Rationality of Antimicrobial Prescriptions in Community Pharmacy Users
Although there is a conflict between the treatment benefits for a single individual and society, restrictions on antibiotic use are needed to reduce the prevalence of resistance to these drugs, which is the main result of irrational use. Brazil, cataloged as a pharmemerging market, has implemented r...
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| Veröffentlicht in: | PloS one 2015-10, Vol.10 (10), p.e0141615-e0141615 |
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| creator | Lima, Sara I V C Diniz, Rodrigo S Egito, Eryvaldo S T Azevedo, Paulo R M Oliveira, Antonio G Araujo, Ivonete B |
| description | Although there is a conflict between the treatment benefits for a single individual and society, restrictions on antibiotic use are needed to reduce the prevalence of resistance to these drugs, which is the main result of irrational use. Brazil, cataloged as a pharmemerging market, has implemented restrictive measures for the consumption of antibiotics. The objective of this study was to investigate the quality of antimicrobial prescriptions and user knowledge of their treatment with these drugs.
A two-stage cross-sectional, combined and stratified survey of pharmacy users holding an antimicrobial prescription was conducted in the community between May and November 2014. A pharmacist analyzed each prescription for legibility and completeness, and applied a structured questionnaire to the users or their caregivers on their knowledge regarding treatment and user sociodemographic data. An estimated 29.3% of prescriptions had one or more illegible items, 91.3% had one or more missing items, and 29.0% had both illegible and missing items. Dosing schedule and patient identification were the most commonly unreadable items in prescriptions, 18.81% and 12.14%, respectively. The lack of complete patient identification occurred in 90.53% of the prescriptions. It is estimated that 40.3% of users have used antimicrobials without prescription and that 46.49% did not receive any guidance on the administration of the drug.
Despite the measures taken by health authorities to restrict the misuse of antimicrobials, it was observed that prescribers still do not follow the criteria of current legislation, particularly relating to items needed for completion of the prescription. Moreover, users receive little information about their antimicrobial treatment. |
| doi_str_mv | 10.1371/journal.pone.0141615 |
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A two-stage cross-sectional, combined and stratified survey of pharmacy users holding an antimicrobial prescription was conducted in the community between May and November 2014. A pharmacist analyzed each prescription for legibility and completeness, and applied a structured questionnaire to the users or their caregivers on their knowledge regarding treatment and user sociodemographic data. An estimated 29.3% of prescriptions had one or more illegible items, 91.3% had one or more missing items, and 29.0% had both illegible and missing items. Dosing schedule and patient identification were the most commonly unreadable items in prescriptions, 18.81% and 12.14%, respectively. The lack of complete patient identification occurred in 90.53% of the prescriptions. It is estimated that 40.3% of users have used antimicrobials without prescription and that 46.49% did not receive any guidance on the administration of the drug.
Despite the measures taken by health authorities to restrict the misuse of antimicrobials, it was observed that prescribers still do not follow the criteria of current legislation, particularly relating to items needed for completion of the prescription. Moreover, users receive little information about their antimicrobial treatment.