دورية أكاديمية
Current rates of purchasing of antibiotics without a prescription across sub-Saharan Africa; rationale and potential programmes to reduce inappropriate dispensing and resistance.
| العنوان: | Current rates of purchasing of antibiotics without a prescription across sub-Saharan Africa; rationale and potential programmes to reduce inappropriate dispensing and resistance. |
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| المؤلفون: | Sono TM; Department of Public Health Pharmacy and Management, Schoolof Pharmacy, Sefako Makgatho Health Sciences University, Garankuwa, Pretoria, South Africa.; Saselamani Pharmacy, Saselamani, South Africa., Yeika E; Programs coordinator/Technical supervisor for HIV/Malaria, Delegation of Public Health, Cameroon., Cook A; Centre for Neonatal and Paediatric Infection, Institute of Infection and Immunity, St. George's University of London, London, UK.; Nuffield Department of Population Health, Health Economics Research Centre, University of Oxford, Oxford, UK., Kalungia A; Department of Pharmacy, School of Health Sciences, University of Zambia, Lusaka, Zambia., Opanga SA; Department of Pharmacology, Clinical Pharmacy and Pharmacy Practice, School of Pharmacy, University of Nairobi, Nairobi, Kenya., Acolatse JEE; Pharmacy Directorate, Cape Coast Teaching Hospital (CCTH), Cape Coast, Ghana., Sefah IA; Pharmacy Practice Department, School of Pharmacy, University of Health and Allied Sciences, Volta Region, Ho, Ghana., Jelić AG; Department of Pharmacy, Faculty of Medicine, University of Banja Luka, Banja Luka, Bosnia & Herzegovina., Campbell S; Department of Public Health Pharmacy and Management, Schoolof Pharmacy, Sefako Makgatho Health Sciences University, Garankuwa, Pretoria, South Africa.; Centre for Epidemiology and Public Health, School of Health Sciences, University of Manchester, Manchester, UK., Lorenzetti G; Centre for Neonatal and Paediatric Infection, Institute of Infection and Immunity, St. George's University of London, London, UK., Ul Mustafa Z; Discipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Gelugor, Penang, Malaysia.; Department of Pharmacy Services, District Headquarter (DHQ) Hospital, Pakpattan, Pakistan., Marković-Peković V; Department of Pharmacy, Faculty of Medicine, University of Banja Luka, Banja Luka, Bosnia & Herzegovina., Kurdi A; Department of Public Health Pharmacy and Management, Schoolof Pharmacy, Sefako Makgatho Health Sciences University, Garankuwa, Pretoria, South Africa.; Department of Pharmacoepidemiology, Strathclyde Institute of Pharmacy and Biomedical Sciences, University of Strathclyde, Glasgow, UK.; Department of Pharmacology, College of Pharmacy, Hawler Medical University, Erbil, Iraq.; College of Pharmacy, Al-Kitab University, Kirkuk, Iraq., Anand Paramadhas BD; Department of Health Services Management, Central Medical Stores, Ministry of Health, Gaborone, Botswana., Rwegerera GM; Faculty of Medicine, Department of Internal Medicine, University of Botswana, Gaborone, Botswana.; DestinyMedical and Research Solutions Proprietary Limited, Gaborone, Botswana., Amu AA; Pharmacy Department, Eswatini Medical Christian University, Mbabane, Kingdom of Eswatini., Alabi ME; School of Pharmaceutical Sciences, College of Health Sciences,University of Kwazulu-natal (UKZN), Durban, South Africa., Wesangula E; East Central and Southern Africa Health Community, Arusha, Tanzania., Oluka M; Department of Pharmacology, Clinical Pharmacy and Pharmacy Practice, School of Pharmacy, University of Nairobi, Nairobi, Kenya., Khuluza F; Pharmacy Department, Kamuzu University of Health Sciences (KUHeS) (formerly College of Medicine), Blantyre, Malawi., Chikowe I; Pharmacy Department, Kamuzu University of Health Sciences (KUHeS) (formerly College of Medicine), Blantyre, Malawi., Fadare JO; Department of Pharmacology and Therapeutics, Ekiti State University, Ado-Ekiti, Nigeria.; Department of Medicine, Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria., Ogunleye OO; Department of Pharmacology, Therapeutics and Toxicology, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria.; Department of Medicine, Lagos State University Teaching Hospital, Ikeja, Uganda., Kibuule D; Department of Pharmacology & Therapeutics, Busitema University, Mbale, Uganda., Hango E; Department of Pharmacy Practice and Policy, School of Pharmacy, Faculty of Health Sciences, University of Namibia, Windhoek, Namibia., Schellack