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Research ArticleOriginal Article
Open Access

Empirical treatment of uncomplicated urinary tract infection by community pharmacist in the Eastern province of Saudi Arabia

Mastour S. Al-Ghamdi
Saudi Medical Journal December 2001, 22 (12) 1105-1108;
Mastour S. Al-Ghamdi
Department of Pharmacology, King Faisal University, College of Medicine, PO Box 2114, Dammam 31451, Kingdom of Saudi Arabia. Tel. +966 (3) 8577000/8572238. Fax. +966 (3) 8575329. E-mail: [email protected]
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Abstract

OBJECTIVE: It is a well known phenomenon in the Kingdom of Saudi Arabia that prescription drugs are dispensed over the counter in the community pharmacies. The aim of this study is to document the attitude of community pharmacists to fulfill the concept of pharmaceutical care and to evaluate how they manage a case of acute uncomplicated lower urinary tract infection.

METHODS: Eighty-eight community pharmacists in the Eastern province of Saudi Arabia were presented with a patient claiming urinary tract infection and seeking medical treatment.

RESULTS: Only one attendant pharmacist refused to dispense medications without prescription. Fifteen others (17%) dispensed urinary antiseptic only and 72 (82%) gave antibacterial agents. Fluoroquinolones were the most commonly dispensed (69%) as first choice and 87% as an alternative) followed by co-trimoxazole, penicillins, cephalosporins and tetracyclines. The number of drugs dispensed ranged from a single agent at 52 (59%), 2 drugs at 31 (35%) and 3 drugs at 4 (4.5%) pharmacies. The average cost was Saudi Riyal (SR) 45.8 ($12.2) for first choice drugs and SR 31.5 ($ 8.4) for the alternatives.

CONCLUSION: The heavy dispensing of fluoroquinolones over the counter could eventually lead to increased resistance of the pathogenic bacteria to these drugs. However, despite the lack of pharmacist's adherence to the pharmaceutical law, this study does not indicate that they had abused their patients. It is rather demonstrating the urgent needs for successful implementation of the pharmaceutical law taking into consideration better integration between governmental health providers and the private retail pharmacies. In addition, it supports calls to educate pharmacists to perform basic clinical assessment in the community pharmacy, as a vital tool to effectively manage their patients' health status. The Ministry of health should credit such educational activity for the renewal of pharmacist's license in the Kingdom.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 22 (12)
Saudi Medical Journal
Vol. 22, Issue 12
1 Dec 2001
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Empirical treatment of uncomplicated urinary tract infection by community pharmacist in the Eastern province of Saudi Arabia
Mastour S. Al-Ghamdi
Saudi Medical Journal Dec 2001, 22 (12) 1105-1108;

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Empirical treatment of uncomplicated urinary tract infection by community pharmacist in the Eastern province of Saudi Arabia
Mastour S. Al-Ghamdi
Saudi Medical Journal Dec 2001, 22 (12) 1105-1108;
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© 2023 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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