Per Capita Consumption and Distribution Pattern of Antibiotic in Khuzestan Province From 2016 to 2017
Abstract
Background: The overuse and misuse of antibiotics contribute to the development of antibiotic resistance, increase the incidence of adverse drug reactions, and impose high costs on the healthcare system. In Iran, the Food and Drug Administration is responsible for the surveillance of drug consumption. The aim of the present study is to assess the distribution pattern of 10 most commonly used antibiotics from drug distribution companies to private and national health pharmacies supervised by the Food and Drug Deputy of Ahvaz Jundishapur University of Medical Sciences in 2016. The administration rate of these antibiotics was also assessed by a survey of prescriptions documented by the Social Security Organization and Health Insurance.Methods: The distribution pattern of 10 antibiotics was obtained from pharmaceutical distribution companies. The per capita consumption of antibiotics with and without prescription was determined by the Social Security Organization and Health Insurance.Results: More than half of the total distributions of all antibiotics in the cities of Khuzestan Province were related to private pharmacies. Many surveyed cities had a high percent of antibiotic consumption without prescription.Conclusion: The accurate recording of the distribution of antibiotics by pharmaceutical companies and the submission of monthly and annual reports to food and drug deputies are necessary. It is also necessary to increase the surveillance of pharmacies and the process of antibiotic provision.
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2. Roller L, Gowan J. Disease state management: Antibiotic resistance. AJP. 2016; 97(1153):64-72.
3. World Health Organization (WHO). Antimicrobial resistance: Global report on surveillance. Geneva: World Health Organization; 2014.
4. Volpato DE, Souza BVd, Dalla Rosa LG, Melo LH, Daudt CAS, Deboni L. Use of antibiotics without medical prescription. Braz J Infect Dis. 2005; 9(4):288-91. [DOI:10.1590/S1413-86702005000400004] [PMID]
5. World Health Organization (WHO). Guidelines for the regulatory assessment of Medicinal Products for use in self-medication. Geneva: World Health Organization; 2000.
6. Čižman M, Haaijer-Ruskamp F, Grigoryan L. Samozdravljenje z antibiotiki v Sloveniji. Zdrav vestn. 2005; 74(5):293-7.
7. Grigoryan L, Burgerhof JG, Degener JE, Deschepper R, Lundborg CS, Monnet DL, et al. Determinants of self-medication with antibiotics in Europe: The impact of beliefs, country wealth and the healthcare system. J Antimicrob Chemother. 2008; 61(5):1172-9. [DOI:10.1093/jac/dkn054] [PMID]
8. Moghadam Nia A, Ghadimi R. Self-medication of patients with common cold among 15-45 year old individuals, Babol, 1998. J Babol Univ Med Sci. 2000; 2(1):26-32.
9. Tan Y, Hong C, Chong P, Tan E, Lew Y, Lin R. Knowledge that upper respiratory tract infection resolves on its own is associated with more appropriate health-seeking behaviour and antibiotic cognition. Singapore Med J. 2006; 47(6):518-24.
10. Askarian M, Maharlouie N. Irrational antibiotic use among secondary school teachers and university faculty members in Shiraz, Iran. Int J prevent Med. 2012; 3(12):839-45. [DOI:10.4103/20087802.104854] [PMID] [PMCID]
11. Soleymani F, Valadkhani M, Dinarvand R. Challenges and achievements of promoting rational use of drugs in Iran. Iran J Pub Health. 2009; 38(1):166-8.
12. Santa-Ana-Tellez Y, Mantel-Teeuwisse AK, Dreser A, Leufkens HG, Wirtz VJ. Impact of over-the-counter restrictions on antibiotic consumption in Brazil and Mexico. PLOS One. 2013; 8(10):e75550. [DOI:10.1371/journal.pone.0075550] [PMID] [PMCID]
13. Radošević N, Vlahović-Palčevski V, Benko R, Peklar J, Miškulin I, Matuz M, et al. Attitudes towards antimicrobial drugs among general population in Croatia, Fyrom, Greece, Hungary, Serbia and Slovenia. Pharmacoepidemiol Drug safe. 2009; 18(8):691-6. [DOI:10.1002/pds.1768] [PMID]
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Issue | Vol 4 No 1/2 (2018) | |
Section | Original Article(s) | |
Keywords | ||
Drug resistance Antibiotics Distribution Consumption Food & drug depuy |
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How to Cite
1.
Hallaj R, Makhmalzadeh B, Kouti L, Soleymani J, Barzegar Bafrooei H, Younesi F, Eslami K. Per Capita Consumption and Distribution Pattern of Antibiotic in Khuzestan Province From 2016 to 2017. JPPM. 2018;4(1/2):25-31.