N; Department of Pharmacology, Faculty of Health Sciences, University of Pretoria, Pretoria, SouthAfrica., Ramdas N; Department of Public Health Pharmacy and Management, Schoolof Pharmacy, Sefako Makgatho Health Sciences University, Garankuwa, Pretoria, South Africa., Massele A; Department of Clinical Pharmacology and Therapeutics, Hurbert Kairuki Memorial University, Dar Es Salaam, Tanzania., Mudenda S; Department of Pharmacy, School of Health Sciences, University of Zambia, Lusaka, Zambia.; Africa Center of Excellence for Infectious Diseases of Humans and Animals, School of Veterinary Meicine, University of Zambia, Lusaka, Zambia., Hoxha I; Department of Pharmacy, Faculty of Medicine, University of Medicine Tirana, Tirana, Albania., Moore CE; Centre for Neonatal and Paediatric Infection, Institute of Infection and Immunity, St. George's University of London, London, UK., Godman B; Department of Public Health Pharmacy and Management, Schoolof Pharmacy, Sefako Makgatho Health Sciences University, Garankuwa, Pretoria, South Africa.; Department of Pharmacoepidemiology, Strathclyde Institute of Pharmacy and Biomedical Sciences, University of Strathclyde, Glasgow, UK., Meyer JC; Department of Public Health Pharmacy and Management, Schoolof Pharmacy, Sefako Makgatho Health Sciences University, Garankuwa, Pretoria, South Africa.; South African Vaccination and Immunisation Centre, Sefako Makgatho HealthSciences University, Garankuwa, Pretoria, South Africa. |
| المصدر: | Expert review of anti-infective therapy [Expert Rev Anti Infect Ther] 2023 Jul-Dec; Vol. 21 (10), pp. 1025-1055. Date of Electronic Publication: 2023 Oct 27. |
| نوع المنشور: | Review; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Taylor & Francis Country of Publication: England NLM ID: 101181284 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1744-8336 (Electronic) Linking ISSN: 14787210 NLM ISO Abbreviation: Expert Rev Anti Infect Ther Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2015- : Abingdon, Oxford : Taylor & Francis Original Publication: London : Future Drugs Ltd. |
| مواضيع طبية MeSH: | Anti-Bacterial Agents*/therapeutic use , Pharmacists*, Humans ; Drug Prescriptions ; Ethiopia |
| مستخلص: | Introduction: Antimicrobial resistance (AMR) is a global concern. Currently, the greatest mortality due to AMR is in Africa. A key driver continues to be high levels of dispensing of antibiotics without a prescription. Areas Covered: A need to document current rates of dispensing, their rationale and potential ways forward including antimicrobial stewardship programmes (ASPs). A narrative review was undertaken. The highest rates of antibiotic purchasing were in Eritrea (up to 89.2% of antibiotics dispensed), Ethiopia (up to 87.9%), Nigeria (up to 86.5%), Tanzania (up to 92.3%) and Zambia (up to 100% of pharmacies dispensing antibiotics without a prescription). However, considerable variation was seen with no dispensing in a minority of countries and situations. Key drivers of self-purchasing included high co-payment levels for physician consultations and antibiotic costs, travel costs, convenience of pharmacies, patient requests, limited knowledge of antibiotics and AMR and weak enforcement. ASPs have been introduced in some African countries along with quality targets to reduce inappropriate dispensing, centering on educating pharmacists and patients. Expert Opinion: ASP activities need accelerating among community pharmacies alongside quality targets, with greater monitoring of pharmacists' activities to reduce inappropriate dispensing. Such activities, alongside educating patients and healthcare professionals, should enhance appropriate dispensing of antibiotics and reduce AMR. |
| معلومات مُعتمدة: | MC_PC_16090 United Kingdom MRC_ Medical Research Council |
| فهرسة مساهمة: | Keywords: AWaRe classification; Africa; antibiotics; antimicrobial resistance; antimicrobial stewardship programmes; community pharmacies; over-the-counter purchasing; quality indicators; utilization patterns |
| المشرفين على المادة: | 0 (Anti-Bacterial Agents) |
| تواريخ الأحداث: | Date Created: 20230923 Date Completed: 20231108 Latest Revision: 20240320 |
| رمز التحديث: | 20240320 |
| DOI: | 10.1080/14787210.2023.2259106 |
| PMID: | 37740561 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1744-8336 |
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| DOI: | 10.1080/14787210.2023.2259106 |