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0141615</identifier><identifier>PMID: 26517874</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Analysis ; Anti-Bacterial Agents - therapeutic use ; Antibiotics ; Antiinfectives and antibacterials ; Antimicrobial agents ; Brazil ; Communities ; Cross-Sectional Studies ; Drug Prescriptions - statistics & numerical data ; Drug resistance ; Drug stores ; Drugs ; Female ; Health aspects ; Health Knowledge, Attitudes, Practice ; Humans ; Legibility ; Legislation ; Legislation, Drug ; Male ; Medical errors ; Medication Errors - statistics & numerical data ; Patients ; Pharmacy ; Practice Patterns, Physicians ; Prescription drugs ; Prescriptions (Drugs) ; Surveys ; Surveys and Questionnaires</subject><ispartof>PloS one, 2015-10, Vol.10 (10), p.e0141615-e0141615</ispartof><rights>COPYRIGHT 2015 Public Library of Science</rights><rights>2015 Lima et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2015 Lima et al 2015 Lima et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-f323563f519d97a183fc3c04ff455f84542ac372226b0caad8aad34a2b8ad5d13</citedby><cites>FETCH-LOGICAL-c692t-f323563f519d97a183fc3c04ff455f84542ac372226b0caad8aad34a2b8ad5d13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4627736/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4627736/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,861,882,2096,2915,23847,27905,27906,53772,53774,79349,79350</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26517874$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Atapattu, Dhammika Nanda</contributor><creatorcontrib>Lima, Sara I V C</creatorcontrib><creatorcontrib>Diniz, Rodrigo S</creatorcontrib><creatorcontrib>Egito, Eryvaldo S T</creatorcontrib><creatorcontrib>Azevedo, Paulo R M</creatorcontrib><creatorcontrib>Oliveira, Antonio G</creatorcontrib><creatorcontrib>Araujo, Ivonete B</creatorcontrib><title>Rationality of Antimicrobial Prescriptions in Community Pharmacy Users</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Although there is a conflict between the treatment benefits for a single individual and society, restrictions on antibiotic use are needed to reduce the prevalence of resistance to these drugs, which is the main result of irrational use. Brazil, cataloged as a pharmemerging market, has implemented restrictive measures for the consumption of antibiotics. The objective of this study was to investigate the quality of antimicrobial prescriptions and user knowledge of their treatment with these drugs.
A two-stage cross-sectional, combined and stratified survey of pharmacy users holding an antimicrobial prescription was conducted in the community between May and November 2014. A pharmacist analyzed each prescription for legibility and completeness, and applied a structured questionnaire to the users or their caregivers on their knowledge regarding treatment and user sociodemographic data. An estimated 29.3% of prescriptions had one or more illegible items, 91.3% had one or more missing items, and 29.0% had both illegible and missing items. Dosing schedule and patient identification were the most commonly unreadable items in prescriptions, 18.81% and 12.14%, respectively. The lack of complete patient identification occurred in 90.53% of the prescriptions. It is estimated that 40.3% of users have used antimicrobials without prescription and that 46.49% did not receive any guidance on the administration of the drug.
Despite the measures taken by health authorities to restrict the misuse of antimicrobials, it was observed that prescribers still do not follow the criteria of current legislation, particularly relating to items needed for completion of the prescription. Moreover, users receive little information about their antimicrobial treatment.</description><subject>Analysis</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Antibiotics</subject><subject>Antiinfectives and antibacterials</subject><subject>Antimicrobial agents</subject><subject>Brazil</subject><subject>Communities</subject><subject>Cross-Sectional Studies</subject><subject>Drug Prescriptions - statistics & numerical data</subject><subject>Drug resistance</subject><subject>Drug stores</subject><subject>Drugs</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Legibility</subject><subject>Legislation</subject><subject>Legislation, Drug</subject><subject>Male</subject><subject>Medical errors</subject><subject>Medication Errors - statistics & numerical data</subject><subject>Patients</subject><subject>Pharmacy</subject><subject>Practice Patterns, Physicians</subject><subject>Prescription drugs</subject><subject>Prescriptions (Drugs)</subject><subject>Surveys</subject><subject>Surveys and