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What do pharmacists recommend for men with acute urethritis symptoms: 2009 vs. 20032004

Abstract number: P1509

Korolev S., Andreeva I., Kozlov S., Fokin A., Shal E., Iliin D., Muraviov A., Bortulev P.

Objectives: In Russian Federation antibiotics are not officially included on the list of OTC medications, which was approved by the Ministry of Health. Nevertheless people can freely purchase antimicrobials from drug stores. We aimed our study to compare pharmacists' recommendations for men with acute urethritis symptoms in 2003–2004 vs. 2009.

Methods: Young male doctors (25–30 years old) –"simulated patients" – were trained to present complaints of acute urethritis to drug store personnel. In 2004 in 4 Russian cities (Moscow, Smolensk, Kaluga, Kaliningrad) and in 2009 in 5 cities (Moscow, Smolensk, Kaluga, Kalinigrad, Tula) pharmacists were asked for recommendation according to standard questionnaire.

Results: In 2004 and 2009 360 and 409 pharmacists were questioned, respectively (139/117 – in Moscow, 78/83 – in Smolensk, 72/64 – in Kaluga, 71/73 – in Kalinigrad, respectively, and 72 – in Tula in 2009 only). 208/168 (57.8%/41.1%) of pharmacists recommended to buy medications, 74/103 (20.6%/25.2%) advised to visit a doctor, 76/138 (21.1%/33.7%) recommended both in 2004 and 2009, respectively. In 273/291 cases (96.1%/95.1% from pharmacists who recommended treatment) drug store personnel advised antimicrobials in 2004 and 2009, respectively: nitroxoline (23.6%), norfloxacin (14.8%), nitrofurantoin (12.4%), ciprofloxacin (8.1%), pipemidic acid (7.4%), co-trimoxazole (4.3%), fosfomycin (3.8%) in 2004 and norfloxacin (24.3%), nitroxoline (13.0%), fosfomycin (12.4%), pipemidic acid (11.0%), ciprofloxacin (8.2%), furazidine (7.8%), nitrofurantoin (5.8%), amoxicillin/clavulanic acid (4.0%), azithromycin (2.0%) in 2009. Duration of recommended treatment course was 6.0±1.5 and 5.6±3.0 days in 2004 and 2009, respectively. In 16.5%/17.6% of cases in 2004 and 2009, respectively, drug store personnel recommended non-antimicrobials (the most commonly herbal remedies).

Conclusions:

1Pharmacists are responsible for substantial number of OTC prescriptions of antimicrobials.

2In general pharmacists' behavior has not changed over 5 year's period and antimicrobials remain the most frequently prescribed medications for acute urethritis in men.

3Special programs should still be developed for drug store personnel to discontinue sales of antimicrobials without prescription.

Session Details

Date: 10/04/2010
Time: 00:00-00:00
Session name: Abstracts 20th European Congress of Clinical Microbiology and Infectious Diseases
Subject:
Location: Vienna, Austria, 10 - 13 April 2010
Presentation type:
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