Dispensing of antimicrobials in Kenya: a cross sectional pilot study and its implications

Mwasi Mary Ann Mukokinya, Sylvia Opanga, Margaret Oluka, Brian Godman

Research output: Contribution to journalArticle

Abstract

Objectives: Irrational use of antibiotics is a major driver of antimicrobial resistance, enhanced by inappropriate prescribing and dispensing of antibiotics. Little is currently known about dispensing of antibiotics in Kenya including self-medication with antibiotics. Consequently, the objective was to evaluate the extent of self-medication of antibiotics and dispensing practices in Kenya. Methods: Cross sectional study among 3 randomly selected community pharmacies in Nairobi. Findings: There was a low level of dispensing of antibiotics without a prescription with over ninety percent (94.1%) of antibiotics dispensed with a valid prescription. The most common antibiotics dispensed were the penicillins at just over fifty percent of all antibiotics, the cephalosporins at over twelve percent (12.6%) and the fluoroquinolones at just under twelve percent (11.7%). There were concerns with high use of third and fourth generation cephalosporins versus first and second generation as well as co-amoxiclav versus other penicillins. Encouragingly, antibiotics were not dispensed for influenza or a common cold, and generally very good dispensing processes, with typically a good level of medication history and counselling. Conclusion: Low levels of self-medication of antibiotics and high adherence to quality standards for dispensing are encouraging and provide direction to other countries. Educational initiatives are needed though to address high levels of co-amoxiclav prescribing.
LanguageEnglish
Pages77-82
Number of pages6
JournalJournal of Research in Pharmacy Practice
Volume7
Issue number2
DOIs
Publication statusPublished - 29 Jun 2018

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Kenya
Cross-Sectional Studies
Anti-Bacterial Agents
Self Medication
Amoxicillin-Potassium Clavulanate Combination
Cephalosporins
Penicillins
Prescriptions
Inappropriate Prescribing
Common Cold
Pharmacies
Fluoroquinolones
Human Influenza
Counseling

Keywords

  • antibiotics
  • dispensing
  • Kenya
  • pharmacies
  • self purchasing

Cite this

Mukokinya, Mwasi Mary Ann ; Opanga, Sylvia ; Oluka, Margaret ; Godman, Brian. / Dispensing of antimicrobials in Kenya : a cross sectional pilot study and its implications. In: Journal of Research in Pharmacy Practice. 2018 ; Vol. 7, No. 2. pp. 77-82.
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Dispensing of antimicrobials in Kenya : a cross sectional pilot study and its implications. / Mukokinya, Mwasi Mary Ann; Opanga, Sylvia; Oluka, Margaret; Godman, Brian.

In: Journal of Research in Pharmacy Practice, Vol. 7, No. 2, 29.06.2018, p. 77-82.

Research output: Contribution to journalArticle

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