Next Article in Journal
Acquisition of Colistin Resistance Links Cell Membrane Thickness Alteration with a Point Mutation in the lpxD Gene in Acinetobacter baumannii
Next Article in Special Issue
Development of Antimicrobial Stewardship Programmes in Low and Middle-Income Countries: A Mixed-Methods Study in Nigerian Hospitals
Previous Article in Journal
Antibiotic Resistance of Gram-Negative Bacteria from Wild Captured Loggerhead Sea Turtles
Article

Dispensing Antibiotics without a Prescription for Acute Cough Associated with Common Cold at Community Pharmacies in Shenyang, Northeastern China: A Cross-Sectional Study

by 1,2,3, 1,2,3,*, 4, 1,2,3, 1,2,3, 1,2,3, 1,2,3,5, 1,2,3, 1,2,3, 1,2,3, 1,2,3, 1,2,3, 6 and 1,2,3,*
1
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 999078, Macao, China
*
Authors to whom correspondence should be addressed.
Received: 29 February 2020 / Revised: 29 March 2020 / Accepted: 3 April 2020 / Published: 6 April 2020
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. View Full-Text
Keywords: nonprescription antibiotic dispensing; pharmacy service practice; community pharmacy; acute cough; standardized client study nonprescription antibiotic dispensing; pharmacy service practice; community pharmacy; acute cough; standardized client study
Show Figures

Figure 1

MDPI and ACS Style

Shi, L.; Chang, J.; Liu, X.; Zhai, P.; Hu, S.; Li, P.; Hayat, K.; Kabba, J.A.; Feng, Z.; Yang, C.; Jiang, M.; Zhao, M.; Hu, H.; Fang, Y. Dispensing Antibiotics without a Prescription for Acute Cough Associated with Common Cold at Community Pharmacies in Shenyang, Northeastern China: A Cross-Sectional Study. Antibiotics 2020, 9, 163. https://0-doi-org.brum.beds.ac.uk/10.3390/antibiotics9040163

AMA Style

Shi L, Chang J, Liu X, Zhai P, Hu S, Li P, Hayat K, Kabba JA, Feng Z, Yang C, Jiang M, Zhao M, Hu H, Fang Y. Dispensing Antibiotics without a Prescription for Acute Cough Associated with Common Cold at Community Pharmacies in Shenyang, Northeastern China: A Cross-Sectional Study. Antibiotics. 2020; 9(4):163. https://0-doi-org.brum.beds.ac.uk/10.3390/antibiotics9040163

Chicago/Turabian Style

Shi, Li, Jie Chang, Xiaoxi Liu, Panpan Zhai, Shuchen Hu, Pengchao Li, Khezar Hayat, John A. Kabba, Zhitong Feng, Caijun Yang, Minghuan Jiang, Mingyue Zhao, Hao Hu, and Yu Fang. 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, no. 4: 163. https://0-doi-org.brum.beds.ac.uk/10.3390/antibiotics9040163

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop