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M94A2605.TXT
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1994-10-25
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Document 2605
DOCN M94A2605
TI Study of urethritis management in pharmacies in Sao Paulo, Brazil.
DT 9412
AU de Lima VC; Brito GS; Fernandes ME; Fini GI; Ribeiro MA; Morais JC;
Souza G; Santa Casa Medical School, SP-Brazil.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):266 (abstract no. PB0494). Unique
Identifier : AIDSLINE ICA10/94369970
AB INTRODUCTION: In Brazil men rely on STDs self-treatment through
antibiotics obtained at pharmacies (estimated at 50-70% of STDs
occurrences among men by MOH AIDS/STD Division). OBJECTIVE: To determine
the attitude of pharmacies clerks (P.C.) towards men with symptoms of
urethritis. METHODOLOGY: This study was conducted in 93-94. The
municipality of Sao Paulo is divided in districts. The geographic
downtown district was delimited and a list of 400 pharmacies was
developed. Out of 400 pharmacies 53 (13%) were randomly chosen and
visited by trained medical students (T.M.S.) that presented themselves
to P.C. as having pain on urination and urethral discharge. Immediately
after the visit at pharmacies the T.M.S. filled out a standard
questionnaire. RESULTS: 68% T.M.S. were diagnosed by P.C. as having
gonorrhea, 11% urethritis; 9% reported that they did not know the
diagnosis and 11% mentioned other causes. From a total of 53 pharmacies
74% of P.C. prescribed the treatment and only 19% recommended to T.M.S.
to see a physician. When we analyze the prescription of antibiotics 33%
prescribed correct drugs for the treatment of gonorrhea, but none
prescribed drugs for the treatment of chlamydia. In 55% of the cases the
drug of choice was correct, but the course of treatment was incorrect
and in 12% of the pharmacies the drug of choice and the course of
treatment were incorrect. The average cost of the treatment prescribed
by P.C. was 21.81 USD (one third of the country minimum wage per month).
Just one P.C. recommended the use of condoms and none reported that
sexual partners needed a treatment. CONCLUSIONS: 1. 67% of the treatment
prescribed was incorrect. 2. Chlamydia treatment was not considered by
P.C. 3. Self-treatment may result in resistance to antibiotics. 4.
Pharmacists and clerks need to be trained and be involved in STDs and
AIDS prevention efforts.
DE Adult Antibiotics/*THERAPEUTIC USE Brazil *Developing Countries
Gonorrhea/*DRUG THERAPY Human Male Pharmaceutical Services Self
Medication Sexually Transmitted Diseases/*DRUG THERAPY Treatment
Outcome Urethritis/*DRUG THERAPY DUPLICATE PUBLICATION MEETING
ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).