Global access to antibiotics without prescription in community pharmacies: A systematic review and meta-analysis

Objective: To estimate the proportion of over-the-counter antibiotic requests or consultations that resulted in non-prescription supply of antibiotics in community pharmacies globally. Methods: We systematically searched EMBASE, Medline and CINAHL databases for studies published from January 2000 to...

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Main Authors: Auta, A., Hadi, M.A., Oga, E., Adewuyi, Emmanuel, Abdu-Aguye, S.N., Adeloye, D., Strickland-Hodge, B., Morgan, D.J.
Format: Journal Article
Language:English
Published: 2019
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/97790
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author Auta, A.
Hadi, M.A.
Oga, E.
Adewuyi, Emmanuel
Abdu-Aguye, S.N.
Adeloye, D.
Strickland-Hodge, B.
Morgan, D.J.
author_facet Auta, A.
Hadi, M.A.
Oga, E.
Adewuyi, Emmanuel
Abdu-Aguye, S.N.
Adeloye, D.
Strickland-Hodge, B.
Morgan, D.J.
author_sort Auta, A.
building Curtin Institutional Repository
collection Online Access
description Objective: To estimate the proportion of over-the-counter antibiotic requests or consultations that resulted in non-prescription supply of antibiotics in community pharmacies globally. Methods: We systematically searched EMBASE, Medline and CINAHL databases for studies published from January 2000 to September 2017 reporting the frequency of non-prescription sale and supply of antibiotics in community pharmacies across the world. Additional articles were identified by checking reference lists and a Google Scholar search. A random effects meta-analysis was conducted to calculate pooled estimates of non-prescription supply of antibiotics. Results: Of the 3302 articles identified, 38 studies from 24 countries met the inclusion criteria and were included in the review. All the included countries with the exception of one, classified antibiotics as prescription-only medicines. The overall pooled proportion of non-prescription supply of antibiotics was 62% (95% CI 53–72). The pooled proportion of non-prescription supply of antibiotics following a patient request was 78% (95% CI 59–97) and based on community pharmacy staff recommendation was 58% (95% CI 48–68). The regional supply of non-prescription antibiotics was highest in South America, 78% (95% CI 72–84). Antibiotics were commonly supplied without a prescription to patients with symptoms of urinary tract infections (68%, 95% CI 42–93) and upper respiratory tract infections (67%, 95% CI 55–79). Fluoroquinolones and Penicillins respectively were the most commonly supplied antibiotic classes for these indications. Conclusion: Antibiotics are frequently supplied without prescription in many countries. This overuse of antibiotics could facilitate the development and spread of antibiotic resistance.
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spelling curtin-20.500.11937-977902025-05-22T15:32:47Z Global access to antibiotics without prescription in community pharmacies: A systematic review and meta-analysis Auta, A. Hadi, M.A. Oga, E. Adewuyi, Emmanuel Abdu-Aguye, S.N. Adeloye, D. Strickland-Hodge, B. Morgan, D.J. Antibiotic stewardship Antibiotics Community pharmacies Infections Non-prescription supply Anti-Bacterial Agents Antimicrobial Stewardship Commerce Global Health Health Services Accessibility Humans Pharmacies Prescription Drugs Respiratory Tract Infections Humans Respiratory Tract Infections Anti-Bacterial Agents Commerce Pharmacies Health Services Accessibility Prescription Drugs Global Health Antimicrobial Stewardship Objective: To estimate the proportion of over-the-counter antibiotic requests or consultations that resulted in non-prescription supply of antibiotics in community pharmacies globally. Methods: We systematically searched EMBASE, Medline and CINAHL databases for studies published from January 2000 to September 2017 reporting the frequency of non-prescription sale and supply of antibiotics in community pharmacies across the world. Additional articles were identified by checking reference lists and a Google Scholar search. A random effects meta-analysis was conducted to calculate pooled estimates of non-prescription supply of antibiotics. Results: Of the 3302 articles identified, 38 studies from 24 countries met the inclusion criteria and were included in the review. All the included countries with the exception of one, classified antibiotics as prescription-only medicines. The overall pooled proportion of non-prescription supply of antibiotics was 62% (95% CI 53–72). The pooled proportion of non-prescription supply of antibiotics following a patient request was 78% (95% CI 59–97) and based on community pharmacy staff recommendation was 58% (95% CI 48–68). The regional supply of non-prescription antibiotics was highest in South America, 78% (95% CI 72–84). Antibiotics were commonly supplied without a prescription to patients with symptoms of urinary tract infections (68%, 95% CI 42–93) and upper respiratory tract infections (67%, 95% CI 55–79). Fluoroquinolones and Penicillins respectively were the most commonly supplied antibiotic classes for these indications. Conclusion: Antibiotics are frequently supplied without prescription in many countries. This overuse of antibiotics could facilitate the development and spread of antibiotic resistance. 2019 Journal Article http://hdl.handle.net/20.500.11937/97790 10.1016/j.jinf.2018.07.001 eng unknown
spellingShingle Antibiotic stewardship
Antibiotics
Community pharmacies
Infections
Non-prescription supply
Anti-Bacterial Agents
Antimicrobial Stewardship
Commerce
Global Health
Health Services Accessibility
Humans
Pharmacies
Prescription Drugs
Respiratory Tract Infections
Humans
Respiratory Tract Infections
Anti-Bacterial Agents
Commerce
Pharmacies
Health Services Accessibility
Prescription Drugs
Global Health
Antimicrobial Stewardship
Auta, A.
Hadi, M.A.
Oga, E.
Adewuyi, Emmanuel
Abdu-Aguye, S.N.
Adeloye, D.
Strickland-Hodge, B.
Morgan, D.J.
Global access to antibiotics without prescription in community pharmacies: A systematic review and meta-analysis
title Global access to antibiotics without prescription in community pharmacies: A systematic review and meta-analysis
title_full Global access to antibiotics without prescription in community pharmacies: A systematic review and meta-analysis
title_fullStr Global access to antibiotics without prescription in community pharmacies: A systematic review and meta-analysis
title_full_unstemmed Global access to antibiotics without prescription in community pharmacies: A systematic review and meta-analysis
title_short Global access to antibiotics without prescription in community pharmacies: A systematic review and meta-analysis
title_sort global access to antibiotics without prescription in community pharmacies: a systematic review and meta-analysis
topic Antibiotic stewardship
Antibiotics
Community pharmacies
Infections
Non-prescription supply
Anti-Bacterial Agents
Antimicrobial Stewardship
Commerce
Global Health
Health Services Accessibility
Humans
Pharmacies
Prescription Drugs
Respiratory Tract Infections
Humans
Respiratory Tract Infections
Anti-Bacterial Agents
Commerce
Pharmacies
Health Services Accessibility
Prescription Drugs
Global Health
Antimicrobial Stewardship
url http://hdl.handle.net/20.500.11937/97790