Try out PMC Labs and tell us what you think. Learn More. To determine the prevalence of and factors associated with dispensing antibiotics without a prescription in online and community pharmacies in China. We conducted a nationwide cross-sectional study of online and community pharmacies in 27 cities and counties in nine provinces in China selected by multistage sampling from July to December We assessed sale of antibiotics without a prescription and quality of pharmacy services through simulated clients who asked to buy specific antibiotics. We compared the prevalence of sales between online and community pharmacies, and between location and features of community pharmacies.
No Prescription Needed? | Clinical Pharmacy and Pharmacology | JAMA | JAMA Network
Metrics details. Non-prescription dispensing of antibiotics, one of the main sources of antibiotic misuse or over use, is a global challenge with detrimental public health consequences including acceleration of the development of antimicrobial resistance, and is facilitated by various intrinsic and extrinsic drivers. The current review aimed to systematically summarise and synthesise the qualitative literature regarding drivers of non-prescribed sale of antibiotics among community drug retail outlets in low and middle income countries.
Unfortunately, pharmacy practice in these settings has been characterized by deficient knowledge and inappropriate treatment. Poor pharmacy practice in Asia appears to have persisted over the past 30 years. In terms of determinants of poor practice, first knowledge was found to be necessary but not sufficient to ensure correct management of patients presenting at the pharmacy. This is evidenced by large discrepancies between stated and actual practice; little difference in the treatment behaviour of less and more qualified personnel and the failure of training programmes to improve practice to a satisfactory level. Second, we identified a number of profit maximizing strategies employed by pharmacy staff that can be linked to poor practices.