Τι ποσοστό των Ελλήνων φαρμακοποιών δίνουν αντιβιοτικά χωρίς συνταγή Ιατρού;
Στο ερώτημα αυτό προσπάθησε να απαντήσει η παρακάτω μελέτη:
Pathways for Inappropriate Dispensing of Antibiotics for Rhinosinusitis: A Randomized Trial.1. Despina G. Contopoulos-Ioannidis1,2,
2. Ioanna D. Koliofoti1,
3. Ioanna C. Koutroumpa1,
4. Ioannis A. Giannakakis1, and
5. John P. A. Ioannidis1,3
+ Author Affiliations
1. 1 Clinical Trials and Evidence-Based Medicine Unit, Department of Hygiene and Epidemiology, University of Ioannina School of Medicine, Ioannina, Greece
2. 2 Department of Pediatrics, George Washington University School of Medicine, Washington, DC
3. 3 Department of Medicine, Tufts University School of Medicine, Boston
1. Reprints or correspondence: Dr. John P. A. Ioannidis, Dept. of Hygiene and Epidemiology, University of Ioannina School of Medicine, Ioannina 45110, Greece (jioannid@cc.uoi.gr).
Abstract
We evaluated the extent of and factors that determine the inappropriate use of antibiotics that are obtained without a physician's prescription. Ninety-eight Greek pharmacists were visited by actress-researchers whoplayed clients requesting antibiotics without a physician's prescription. Pharmacists were randomly challenged in a scenario that involved simulated cases of acute uncomplicated rhinosinusitis with either low fever (38.5°C) or high fever (40°C). Antibiotics were offered by 34 (69%) of 49 pharmacists who were presented with the high-fever scenario and by 42 (86%) of 49 pharmacists who were presented with the low-fever scenario (risk difference, 16.3%;). Thirty-two (65%) and 35 (71%) pharmacists in the high- and low-fever study arms, P=.05 respectively, agreed to sell the actress-researchers broad-spectrum antibiotics. Only 28 (57%) and 17 (35%) pharmacists, respectively, recommended that the patient visit a physician (P=.03). Inappropriate recommendations regarding antibiotic use were very common in the studied setting. Antibiotics were more likely to be offered to persons who did not have a prescription when they were less likely to be clinically indicated.
• Received September 28, 2000.
• Revision received November 13, 2000.
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Εγγραφή ή
Είσοδος Παραθέτω επίσης σχετικό σχόλιο του καθηγητή Ιατρικής κ. Χαράλαμπου Μουτσόπουλου από το βιβλίο του
“ελληνικό σύστημα …. Υγείας Η λειτουργία του σε καιρό χρεωκοπίας” Εκδόσεις ΛΙΒΑΝΗ (σελίδα 14):
“Η μελέτη των Κοντοπούλου – Ιωαννίδη και συνεργατών τεκμηρίωσε την αντιεπιστημονική συμπεριφορά των φαρμακοποιών. Οι ερευνητές, προσποιούμενοι ασθενείς με λοίμωξη του αναπνευστικού, με υψηλό ή μέτριο πυρετό, επισκέφτηκαν ενενήντα οκτώ φαρμακεία. Επτά στους δέκα φαρμακοποιούς χορήγησαν πανάκριβα αντιβιοτικά, χωρίς καμία αντίρρηση. Ως επί το πλείστον, η πώληση των φαρμάκων συνοδεύτηκε από αδόκιμες επιστημονικές οδηγίες.”