[Characteristics of private and irregular prescription for oral antibiotics in Spanish community pharmacies].

Autor:	Carbajal de Lara JA; Grupo de trabajo de antibióticos de SEFAC, Madrid, España; Doctor/a en Farmacia; Farmacéutico/a Comunitario/a; Especialista en Microbiología y Parasitología; Especialista en Farmacia Hospitalaria; Profesor Asociado, Universidad de Castilla-La Mancha, Ciudad Real, España., Cantalapiedra Fernández F; Grupo de trabajo de antibióticos de SEFAC, Madrid, España; Farmacéutico/a Comunitario/a; Profesor/a Asociado/a, Universidad de Alcalá de Henares, Alcalá de Henares, Madrid, España., Eguilleor Villena A; Grupo de trabajo de antibióticos de SEFAC, Madrid, España; Farmacéutico/a Comunitario/a., Gutiérrez Ríos P; Grupo de trabajo de antibióticos de SEFAC, Madrid, España; Farmacéutico/a Comunitario/a; Profesor Asociado, Universidad Complutense de Madrid, Madrid, España., Amador Fernández N; Grupo de trabajo de antibióticos de SEFAC, Madrid, España; Farmacéutico/a Comunitario/a. Electronic address: namador@sefac.org., Molinero A; Doctor/a en Farmacia; Farmacéutico/a Comunitario/a; Profesor/a Asociado/a, Universidad de Alcalá de Henares, Alcalá de Henares, Madrid, España; Especialista en Análisis Clínicos.
Jazyk:	Spanish; Castilian
Zdroj:	Semergen [Semergen] 2020 Apr; Vol. 46 (3), pp. 194-201. Date of Electronic Publication: 2019 Nov 28.
DOI:	10.1016/j.semerg.2019.10.003
Abstrakt:	Objective: To quantify the proportion of oral antibiotics through private prescription (PP) and irregular prescription (IP) in the Community Pharmacy (CP). Material and Methods: Cross-sectional multicentre study carried out in Spanish community pharmacies over a 4week period, one in each season of the year. An analysis was made of private and irregular prescriptions of oral J01 antibacterials for systemic use (Anatomical Therapeutic Chemical [ATC] classification). The study variables used were prescription and consultation characteristics. Results: A total of 3569 PP (71% followed legislation) and 833 IP were recorded by 365 pharmacists working in 247 CP. PP were prescribed by dentists (43.7%), general practitioners (GP) (26.20%), and paediatricians (10.3%), to treat teeth infections (39.8%), upper respiratory infections (25.6%), lower respiratory infections (10.3%), and urinary infections (7.7%). The most prescribed antibiotics were amoxicillin (27.9%) and amoxicillin-clavulanic (25.2%). IP came from Emergency Departments (32.8%), oral/phone prescriptions (20.4%), and patient demand due to insufficient quantity of antibiotic to complete treatment (10%). Prescriptions came from GP (25.2%), dentists (24.7%), and paediatricians (12%) to treat upper respiratory infections (32.5%), teeth infections (25.8%), urinary infections (14.2%), and lower respiratory infections (10.8%). The most prescribed antibiotics were amoxicillin-clavulanic (27.4%) and amoxicillin (21.6%). Since every patient with IP was referred to the GP, 45.4% of them accepted the recommendations of the pharmacists. Conclusions: This study obtained PP and IP characteristics, unknown and needed data in Spain for future health policy plans. (Copyright © 2019 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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