Availability of over-the-counter antibiotics in Guatemalan corner stores

Autor: Guy H. Palmer, Karen Sosa, Brooke M. Ramay, Douglas R. Call, Alejandro Cerón, Maria Renee Lopez, Purificación Moreno, Marinees Morales, John P. McCraken, Laura M. Grajeda, Celia Cordon-Rosales
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Antimicrobial resistant bacteria
Antibiotics
Self Administration
Geographical locations
0302 clinical medicine
Drug Misuse
Medicine and Health Sciences
Public and Occupational Health
Health systems strengthening
030212 general & internal medicine
Health Systems Strengthening
Multidisciplinary
Antimicrobials
Drugs
Guatemala
Socioeconomic Aspects of Health
Anti-Bacterial Agents
Tetracyclines
Medicine
Over-the-counter
Research Article
medicine.drug
Drug Research and Development
medicine.drug_class
Science
Nonprescription Drugs
030209 endocrinology & metabolism
Pharmacy
Microbiology
03 medical and health sciences
Antibiotic resistance
Microbial Control
Environmental health
medicine
Humans
Small Business
Medical prescription
Drug Regulation
Pharmacology
Health Care Policy
business.industry
Biology and Life Sciences
Central America
Amoxicillin
Drug Utilization
Health Care
North America
Antimicrobial Resistance
Business
People and places
Zdroj: PLoS ONE, Vol 15, Iss 9, p e0239873 (2020)
PLoS ONE
ISSN: 1932-6203
Popis: Widespread availability of antibiotics without prescription potentially facilitates overuse and contributes to selection pressure for antimicrobial resistant bacteria. Prior to this study, anecdotal observations in Guatemala identified corner stores as primary antibiotic dispensaries, where people purchase antibiotics without prescriptions. We carried out a cross sectional study to document the number and types of antibiotics available in corner stores, in four study areas in Guatemala. A total of 443 corner stores were surveyed, of which 295 (67%) sold antibiotics. The most commonly available antibiotics were amoxicillin, found in 246/295 (83%) stores, and tetracycline, found in 195/295 (66%) stores. Over the counter sales result from laissez-faire enforcement of antibiotic dispensing regulations in Guatemala combined with patient demand. This study serves as a baseline to document changes in the availability of antibiotics in informal establishments in light of new pharmacy regulations for antibiotic dispensing, which were adopted after this study was completed.
Databáze: OpenAIRE
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