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Dispensing antibiotics without a prescription for acute cough associated with common cold at community pharmacies in Shenyang, Northeastern China: A cross-sectional study
Shi,Li1,2,3; Chang,Jie1,2,3; Liu,Xiaoxi4; Zhai,Panpan1,2,3; Hu,Shuchen1,2,3; Li,Pengchao1,2,3; Hayat,Khezar1,2,3,5; Kabba,John Alimamy1,2,3; Feng,Zhitong1,2,3; Yang,Caijun1,2,3; Jiang,Minghuan1,2,3; Zhao,Mingyue1,2,3; Hu,Hao6; Fang,Yu1,2,3
2020-04
Source PublicationAntibiotics
ISSN2079-6382
Volume9Issue:4
Abstract

The inappropriate use of antibiotics is a major health issue in China. We aimed to assess nonprescription antibiotic dispensing and assess pharmacy service practice at community pharmacies in Shenyang, northeastern China, and to compare these practices between pediatric and adult cases. A cross-sectional study was performed from March to May 2018 using the standardized client method. Two different simulated scenarios were presented at pharmacies, namely, pediatric and adult acute cough associated with a common cold. Of 150 pharmacy visits, 147 visits were completed (pediatric case: 73, adult case: 74). A total of 130 (88.4%) community pharmacies dispensed antibiotics without a prescription, with a significant difference between pediatric and adult cases (pediatric case, 79.5% versus adult case, 97.3%, p = 0.005). Symptoms were asked in most visits (pediatric case: 82.2%, adult case 82.4%). Patients’ previous treatment and history of allergies were both inquired more frequently in the pediatric cases than in the adult cases. Medication advice was provided more often in the adult cases than in pediatric cases. Antibiotics were easily obtained without a prescription in Shenyang, especially for adult patients. Adequate inquiries and counseling had not occurred in most pharmacies.

KeywordAcute Cough Community Pharmacy Nonprescription Antibiotic Dispensing Pharmacy Service Practice Standardized Client Study
DOI10.3390/antibiotics9040163
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaInfectious Diseases ; Pharmacology & Pharmacy
WOS SubjectInfectious Diseases ; Pharmacology & Pharmacy
WOS IDWOS:000537218600059
Scopus ID2-s2.0-85083802726
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Cited Times [WOS]:16   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionInstitute of Chinese Medical Sciences
Corresponding AuthorChang,Jie; Fang,Yu
Affiliation1.Department of Pharmacy Administration and Clinical Pharmacy,School of Pharmacy,Xi’an Jiaotong University,Xi’an,710061,China
2.Center for Drug Safety and Policy Research,Xi’an Jiaotong University,Xi’an,710061,China
3.Shaanxi Center for Health Reform and Development Research,Xi’an Jiaotong University,Xi’an,710061,China
4.School of Business Administration,Shenyang Pharmaceutical University,Shenyang,110016,China
5.Institute of Pharmaceutical Sciences,University of Veterinary and Animal Sciences,Lahore,54000,Pakistan
6.State Key Laboratory of Quality Research in Chinese Medicine,Institute of Chinese Medical Sciences,University of Macau,Taipa,Macao
Recommended Citation
GB/T 7714
Shi,Li,Chang,Jie,Liu,Xiaoxi,et al. Dispensing antibiotics without a prescription for acute cough associated with common cold at community pharmacies in Shenyang, Northeastern China: A cross-sectional study[J]. Antibiotics,2020,9(4).
APA Shi,Li,Chang,Jie,Liu,Xiaoxi,Zhai,Panpan,Hu,Shuchen,Li,Pengchao,Hayat,Khezar,Kabba,John Alimamy,Feng,Zhitong,Yang,Caijun,Jiang,Minghuan,Zhao,Mingyue,Hu,Hao,&Fang,Yu.(2020).Dispensing antibiotics without a prescription for acute cough associated with common cold at community pharmacies in Shenyang, Northeastern China: A cross-sectional study.Antibiotics,9(4).
MLA Shi,Li,et al."Dispensing antibiotics without a prescription for acute cough associated with common cold at community pharmacies in Shenyang, Northeastern China: A cross-sectional study".Antibiotics 9.4(2020).
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