Pathways for inappropriate dispensing of antibiotics for rhinosinusitis: a randomized trial
| dc.contributor.author | Contopoulos-Ioannidis, D. G. | en |
| dc.contributor.author | Koliofoti, I. D. | en |
| dc.contributor.author | Koutroumpa, I. C. | en |
| dc.contributor.author | Giannakakis, I. A. | en |
| dc.contributor.author | Ioannidis, J. P. | en |
| dc.date.accessioned | 2015-11-24T18:59:55Z | |
| dc.date.available | 2015-11-24T18:59:55Z | |
| dc.identifier.issn | 1058-4838 | - |
| dc.identifier.uri | https://olympias.lib.uoi.gr/jspui/handle/123456789/19442 | |
| dc.rights | Default Licence | - |
| dc.subject | Anti-Bacterial Agents/*supply & distribution/*therapeutic use | en |
| dc.subject | Drug Prescriptions | en |
| dc.subject | Female | en |
| dc.subject | Fever | en |
| dc.subject | Greece | en |
| dc.subject | Humans | en |
| dc.subject | *Medication Errors | en |
| dc.subject | Patient Simulation | en |
| dc.subject | *Pharmacists | en |
| dc.subject | Pharmacy | en |
| dc.subject | Rhinitis/*drug therapy | en |
| dc.subject | Sinusitis/*drug therapy | en |
| dc.title | Pathways for inappropriate dispensing of antibiotics for rhinosinusitis: a randomized trial | en |
| heal.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 who played 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 degrees C) or high fever (40 degrees 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%; P = .05). Thirty-two (65%) and 35 (71%) pharmacists in the high- and low-fever study arms, 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. | en |
| heal.access | campus | - |
| heal.fullTextAvailability | TRUE | - |
| heal.identifier.primary | 10.1086/320888 | - |
| heal.identifier.secondary | http://www.ncbi.nlm.nih.gov/pubmed/11389498 | - |
| heal.identifier.secondary | http://cid.oxfordjournals.org/content/33/1/76.full.pdf | - |
| heal.journalName | Clin Infect Dis | en |
| heal.journalType | peer-reviewed | - |
| heal.language | en | - |
| heal.publicationDate | 2001 | - |
| heal.recordProvider | Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής | el |
| heal.type | journalArticle | - |
| heal.type.el | Άρθρο Περιοδικού | el |
| heal.type.en | Journal article | en |
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