Antibiotic dispensing in Egyptian community pharmacies: An observational study

Sabry, Nirmeen A.; Farid, Samar; Dawoud, Dalia

doi:10.1016/j.sapharm.2013.03.004

Cited by 104 publications

(105 citation statements)

References 25 publications

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“…The use of antibiotics in acute gastroenteritis with viral diarrhea (as in most cases of diarrhea) is thus highly irrational. Our findings on the inappropriate dispensing of antibiotics of community pharmacists is in agreement with other findings; one study from Egypt found the improper dispensing of antibiotics by community pharmacists35, and similar findings were reported in Lebanon36, the Ivory coast37 and many other countries around the world.…”

Section: Discussionsupporting

confidence: 92%

Evaluating community pharmacy practice in Qatar using simulated patient method: acute gastroenteritis management

Ibrahim

Palaian

Al-Sulaiti

et al. 2016

Pharm Pract (Granada)

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Objective:To evaluate Qatari pharmacists’ prescribing, labeling, dispensing and counseling practices in response to acute community-acquired gastroenteritis.Methods:The simulated patient method was used in this study. Thirty pharmacies in Doha were randomly selected and further randomized into two groups: Face-to-Face (n=15) vs. Telephone-call (n=15) per simulated patient; 2 simulated patients were involved. Prescribing, labeling, dispensing and counseling practices were assessed. Data analysis was performed using Mann-Whitney and chi square tests at alpha=0.05.Results:Most pharmacists prescribed and dispensed medicines (96%), including antimicrobials (43.9%), antidiarrheals (36%), antiemetics (5.1%) and antipyretics (3%). Counseling practices were poor (62.1% in the face-to-face group vs 70% in the telephone-call group did not counsel simulated patients about the dispensed medicines; p-value=0.50). In more than one-third of the encounters, at least one labeling parameter was missing. The duration of each interaction in minutes was not significantly different between the groups [median (IQR); 3(4.25) in the face-to-face group versus 2(0.25) in the telephone-call group; p-value=0.77]. No significant differences in prescribing or dispensing behaviors were present between groups (p-value>0.05).Conclusion:Qatar community pharmacists’ labeling, dispensing, and counseling practices were below expectation, thus urging the need for continuous professional development.

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Section: Discussionsupporting

confidence: 92%

Evaluating community pharmacy practice in Qatar using simulated patient method: acute gastroenteritis management

Ibrahim

Palaian

Al-Sulaiti

et al. 2016

Pharm Pract (Granada)

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“…Patient exit interviews consist of interviewing patients exiting a pharmacy or health facility about their purchases [16,[19][20][21][27][28][29][30][31][32].…”

Section: Results and Methodology Reviewmentioning

confidence: 99%

Measuring antibiotic consumption in low-income countries: a systematic review and integrative approach

Padget

Guillemot

Delarocque-Astagneau

2016

International Journal of Antimicrobial Agents

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“…For instance, a study carried out in Minia showed that β-lactams and macrolides were commonly prescribed both by doctors and pharmacists for common cold [22]. As a matter of fact, antibiotics could be easily purchased without doctor's prescription in Egypt (what is known as patient's self-medication) [23]. In this study, imipenem (IPM) resistance, as tested by disc diffusion method, was detected in 20 isolates out of 70 P. aeruginosa isolates (28.57%).…”

Section: Discussionmentioning

confidence: 99%

High incidence of MBL-mediated imipenem resistance among Pseudomonas aeruginosa from surgical site infections in Egypt

Raouf

Sayed

Rizk

et al. 2018

J Infect Dev Ctries

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Introduction: Surgical wound infection is a serious problem, especially with metallo-beta lactamases (MBLs)-producing gram-negative bacteria as Pseudomonas aeruginosa. The main objective of this work was to evaluate for the first time in Minia-Upper Egypt, the incidence of imipenem-resistant Pseudomonas aeruginosa infection of surgical wounds particularly that mediated by MBL production. Methodology: P. aeruginosa was isolated from infected wounds by swabs and underwent full microbiological identification and Antibiotic Susceptibility testing. MBL production was tested by E-test and PCR was used for imipenemase (blaIMP) and Verona integron-encoded metallobeta-lactamase (blaVIM) gene detection. Results: Out of 200 pus samples collected from surgical site infections, P. aeruginosa had the prevalence rate of 35%. Imipenem resistance was found in 28.57% of the isolated Pseudomonas aeruginosa. The prevalence of MBL-producing isolates among Imipenem-resistant P. aeruginosa (IRPA) was 85 % by phenotypic method with 29% of them harboring blaVIM gene. High resistance rates to other classes of antibiotics were reported among the isolates with multi-drug resistance (MDR) detected in 97.3% of the isolates. Conclusion: To our knowledge, this is the first report in Minia, Upper Egypt describing the relatively high incidence of IRPA in infected surgical wounds with MBLs involved in the majority of isolates.

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Antibiotic dispensing in Egyptian community pharmacies: An observational study

Cited by 104 publications

References 25 publications

Evaluating community pharmacy practice in Qatar using simulated patient method: acute gastroenteritis management

Evaluating community pharmacy practice in Qatar using simulated patient method: acute gastroenteritis management

Measuring antibiotic consumption in low-income countries: a systematic review and integrative approach

High incidence of MBL-mediated imipenem resistance among Pseudomonas aeruginosa from surgical site infections in Egypt

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