.org/10.1007/s11684-017-0531-x

Iwu CD, Korsten L, OkohAI. The incidence of antibiotic resistance within and beyond the agricultural ecosystem: A concern for public health.Microbiologyopen. Published online 2020:e1035. https://doi.org/10.1007/s11684-017-0531-x10.1002/mbo3.1035

Morgan DJ, Okeke IN, Laxminarayan R, Perencevich EN, Weisenberg S. Non-prescription antimicrobial use worldwide: a systematic review.Lancet Infect Dis. 2011;11(9):692-701. https://doi.org/10.1016/S1473-3099(11)70054-8

Radyowijati A, Haak H. Improving antibiotic use in low-income countries: an overview of evidence on determinants.Soc Sci Med. 2003;57(4):733-744. https://doi.org/10.1016/s0277-9536(02)00422-7

Ocan M, Obuku EA, 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. https://doi.org/10.1186/s12889-015-2109-3

Chang J, Ye D, Lv B, Jiang M, Zhu S, Yan K, et al. Sale of antibiotics without a prescription at community pharmacies in urban China: a multicentre cross-sectional survey. J Antimicrob Chemother. 2017 Apr 1;72(4):1235-1242. https://doi.org/10.1093/jac/dkw519

Damisie G, Hambisa S, YimamM. Over the counter sale of antibiotics at drug stores found in Mizan-Aman town, Southwest Ethiopia: A cross-sectional simulated client visit study. J Pharm (Cairo). 2019;2019:3510659. https://doi.org/10.1155/2019/3510659

Madden JM, Quick JD, Ross-Degnan D, Kafle KK. Undercover careseekers: simulated clients in the study of health provider behavior in developing countries. Soc Sci Med. 1997;45(10):1465-1482. https://doi.org/10.1016/s0277-9536(97)00076-2

World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013;310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053

WHO. World Health Organization model list of essential medicines: 21st list 2019. Who.int. [Accessed September 13, 2020]. Available From: https://apps.who.int/iris/bitstream/handle/10665/325771/WHO-MVP-EMP-IAU-2019.06-eng.pdf?ua=1

Farah R, Lahoud N, Salameh P, Saleh N. Antibiotic dispensation by Lebanese pharmacists: a comparison of higher and lower socio-economic levels. J Infect Public Health. 2015;8(1):37-46. https://doi.org/10.1016/j.jiph.2014.07.003

Zapata-Cachafeiro M, Piñeiro-Lamas M, Guinovart MC, López-Vázquez P, Vázquez-Lago JM, FigueirasA. Magnitude and determinants of antibiotic dispensing without prescription in Spain: a simulated patient study. J Antimicrob Chemother. 2019;74(2):511-514. https://doi.org/10.1093/jac/dky440

Zawahir S, Lekamwasam S, Aslani P. Community pharmacy staff’s response to symptoms of common infections: a pseudo-patient study. Antimicrob Resist Infect Control. 2019;8(1):60. https://doi.org/10.1186/s13756-019-0510-x

Lopez-Vazquez P, Vazquez-Lago JM, Figueiras A. Misprescription of antibiotics in primary care: a critical systematic review of its determinants: Misprescription of antibiotics. J Eval Clin Pract. 2012;18(2):473-484. https://doi.org/10.1111/j.1365-2753.2010.01610.x

Ding L, Sun Q, Sun Wet al. Antibiotic use in rural China: a cross-sectional survey of knowledge, attitudes and self-reported practices among caregivers in Shandong province.BMC Infect Dis. 2015;15(1):576. https://doi.org/10.1186/s12879-015-1323-z

Llor C, Cots JM. The sale of antibiotics without prescription in pharmacies in Catalonia, Spain. Clin Infect Dis. 2009;48(10):1345-1349. https://doi.org/10.1086/598183

Marković-Peković V, Grubiša N, Burger J, Bojanić L, Godman B. Initiatives to reduce nonprescription sales and dispensing of antibiotics: Findings and implications. J Res Pharm Pract. 2017;6(2):120-125. https://doi.org/10.4103/jrpp.JRPP_17_12

Ilardo ML, Speciale A. The community pharmacist: Perceived barriers and patient-centered care communication. Int J Environ Res Public Health. 2020;17(2):536. https://doi.org/10.3390/ijerph17020536

Mossialos E, Courtin E, Naci H, Benrimoj S, Bouvy M, Farris K, et al. From “retailers” to health care providers: Transforming the role of community pharmacists in chronic disease management. Health Policy. 2015;119(5):628-639. https://doi.org/10.1016/j.healthpol.2015.02.007

Dubbai H, Adelstein B-A, Taylor S, Shulruf B. Definition of professionalism and tools for assessing professionalism in pharmacy practice: a systemic review. J Educ Eval Health Prof. 2019;16:22. https://doi.org/10.3352/jeehp.2019.16.22

Mansour O, Al-Kayali R. Community pharmacistsꞌrole in controlling bacterial antibiotic resistance in Aleppo, Syria. Iran J Pharm Res. 2017;16(4):1612-1620.

World Health Organization.The role of pharmacist in encouraging prudent use of antibiotics and averting antimicrobial resistance: A review of policy and experience in Europe (2014).Published online 2017. [Accessed March 3, 2020]. Available from: https://www.euro.who.int/en/health-topics/disease-prevention/antimicrobial-resistance/publications/2014/the-role-of-pharmacist-in-encouraging-prudent-use-of-antibiotic-medicines-and-averting-antimicrobial-resistance-a-review-of-current-policies-and-experiences-in-europe-2014

Ashiru-Oredope D. Community pharmacists must help conserve antibiotics. Pharm J. 2014;24:896–900. [Accessed March 3, 2020]. Available from: https://pharmaceutical-journal.com/article/opinion/community-pharmacists-must-help-conserve-antibiotics

WHO | Global action plan on AMR. Published online 2016. [Accessed March 3, 2020].Available from: https://www.who.int/antimicrobial-resistance/global-action-plan/en/

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Copyright (c) 2021 Husaini DC et al.

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