Demanda de antibióticos sin prescripción en la farmacia comunitaria. Descripción de la intervención del farmacéutico

  1. A. Molinero 1
  2. J.A. Carbajal de Lara 2
  3. F. Cantalapiedra Fernández 1
  4. A. Eguilleor Villena 3
  5. P. Gutiérrez Ríos 4
  6. N. Amador-Fernández 3
  1. 1 Universidad de Alcalá
    info
    Universidad de Alcalá

    Alcalá de Henares, España

    ROR https://ror.org/04pmn0e78

    Geographic location of the organization Universidad de Alcalá
  2. 2 Universidad de Castilla-La Mancha
    info
    Universidad de Castilla-La Mancha

    Ciudad Real, España

    ROR https://ror.org/05r78ng12

    Geographic location of the organization Universidad de Castilla-La Mancha
  3. 3 Sociedad Española de Farmacia Familiar y Comunitaria (SEFAC)
  4. 4 Universidad Complutense de Madrid
    info
    Universidad Complutense de Madrid

    Madrid, España

    ROR https://ror.org/02p0gd045

    Geographic location of the organization Universidad Complutense de Madrid
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Journal:
Semergen: revista española de medicina de familia

ISSN: 1138-3593

Year of publication: 2020

Issue: 8

Pages: 545-552

Type: Article

DOI: 10.1016/J.SEMERG.2020.06.025 DIALNET GOOGLE SCHOLAR

More publications in: Semergen: revista española de medicina de familia

Sustainable development goals

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SDG classification obtained using Aurora SDG artificial intelligence model.

Abstract

Objectives To quantify the proportion of oral antibiotics requests without prescription in Community Pharmacy (CP) and to analyse it causes. Method Cross-sectional multicentre study carried out in Spanish community pharmacies during 4 weeks, one in each season of the year. Oral J01 antibiotics (Anatomical Therapeutic Chemical classification, ATC) requested for self-medication were analysed. Results 247 pharmacies and 365 pharmacists participated in the study, 1172 antibiotic requests were recorded. More frequent requests for antibiotic self-medication were: previous treatment for the same symptoms (63.1%), insufficient time for a general practitioner (GP) consultation (12.1%) and patient belief that GP is going to prescribe the antibiotic (4.9%). Higher number of generic medication were requested compared to brand medication (41.1 versus 34.9%). Active ingredients commonly requested were amoxicillin (28.2%), amoxicillin-clavulanic (14.9%) and phosphomycin (21.8%) to treat upper respiratory related infections (35.1%), urinary infections (28.1%) and teeth infections (20.2%). 2406 pharmacists’ interventions were carried out: referring to the GP (40.8%), information for correct use of medication (31.3%), non-pharmacological treatment (15.7%), and recommendation of a different medication (6.9%) or a different product (5.3%). Conclusions Nowadays higher number of active ingredients than brands are requested when selecting a treatment for an infection, mainly β-lactams and macrolides. Majority of self-medication tried to treat upper respiratory infections, urinary and teeth infections. Most frequent pharmacists’ intervention was referring to the GP to obtain a correct diagnosis and treatment.

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Funding information

A todos los farmac?uticos participantes del estudio.

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Data source: Dialnet