The use of antimicrobial drugs in Nagpur, India. A window on medical care in a developing country

Dua, Vikram; Kunin, Calvin M.; White, Laura V.

doi:10.1016/0277-9536(94)90462-6

Cited by 82 publications

(89 citation statements)

References 43 publications

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“…This has not been reported first time in this study but a number of previous studies have documented the same (Anwar et al, 2015;Haseeb and Bilal, 2016;Ashraf et al, 2017). A previous study in India reported that 75% of pharmacy clients take their decision of antibiotics purchasing based on the experiences of their peers with antibiotics prescribed by a senior medical doctor (Dua et al, 1994;Livorsi et al, 2015). Another issue worth mentioning is that the physicians instead of using narrow or single spectrum antibiotics prefer wide spectrum ones, even if these antibiotics have no indications (Khan et al, 2013).…”

Section: Discussionsupporting

confidence: 68%

A cross-sectional study on knowledge, attitude and practices of medical doctors towards antibiotic prescribing patterns and resistance in Khyber Pakhtun Khawah, Pakistan

2017

J App Pharm Sci

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Irrational prescribing and resistance to antibiotics are major health concerns globally. The aim of this study was to assess the physicians' knowledge, attitude and practice about antibiotic prescribing and resistance in Khyber Pakhtun Khawah (KPK), Pakistan. A cross-sectional, descriptive study was conducted using a pre-validated self-administered questionnaire. Statistical Package for Social Sciences (SPSS ® ) version 23 was employed to analyze the data. A total of 320 medical practitioners participated with a response rate of 61.5%. Participants generally had a good knowledge about antibiotic use. However, some flaws were observed in their practice. The Internet (96%), antibiotic guidelines (92%) and medical representatives (85.9%) were reported to be the most useful sources of information. More than 70% of the respondents cited patient demand as one of the major reasons for antibiotic overuse. Antibiotic resistance was reported to be due to the failure to complete the antibiotic course by 94.1% of the respondents. The majority of the participants never had a training on the rational use of antibiotics and were in a favour of attending such training if offered. The study concluded that there is a dynamic need of training initiatives for improving antibiotics prescribing behaviour of general practitioners through the development of local guidelines and continuous education of general practitioners to promote rational antibiotic prescribing.

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Section: Discussionsupporting

confidence: 68%

A cross-sectional study on knowledge, attitude and practices of medical doctors towards antibiotic prescribing patterns and resistance in Khyber Pakhtun Khawah, Pakistan

2017

J App Pharm Sci

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“…Getting antibiotics directly from the pharmacy without a prescription is possible in Africa, South America, Asia as well as in many parts of Europe even when this practice is illegal [3][4][5][6][7][8][9][10][11] Previous research indicates that antibiotics are readily dispensed for urinary tract infections, sore throat, bronchitis and diarrhea. Many of these studies have addressed dispensing antibiotics without a prescription in therapeutic doses.…”

Section: Introductionmentioning

confidence: 99%

Injudicious Provision of Subtherapeutic Doses of Antibiotics in Community Pharmacies

Amin

Amine

Newegy

2017

Iip

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“…1,2 In some countries, the use of antimicrobials without a prescription is encouraged by the lack of laws restricting antibiotic sales or a failure to enforce those laws. [3][4][5][6] These issues are particularly problematic in Latin America. 6,7 Health beliefs and practices are integrated into one's ethnic and cultural orientation.…”

mentioning

confidence: 99%

Factors Affecting Latino Adults' Use of Antibiotics for Self-Medication

Mainous

Díaz²,

Carnemolla³

2008

The Journal of the American Board of Family Medicine

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Background: Recent data has suggested the use of antibiotics acquired without a prescription by Latinos in the United States. We explored Latino adults' experience in treating common infections particularly in regards to self-medication with antibiotics.Methods: We conducted 3 focus groups (n ‫؍‬ 28) in Charleston, South Carolina, with Latino adults (>18 years of age) recruited throughout the community: 12 women and 16 men, ranging in age from 18 to 52 years. All of the participants were immigrants, 89% noted Mexico as their country of origin. Focus groups were conducted in Spanish and audiotaped. Transcripts were translated into English and then translated back to Spanish to assure consistency of the language. Themes were identified using an editing style.Results: Participants' previous experiences in countries with limited restrictions on antibiotics influenced acquisition of antibiotics without a prescription in the United States. Participants believed that physician visits for a diagnosis and prescription were unnecessary when the patient was familiar with the symptom and it had previously responded to antibiotic treatment. Access to care was not reported to be a significant barrier to a physician visit when individuals felt they were "sick" or children were the patients. Participants reported using local tiendas (small stores in Latino neighborhoods that sell ethnically consistent and imported products) and importation of medication to meet their need for selfmedication with antibiotics. The role of self-medication in the development of antibiotic resistance was essentially unknown among the participants.

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The use of antimicrobial drugs in Nagpur, India. A window on medical care in a developing country

Cited by 82 publications

References 43 publications

A cross-sectional study on knowledge, attitude and practices of medical doctors towards antibiotic prescribing patterns and resistance in Khyber Pakhtun Khawah, Pakistan

A cross-sectional study on knowledge, attitude and practices of medical doctors towards antibiotic prescribing patterns and resistance in Khyber Pakhtun Khawah, Pakistan

Injudicious Provision of Subtherapeutic Doses of Antibiotics in Community Pharmacies

Factors Affecting Latino Adults' Use of Antibiotics for Self-Medication

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