评估网上销售抗生素的供应情况,并就影响安全合理使用抗生素的主要特征对电子药店进行比较:探索性分析。

IF 3.7 Q2 INFECTIOUS DISEASES
JAC-Antimicrobial Resistance Pub Date : 2024-10-16 eCollection Date: 2024-10-01 DOI:10.1093/jacamr/dlae158
Puneet Kaur, Navjot Kaur, Jasbir Singh, Jasmeen Kaur
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引用次数: 0

摘要

背景:日益增长的抗菌药耐药性是对公共健康的严重威胁。随着印度网上/电子药店的不断增加,公众获得药品的机会也随之增加。便捷的获取途径加上缺乏充足、真实的药品信息,会影响抗生素的合理使用:本研究旨在探讨抗生素在线销售的可用性,并就影响安全合理使用抗生素的主要特征对电子药店进行比较:本研究利用印度 10 家常用电子药店的网站进行了为期 3 个月的横断面研究。根据《2022 年国家基本药物目录》和世界卫生组织-AWaRe(获取、观察、储备)类别对网上销售抗生素的可用性进行了评估。研究人员分别编制了三份调查问卷,以提取和比较电子药店的相关信息,这些信息涉及其安全性和真实性(根据 2018 年电子药店规则草案规定的预期标准)、药物产品的可用性以及促进谨慎使用抗生素的消费者意识信息。数据采用描述性统计进行总结:在所研究的 17 种抗生素中,属于世界卫生组织-AWaRe 所有类别的抗生素均可通过电子药店获得,即可获得(83.33%)、观察(88.33%)和储备(78%)类别。各电子药房在遵守三份调查问卷中的研究参数方面存在很大差异:结论:越来越多的人可以获得观察组和储备组抗生素,这可能会导致抗生素的滥用。因此,当务之急是解决电子药店的监管漏洞,并对消费者进行安全合理使用抗生素的教育。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
To assess the availability of antibiotics for online sale and comparison of e-pharmacies on key characteristics influencing safe and rational use of antibiotics: an exploratory analysis.

Background: Growing antimicrobial resistance represents serious public health threat. With the increasing presence of online/e-pharmacies in India, public access to medicines has increased. Easy access coupled with lack of adequate and authentic drug information can undermine rational antibiotic use.

Objectives: The present study aimed at exploring the availability of antibiotics for online sale and comparing the e-pharmacies on key characteristics influencing safe and rational use of antibiotics.

Methods: A cross-sectional study was conducted over a period of 3 months using the websites of 10 popular e-pharmacies in India. Availability of antibiotics for online sale was assessed in context of the National List of Essential Medicines, 2022 and WHO-AWaRe (Access, Watch, Reserve) categories. Three separate questionnaires were developed to extract and compare relevant information from e-pharmacies pertaining to their safety and authenticity (in light of the expected standards laid down in draft e-pharmacy rules, 2018), availability of drug product and consumer awareness information for promoting prudent antibiotic use. Data were summarized using descriptive statistics.

Results: Out of the 17 antibiotics studied; antibiotics belonging to all WHO-AWaRe categories i.e. Access (83.33%), Watch (88.33%) and Reserve (78%) groups were available through e-pharmacies. Wide variation exists among the e-pharmacies regarding compliance to studied parameters under three questionnaires.

Conclusions: Increased access to Watch and Reserve groups of antibiotics can translate into antibiotic misuse. It is therefore crucial that the regulatory gaps concerning e-pharmacies are addressed urgently and consumers are educated regarding safe and rational use of antibiotics.

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