The sale of antibiotics without prescription in pharmacies in Catalonia, Spain

BACKGROUND: Current regulations in Spain state that antibiotics cannot be sold without a medical prescription. The objective of this study was to quantify the percentage of pharmacies selling antibiotics without an official medical prescription in Catalonia, Spain, by the simulation of 3 different clinical cases presented by actors.

METHODS: A prospective study was performed from January through May 2008. Three different cases were presented at pharmacies: sore throat, acute bronchitis, and a urinary tract infection. Three levels of demand were used to convince the pharmacists to sell an antibiotic.

RESULTS: A total of 197 pharmacies were visited. Antibiotics were obtained from 55 (79.7%) of 69 pharmacies when a urinary tract infection was simulated, 24 (34.8%) of 69 pharmacies when a sore throat was simulated, and 10 (16.9%) of 59 pharmacies when acute bronchitis was simulated (P < .001). Among the pharmacies that sold antibiotics, the pharmacists provided an explanation as to the number of times per day the drug should be taken in 84.3%, explained the duration of treatment in 68.7%, and inquired about allergies prior to the sale of the antibiotic in only 16.9%. Of the 108 pharmacies that did not sell the antibiotics, only 57 (52.8%) explained that they could not be given over the counter for health care reasons or to avoid antibiotic resistance.

CONCLUSIONS: These results demonstrate that, although illegal, the sale of antibiotics without a prescription continues in Spain. This should be taken into account by countries that are currently considering the possibility of making some antibiotics available over the counter.

Errataetall:

CommentIn: Clin Infect Dis. 2009 May 15;48(10):1350-3. - PMID 19361305

Medienart:

E-Artikel

Erscheinungsjahr:

2009

Erschienen:

2009

Enthalten in:

Zur Gesamtaufnahme - volume:48

Enthalten in:

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America - 48(2009), 10 vom: 15. Mai, Seite 1345-9

Sprache:

Englisch

Beteiligte Personen:

Llor, Carl [VerfasserIn]
Cots, Josep Maria [VerfasserIn]

Links:

Volltext

Themen:

Anti-Bacterial Agents
Journal Article
Prescription Drugs
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 18.05.2009

Date Revised 08.04.2022

published: Print

CommentIn: Clin Infect Dis. 2009 May 15;48(10):1350-3. - PMID 19361305

Citation Status MEDLINE

doi:

10.1086/598183

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM187767793