Effectiveness of an educational intervention to improve antibiotic dispensing practices for acute respiratory illness among drug sellers in pharmacies, a pilot study in Bangladesh

• DOI: 10.1186/s12913-018-3486-y
• Publication Date: 2018-08-31T12:44:17Z
• Authors: Fahmida Chowdhury; Katharine Sturm-R...; Abdullah Al Mamun; A. Danielle Iuliano; Mohammod Jobayer ...; Makhdum Ahmed; Mejbah Uddin Bhuiyan; Kamal Hossain; Mohammad Sabbir H...; Shaikh Abdul Aziz; Mahmudur Rahman; Eduardo Azziz-Bau...
• Keywords: Baseline (sea)

Inappropriate dispensing of antibiotics for acute respiratory illness (ARI) is common among drug sellers in Bangladesh. In this study, we evaluated the impact an educational intervention to promote guidelines better ARI management sellers. From June 2012 December 2013, conducted baseline and post-intervention surveys on practices 100 pharmacies within Dhaka city. these surveys, participated 6 standardized role-playing scenarios led by study staffs acting as caregivers patients were blinded surveys. After survey, developed facilitated a one-day about Our only recommended children with complicated ARI. Finally, six month survey using same record changes practices. Only 2/3 participating licensed few (11%) had pharmacy training. All male, median age 34 years (IQR 28–41). For children, uncomplicated decreased (30% vs. 21% post-intervention; p = 0.04), but equally likely dispense (15% 17% 0.6) referrals physicians ARIs (70% 58% 0.03). adults, antibiotic remained similar (48% 40% 0.1) increased those (44% 78% < 0.001). Although our evidence-based against prescribing antihistamines continued sell amounts (33% 32% 0.9). Despite intervention, frequently ARI, except Pairing interventions raising awareness proper use general population should be further explored. addition, annual licensing reaccreditation system comprehensive monitoring enforced, penalties non-compliant possible incentives appropriate