In developing countries, antibiotics are the most common drugs sold, and some data suggest that they are frequently misused.
In order to describe the pattern of antibiotic use in a periurban community in Mexico City, 1659 randomly-selected households were visited and an interview with the housewife was carried out.
Six local drugstores also were selected at random.
A social worker made six visits to each pharmacy, observed the events during the purchase of the drug and applied a structured questionnaire to the customer immediately after the transaction.
Of 8279 individuals, 425 (5%) said that they had used at least one antimicrobial in the preceding 2 weeks and antibiotics were the majority (29%) of the drug sales.
The main perceived reasons for drug use were acute respiratory tract ailments and gastroenteritis.
Interviewees reported that antibiotic therapy was given in 27% of respiratory diseases and in 37% of all diarrheal episodes.
The drugs most commonly reported were : penicillins, erythromycin, metronidazole, neomycin, cotrimoxazole and tetracyclines.
While self-medication and drug purchases without medical prescription were common, the majority of antibiotics were prescribed by a physician.
Approximately two thirds of individuals using an antibiotic said they had used it for less than 5 days and 72% of the purchases were for insufficient quantities of drugs.
Our data suggest that antibiotics are frequently misused and they support the need to assess...
Mots-clés Pascal : Antibiotique, Utilisation, Population, Enquête, Prescription médicale, Automédication, Epidémiologie, Mexique, Amérique Centrale, Amérique, Zone suburbaine, Homme, Pharmacie officine
Mots-clés Pascal anglais : Antibiotic, Use, Population, Inquiry, Medical prescription, Self prescription, Epidemiology, Mexico, Central America, America, Suburban zone, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0235793
Code Inist : 002B02S02. Création : 199608.