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Title

A STUDY OF ANTIBIOTIC ADMINISTRATING WITHOUT PHYSICIAN PRESCRIPTION BY PHARMACISTS IN MASHHAD IN 2006

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Abstract

 Introduction: The inappropriate use of antibiotics for the treatment of infections is a worldwide problem that results in increased cost of treatment and increased prevalence of bacterial resistance. In developing countries, antibiotics are one of the most drugs which are used as self-medication, and they are sold and administrate without medical prescription. This study has been done to determine the percentage of pharmacists that administrate and sell antibiotics without a medical prescription.Methods: 116 of 357 drugstores in Mashhad were evaluated. The pharmacists (only pharmacists, not sellers) were visited by the researcher who pretended to be affected by Rhino sinusitis and requested for drugs.Results: antibiotics were administrated and sold by 65.5% of the pharmacists. The prescription was related to the gender of pharmacists (females more than males) and the pharmacy ownership (private more than governmental) and was not related to work experience and the place the pharmacies were located. Among antibiotics, Co-Amoxiclav (27.6%) Amoxicillin (25%) and Co-Trimoxazole (21.6%) were the most administrated.Conclusion: To by antibiotics without medial prescription is easy in Mashhad as it is in other developing countries. Therefore the hygienic managers have to take steps: including educating pharmacy students, the pharmacists' re-education, close control and ...

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