Analysis of the problems of the rational use of antibacterial drugs in Ukraine
Keywords:antibacterial drugs, resistance, pharmaceutical employees, rational use of antibiotics, dispensing of antibiotics by prescription, consumption of antibiotics
Aim. To analyze the current situation with the antibacterial drugs turnover, as well as to develop effective ways to solve the problem of growing resistance of bacteria to antibiotics, including determination of the active role of a pharmacist in this process.
Results. The article presents the results of a survey of pharmaceutical specialists on the problem of the rational supply and consumption of antibacterial drugs and the assessment of their role in organization of an effective prescription model for this group of drugs in Ukraine. It has been determined that a significant majority of respondents consider it necessity to sell antibacterial drugs strictly by prescriptions (90.42 %), but, in practice, approximately the same number of respondents (90.73 %) still dispenses antibacterial drugs without a prescription: “Sometimes” (67.73 %) or “Always” (23.0%). Respondents consider as important measure to implement a set of measures to disseminate knowledge about the rationality of using antibiotics (84.98 %) through the pharmacy network. At the same time, a large majority of respondents (90.10 %) transfer responsibility for the proper consumption of antibacterial drugs onto doctors. According to the opinion of the respondents (42.49 %), the development of an appropriate target program with the involvement of pharmacists and doctors should be the main direction of implementing the strategy of the rational use of antibacterial drugs in Ukraine. Among the factors contributing to the unsystematic use of antibacterial drugs, the leading position by the number of respondents were such answer options as “Thoughtless
self-medication of the population” (79.23 %), “Violation of prescription dispensing” (62.62 %) and “Availability of antibiotics in the pharmacy” (47.92 %).
Conclusions. According to the results of the study it has been found that the complexity and controversial nature of the problem of the rational consumption of antibacterial drugs in Ukraine requires a comprehensive solution involving all subjects of the pharmaceutical supply system of the population.
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