Оцінювання доступності місцевих антибактеріальних лікарських засобів, які використовують у дерматології

Skin diseases caused by the functioning of pathogenic and saprophytic bacteria are characterized by nosological diversity. One of the most common pathologies in this group, which dermatologists encounter almost daily and in all age groups, is pustular skin diseases or pyoderma. Expanding the arsenal of pharmacotherapeutic agents that provide effective etiotropic treatment of superficial forms of pyoderma while preventing their further dissemination is one of the pressing issues of modern dermatology. Given the difficult circumstances that arose in connection with military operations and which directly affect the quality of pharmaceutical provision of medicines to the population of cities and villages, the analysis of accessibility (physical and economic) for Ukrainian patients remains relevant. The aim of the work is to assess the availability of local antibacterial drugs used in dermatology. Materials and methods. The information base of the study was the National List of Essential Medicines; open statistical resources of the Ministry of Health of Ukraine; tabletki.ua and online data of pharmacy chains; instructions for medical use of drugs. The study used methods such as information search, analysis, generalization, and marketing research. Results. From the list of local antibacterial drugs, 35 trade names of the most in-demand medicines were identified for further analysis. No significant differences in physical availability were found between frontline, central, and western regions. This indicates the restoration of pharmaceutical logistics processes compared to the beginning of 2022, despite the protracted nature of the military conflict. Based on the conducted research, several structured measures are proposed to improve the management of the range of medicines and improve pharmaceutical care. Conclusions. It was found that the physical availability of local antibacterial drugs is 82 %, with minor regional differences between frontline, central and western cities of Ukraine, which indicates the restoration of logistical processes and pharmaceutical supply of the retail segment of the Ukrainian pharmaceutical market. It was found that the economic accessibility of local antibacterial drugs is high (all drugs are classified as highly accessible, the solvency adequacy ratio is less than 5 %), but the calculations are based on the average salary, which does not consider regional disparities, which may overestimate real accessibility.