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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
8
|
| pubmed:dateCreated |
1996-10-16
|
| pubmed:abstractText |
In developing countries, antibiotics are the most common drugs sold, and some data suggest that they are frequently misused. In order to describe the pattern of antibiotic use in a periurban community in Mexico City, 1659 randomly-selected households were visited and an interview with the housewife was carried out. Six local drugstores also were selected at random. A social worker made six visits to each pharmacy, observed the events during the purchase of the drug and applied a structured questionnaire to the customer immediately after the transaction. Of 8279 individuals, 425 (5%) said that they had used at least one antimicrobial in the preceding 2 weeks and antibiotics were the majority (29%) of the drug sales. The main perceived reasons for drug use were acute respiratory tract ailments and gastroenteritis. Interviewees reported that antibiotic therapy was given in 27% of respiratory diseases and in 37% of all diarrheal episodes. The drugs most commonly reported were: penicillins, erythromycin, metronidazole, neomycin, cotrimoxazole and tetracyclines. While self-medication and drug purchases without medical prescription were common, the majority of antibiotics were prescribed by a physician. Approximately two thirds of individuals using an antibiotic said they had used it for less than 5 days and 72% of the purchases were for insufficient quantities of drugs. Our data suggest that antibiotics are frequently misused and they support the need to assess the determinants of self-medication, health-seeking behavior and physician prescribing practices. The need for effective educational programs to improve prescribers' decisions is stressed.
|
| pubmed:commentsCorrections | |
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:month |
Apr
|
| pubmed:issn |
0277-9536
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
42
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
1121-8
|
| pubmed:dateRevised |
2008-11-21
|
| pubmed:meshHeading |
pubmed-meshheading:8737429-Adolescent,
pubmed-meshheading:8737429-Adult,
pubmed-meshheading:8737429-Aged,
pubmed-meshheading:8737429-Anti-Bacterial Agents,
pubmed-meshheading:8737429-Child,
pubmed-meshheading:8737429-Child, Preschool,
pubmed-meshheading:8737429-Developing Countries,
pubmed-meshheading:8737429-Drug Prescriptions,
pubmed-meshheading:8737429-Drug Utilization Review,
pubmed-meshheading:8737429-Female,
pubmed-meshheading:8737429-Gastroenteritis,
pubmed-meshheading:8737429-Health Services Misuse,
pubmed-meshheading:8737429-Humans,
pubmed-meshheading:8737429-Infant,
pubmed-meshheading:8737429-Male,
pubmed-meshheading:8737429-Mexico,
pubmed-meshheading:8737429-Middle Aged,
pubmed-meshheading:8737429-Respiratory Tract Infections,
pubmed-meshheading:8737429-Self Medication,
pubmed-meshheading:8737429-Urban Health
|
| pubmed:year |
1996
|
| pubmed:articleTitle |
Antibiotic use in a periurban community in Mexico: a household and drugstore survey.
|
| pubmed:affiliation |
Department of Infectious Diseases, Institute Nacional de la Nutricion, Mexico DF, Mexico.
|
| pubmed:publicationType |
Journal Article
|