Questionnaires</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNkl2L1DAUhoso7rr6D0QLgujFjPlueyMMg6sDC7usrrfhNE1mMrTNmLTi_HvTme4ylb2QEBJOnvMm5-RNktcYzTHN8Ket630L9XznWj1HmGGB-ZPkHBeUzARB9OnJ_ix5EcIWIU5zIZ4nZ0RwnOUZO08ub6GzLurYbp86ky7azjZWeVdaqNMbr4PydjcgIbVtunRN07cDe7MB34Dap3dB-_AyeWagDvrVuF4kd5dffiy_za6uv66Wi6uZEgXpZoYSygU1HBdVkQHOqVFUIWYM49zkjDMCimaEEFEiBVDlcVIGpMyh4hWmF8nbo-6udkGOLQgSZyRnCBGSRWJ1JCoHW7nztgG_lw6sPAScX0vwnVW1lthQoUrQBKmKlVjlpRAiR5USnBKlaNT6PN7Wl42ulG47D_VEdHrS2o1cu9-SCZJlVESBD6OAd796HTrZ2KB0XUOrXX94d0E5omJ497t_0MerG6k1xAJsa1y8Vw2icsEoxSLDhEdq_ggVR6Xj30a_GBvjk4SPk4TIdPpPt4Y-BLn6fvv_7PXPKfv-hN1oqLtNcHV_8NMUZEcwOi8Er81DkzGSg93vuyEHu8vR7jHtzekHPSTd-5v-BQ8o-f0</recordid><startdate>20151030</startdate><enddate>20151030</enddate><creator>Lima, Sara I V C</creator><creator>Diniz, Rodrigo S</creator><creator>Egito, Eryvaldo S T</creator><creator>Azevedo, Paulo R M</creator><creator>Oliveira, Antonio G</creator><creator>Araujo, Ivonete B</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20151030</creationdate><title>Rationality of Antimicrobial Prescriptions in Community Pharmacy Users</title><author>Lima, Sara I V C ; Diniz, Rodrigo S ; Egito, Eryvaldo S T ; Azevedo, Paulo R M ; Oliveira, Antonio G ; Araujo, Ivonete B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-f323563f519d97a183fc3c04ff455f84542ac372226b0caad8aad34a2b8ad5d13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Analysis</topic><topic>Anti-Bacterial Agents - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lima, Sara I V C</au><au>Diniz, Rodrigo S</au><au>Egito, Eryvaldo S T</au><au>Azevedo, Paulo R M</au><au>Oliveira, Antonio G</au><au>Araujo, Ivonete B</au><au>Atapattu, Dhammika Nanda</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Rationality of Antimicrobial Prescriptions in Community Pharmacy Users</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2015-10-30</date><risdate>2015</risdate><volume>10</volume><issue>10</issue><spage>e0141615</spage><epage>e0141615</epage><pages>e0141615-e0141615</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Although there is a conflict between the treatment benefits for a single individual and society, restrictions on antibiotic use are needed to reduce the prevalence of resistance to these drugs, which is the main result of irrational use. Brazil, cataloged as a pharmemerging market, has implemented restrictive measures for the consumption of antibiotics. The objective of this study was to investigate the quality of antimicrobial prescriptions and user knowledge of their treatment with these drugs.
A two-stage cross-sectional, combined and stratified survey of pharmacy users holding an antimicrobial prescription was conducted in the community between May and November 2014. A pharmacist analyzed each prescription for legibility and completeness, and applied a structured questionnaire to the users or their caregivers on their knowledge regarding treatment and user sociodemographic data. An estimated 29.3% of prescriptions had one or more illegible items, 91.3% had one or more missing items, and 29.0% had both illegible and missing items. Dosing schedule and patient identification were the most commonly unreadable items in prescriptions, 18.81% and 12.14%, respectively. The lack of complete patient identification occurred in 90.53% of the prescriptions. It is estimated that 40.3% of users have used antimicrobials without prescription and that 46.49% did not receive any guidance on the administration of the drug.
Despite the measures taken by health authorities to restrict the misuse of antimicrobials, it was observed that prescribers still do not follow the criteria of current legislation, particularly relating to items needed for completion of the prescription. Moreover, users receive little information about their antimicrobial treatment.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>26517874</pmid><doi>10.1371/journal.pone.0141615</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Analysis Anti-Bacterial Agents - therapeutic use Antibiotics Antiinfectives and antibacterials Antimicrobial agents Brazil Communities Cross-Sectional Studies Drug Prescriptions - statistics & numerical data Drug resistance Drug stores Drugs Female Health aspects Health Knowledge, Attitudes, Practice Humans Legibility Legislation Legislation, Drug Male Medical errors Medication Errors - statistics & numerical data Patients Pharmacy Practice Patterns, Physicians Prescription drugs Prescriptions (Drugs) Surveys Surveys and Questionnaires |
| title | Rationality of Antimicrobial Prescriptions in Community Pharmacy Users |
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