Dispensing antibiotics without a prescription in Various pharmacies

Background: An important factor that leads to improper antibiotic use and an increase in antibacterial resistance is the dispensing of medicines over-the-counter. Objective: The purpose of this study is to examine the beliefs and behaviors of medical staff regarding the non-prescription dispensing of antibiotics. Methods: This is a cross-sectional study that used a questionnaire survey with 107 medical staff members from various places in Iraq between November 11, 2020, and May 8, 2021. Results: A total of 107 participants filled out the form and took part in the study. The age of participants ranged from 68% (21–25 years old) to 20% (26–35 years old), 4% (18–20 years), 4% (36–45 years old), 3% (above 55 years old), and 1% (46–55). The most prevalent condition treated with antibiotics without a doctor's prescription is urinary tract infection (21.6%), which was followed by otitis media (17.3%), sore throat (14.8%), skin infection (12.7%), fever (12%), cough (11%), runny nose (4.9%), and other conditions (5.7%). Cold and flu are the most infections that did not respond to antibiotics (30.1%) followed by runny nose (23.9%), sore throat (15.4%), bronchitis (10.4%), cough (10%), and other (10%) while the most frequently dispensed antibiotics was amoxicillin followed by azithromycin, amoxicillin plus clavulanic acid, ciprofloxacin, cephalexin, clindamycin, and meropenem. About 56.6% of patients requested or received antibiotics for obvious infections. About 29.25% requested antibiotics for family members while 14.15% requested them for no reason. The most common age of patients who request an antibiotic was young people (46.3%), elderly (38.3%) and children (15.4%). Whether consulting a doctor before dispensing antibiotics, participants answered yes (56%) and no (44%). In conclusion, the incidence of using antibiotics without prescription was high for skin infections, otitis media, sore throats, and urinary tract infection.