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168120

Comparative analysis of the unregulated sale of antimicrobial prescription medication by drug retailers before and during the COVID-19 pandemic in Abuja, Nigeria

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

Infection prevention and control
Medical virology

Abstract

Background: The sustained high-level unregulated sale of prescription medicines in developing countries is recognized as a significant factor in the development of drug resistance among pathogenic microorganisms. Apart from the millions of deaths annually that are attributed directly to antimicrobial resistance to commonly prescribed medicines this major global public health problem hinders achieving the United Nations' Sustainable Development Goals by its target of 2030. This study compared the extent of the sale of non-prescribed antimalarial medication and of antibiotics before and during the coronavirus disease (COVID)-19 pandemic in each of the six local government areas within the Federal Capital Territory-Abuja, Nigeria. Methods: A structured questionnaire was designed to determine the percentage sales of both antimalarials and antibiotics, without diagnosis or prescription from qualified medical practitioners, over six-month periods between January to June of 2019 and 2020. Results: The data showed that all of the 130 community pharmacies and registered chemist stores where questionnaires were completed engaged in non-prescribed sales of both sets of medicine. Moreover, approximately three-quarters of drug retailers recorded increased patronage in the purchase of both classes of antimicrobial during the 2020 survey period that coincided with the first few months of the COVID-19 pandemic.Over successive years this saw an overall rise in over-the-counter sales of antimalarials and antibiotics (each p < /em> < 0.01). Yet, only Abuja Municipal Area Council and Bwari (p < /em>p < /em> <0.001, respectively) recorded significant increases in indiscriminate sales of each medicine. Conclusion: In line with the high frequency of self-medication, this report points to the threat of possible emergence and spread of multidrug-resistant bacterial and Plasmodium spp. in the Abuja region. These findings highlight the imperative requirement for public health policymakers to implement effective strategies to curb the extensive unregulated sale of prescription drugs in the nation's capital city and likely elsewhere in Nigeria.

DOI

10.21608/mid.2021.71677.1142

Keywords

antimalarial, antibiotic, Pharmacy, COVID-19, Nigeria

Authors

First Name

Rasheed

Last Name

Makanjuola

MiddleName

Osuolale

Affiliation

Department of Biology and Biotechnology, University of Pavia, Lombardy, Italy. Department of Microbiology, Nasarawa State University, Keffi, Nigeria

Email

rasheedosuolal.makanjuola01@universitadipavia.it

City

Pavia

Orcid

0000-0002-1908-3438

First Name

Adebayo

Last Name

Bello

MiddleName

Ajibola

Affiliation

Faculty of Pharmacy, University of Ibadan, Ibadan, Nigeria

Email

a.bello@ibadanu.edu

City

Ibadan

Orcid

-

First Name

Fawziyyah

Last Name

Sadiq

MiddleName

-

Affiliation

Department of Microbiology and Biotechnology, Nile University, Abuja, Nigeria

Email

f.u.sadiq@yahoo.com

City

Abuja

Orcid

-

First Name

David

Last Name

Ishaleku

MiddleName

-

Affiliation

Department of Mathematics, Nasarawa State University, Keffi, Nigeria

Email

d.ishaleku@nsu.ed.net

City

Keffi

Orcid

-

First Name

Kehinde

Last Name

Oduwole

MiddleName

Henry

Affiliation

Department of Mathematics, Nasarawa State University, Keffi, Nigeria

Email

k.oduwole@nsu.ed.net

City

Keffi

Orcid

-

First Name

Andrew

Last Name

Taylor-Robinson

MiddleName

-

Affiliation

School of Health, Medical and Applied Sciences, Central Queensland University, Brisbane, Australia. College of Health and Human Sciences, Charles Darwin University, Casuarina, Australia.

Email

a.taylor-robinson@cqu.edu.au

City

Brisbane

Orcid

0000-0001-7342-8348

Volume

2

Article Issue

3

Related Issue

26240

Issue Date

2021-08-01

Receive Date

2021-03-09

Publish Date

2021-08-01

Page Start

423

Page End

432

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_168120.html

Detail API

https://mid.journals.ekb.eg/service?article_code=168120

Order

7

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

https://mid.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023