Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-30T20:20:53.291Z Has data issue: false hasContentIssue false

Nonjudicious Dispensing of Antibiotics by Drug Stores in Pratumthani, Thailand

Published online by Cambridge University Press:  02 January 2015

Anucha Apisarnthanarak*
Affiliation:
Division of Infectious Diseases, Faculty of Medicine, Thammasat University Hospital, Pratumthani, Thailand
Jeeraluk Tunpornchai
Affiliation:
Division of Infectious Diseases, Faculty of Medicine, Thammasat University Hospital, Pratumthani, Thailand
Korakot Tanawitt
Affiliation:
Division of Infectious Diseases, Faculty of Medicine, Thammasat University Hospital, Pratumthani, Thailand
Linda M. Mundy
Affiliation:
Saint Louis University School of Public Health, Saint Louis, Missouri
*
Division of Infectious Diseases, Faculty of Medicine, Thammasat University, Pratumthani, Thailand12000 ([email protected])

Abstract

Mock patient presentations of 6 common syndromic ailments to drug stores in Pratumthani, Thailand, were conducted. Appropriate dispensing of antibiotic therapy for all 6 presentations occurred at 56 (20%) of 280 drug stores. By multivariate analysis, drug stores' proximity to a hospital was associated with appropriate dispensing of antibiotics (adjusted odds ratio, 34 [95% confidence interval, 15–83]; P < .001).

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Apisarnthanarak, A, Danchaivijitr, S, Khawcharoenporn, T, et al. Effectiveness of education and an antibiotic-control program in a tertiary care hospital in Thailand. Clin Infect Dis 2006;42:768775.CrossRefGoogle Scholar
2.Apisarnthanarak, A, Mundy, LM. Correlation of antibiotic use and antimicrobial resistance in Pratumthani, Thailand: 2000–2006. Am J Infect Control (in press).Google Scholar
3.Bisno, AL. Pharyngitis. In: Mandell, GL, Dolan, R, Bennett, JE, eds. Principles and Practice of Infectious Diseases. 6th ed. New York: Churchill Livingstone; 2005:752758.Google Scholar
4.Treanor, J. Influenza virus. In: Mandell, GL, Dolan, R, Bennett, JE, eds. Principles and Practice of Infectious Diseases. 6th ed. New York: Churchill Livingstone; 2005:20602085.Google Scholar
5.Slavin, RG, Spector, SL, Bernstein, IL, et al. The diagnosis and management of sinusitis: a practice parameter update. J Allergy Clin Immunol 2005;116(supp16):S13S47.CrossRefGoogle ScholarPubMed
6.Guerrant, RL, Van Gilder, T, Steiner, TS, et al. Practice guidelines for the management of infectious diarrhea. Clin Infect Dis 2001;32:331351.CrossRefGoogle ScholarPubMed
7.Stevens, DL, Bisno, AL, Chambers, HF, et al. Practice guidelines for the diagnosis and management of skin and soft-tissue infections. Clin Infect Dis 2005;41:13731406.CrossRefGoogle ScholarPubMed
8.Gupta, K, Hooton, TM, Stamm, WE. Increasing antimicrobial resistance and the management of uncomplicated community-acquired urinary tract infections. Ann Intern Med 2001;135:4150.CrossRefGoogle ScholarPubMed
9.Wachter, DA, Joshi, MP, Rimal, B. Antibiotic dispensing by drug retailers in Kathmandu, Napal. Trop Med Int Health 1999;4:782788.CrossRefGoogle Scholar
10.Van Duong, D, Binns, CW, Van Le, T. Availability of antibiotics as over-the-counter drugs in pharmacies: a threat to public health in Vietnam. Trop Med Int Health 1997;2:11331139.CrossRefGoogle ScholarPubMed
11.Volpato, DE, de Souza, BV, Delia Rosa, LG, et al. Use of antibiotics without medical prescription. Braz I Infect Dis 2005;9:288291.CrossRefGoogle ScholarPubMed
12.Riantawan, P, Punnotbk, J, Chaisuksuwan, R, Pransujarit, V. Resistance of Mycobacterium tuberculosis to antituberculosis drugs in the Central Region of Thailand, 1996. Int J Tuberc Lung Dis 1998;2:612620.Google ScholarPubMed
13.Howden, BP, Grayson, ML. Dumb and dumber—the potential waste of a useful antistaphylococcal agent: emerging fusidic acid resistance in Staphylococcus aureus. Clin Infect Dis 2006;42:394400.CrossRefGoogle Scholar
14.Apisarnthanarak, A, Kiratisin, P, Saifon, P, Kitphati, R, Dejsirilert, S, Mundy, LM. Clinical and molecular epidemiology of community-onset extended spectrum beta-lactamase producing Escherichia coli infections in Thailand: a case-control study. Am J Infect Control 2007;35:606612.CrossRefGoogle Scholar