| Autor: |
Lansang MA; Department of Medicine, University of the Philippines College of Medicine, Philippine General Hospital, Manila., Lucas-Aquino R, Tupasi TE, Mina VS, Salazar LS, Juban N, Limjoco TT, Nisperos LE, Kunin CM |
| Jazyk: |
angličtina |
| Zdroj: |
Journal of clinical epidemiology [J Clin Epidemiol] 1990; Vol. 43 (1), pp. 61-7. |
| DOI: |
10.1016/0895-4356(90)90057-v |
| Abstrakt: |
The purchase of antimicrobial agents in drugstores in a district in Manila. The Philippines was examined in order to determine how these agents might be used. Most antimicrobial agents are imported as bulk products and repackaged by a large number of small firms into 1491 different preparations including 206 marketed as combinations with other drugs. Antimicrobial agents accounted for 20.1% of all drug purchases. Purchases were made without prescription in 66.3% of 1608 transactions. Most of these were aminopenicillins or penicillins G or V (40.0%). The most common perceived indications were respiratory tract infections (20.2%), tuberculosis (8.8%), "prophylaxis" (8.6%) and gastrointestinal infection (8.3%). Almost 90% of purchases were for 10 or less capsules or tablets. The median number of units purchased was 3. Customers with written prescriptions purchased a mean of 8 while those who self-prescribed purchased a mean of 4 units (p = less than 0.05). We believe that these practices can provide only limited clinical efficacy and should favor emergence of resistant bacteria. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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