FAKTOR PENYEBAB PERILAKU PENJUALAN DAN PEMBELIAN ANTIBIOTIK TANPA RESEP DOKTER DI APOTEK KOTA SURABAYA
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Abstract
Abstrak - Penjualan dan pembelian antibiotik tanpa resep dokter di apotek telah menjadi masalah global. Walaupun demikian, faktor yang dominan menyebabkan perilaku penjualan dan pembelian antibiotik tanpa resep di apotek belum diketahui secara pasti. Penelitian ini bertujuan untuk mengetahui faktor yang dominan mempengaruhi perilaku penjualan dan pembelian antibiotik tanpa resep dokter di apotek kota Surabaya. Penentuan faktor dilakukan dengan menggunakan metode kuesioner. Kuesioner penjualan dan pembelian antibiotik tanpa resep di apotek dikembangkan berdasarkan faktor-faktor yang ditemukan dalam studi pustaka. Uji validitas rupa dan uji validitas konten kuesioner dilakukan dengan penilaian expert, sedangkan uji validitas konstruk dilakukan dengan uji korelasi Spearman. Uji reliabilitas kuesioner dilakukan dengan menggunakan nilai Cronbach’s Alpha. Penelitian dilakukan pada 91 pekerja apotek dan 267 pasien di apotek kota Surabaya. Hasil analisis faktor menunjukkan faktor yang paling mempengaruhi penjualan antibiotik tanpa resep di apotek adalah sikap pekerja apotek yang mengizinkan penjualan antibiotik tanpa resep (28,03%) sedangkan faktor yang paling mempengaruhi perilaku pembelian antibiotik tanpa resep di apotek adalah faktor kemudahan akses untuk memperoleh antibiotik dan penghematan biaya (23,91%). Disimpulkan bahwa faktor yang paling mempengaruhi perilaku penjualan antibiotik tanpa resep di apotek kota Surabaya adalah sikap pekerja apotek yang mengizinkan perilaku penjualan antibiotik tanpa resep dokter, sedangkan faktor yang paling mempengaruhi perilaku pembelian antibiotik tanpa resep dokter di apotek kota Surabaya adalah kemudahan akses untuk memperoleh antibiotik di apotek. Oleh karena itu, perlu dibuat sebuah regulasi yang jelas dan tegas terkait penjualan dan penggunaan antibiotik tanpa resep di apotek. regulasi ini diharapkan dapat mencegah perilaku penjualan maupun pembelian antibiotik tanpa resep dokter di apotek kota Surabaya.
Katakunci: Swamedikasi, antibiotik, apotek, apoteker
Abstract - Antibiotics dispensing without prescription and self-medication at pharmacies has become a global problem. Nevertheless, the dominant factor wich lead into the dispensing and self-medication of antibiotics without prescription is not certain. This study aims to determine the dominant factor influence the dispensing and self-medication with antibiotics without prescription at pharmacies in Surabaya. Determination of factors were calculated using questionnaires. Questionnaires for dispensing and self-medication of antibiotics without a prescription in pharmacies developed based on factors found in the literature. The face validity and content validity of questionnaire was assesed by expert, while the construct validity was performed by Spearman corellation test. Ninety one pharmacy worker and 267 patients from several pharmacies in Surabaya are enrolled in this research. The result of factor analysis showed that pharmacy worker attitude that allowed patients to buy antibiotics without prescriptions have the greatest impact on antibiotics dispensing without prescriptions (28.03%). The Factor which have the greatest impact on antibiotic self-medication behavior are the easy access to obtain antibiotic without prescription and cost saving (23,91%). In conclusion, pharmacy workers attitude that allowed patients to buy antibiotics without prescription is the dominant factors wich lead into antibiotics dispensing without prescription, and dominant factors wich lead into self-medication of antibiotics are easy acces to obtain antibiotics wihout prescription and cost saving. Therefore, it needs to make a specific regulations related to antibiotics use and dispensing without prescription. This regulation is expected to prevent antibiotics self-medication and antibiotics dispensing without prescription, especially in the pharmacies of Surabaya city.
Keywords: Antibiotics, self-medication, pharmacy workers, pharmacy, pharmacist
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References
Llor C, Cots JM. The sale of antibiotics without prescription in pharmacies in Catalonia, Spain. Clin Infect Dis. 2009 May 15;48(10):1345–9.
Nga DTT, Chuc NTK, Hoa NP, Hoa NQ, Nguyen NTT, Loan HT, Toan TK, Phuc HD, Horby P, Van Yen N, Van Kinh N, Wertheim HFL. Antibiotic sales in rural and urban pharmacies in northern Vietnam: an observational study. BMC Pharmacol Toxicol. 2014 Jan;15(1):6.
Puspitasari HP, Faturrohmah A, Hermansyah A. Do Indonesian community pharmacy workers respond to antibiotics requests appropriately? Trop MedInt Health. 2011 Jul;16(7):840–6.
Plachouras D, Kavatha D, Antoniadou A, Giannitsioti E, Poulakou G, Kanellakopoulou K, Giamarellou H. Dispensing of antibiotics without prescription in Greece, 2008: another link in the antibiotic resistance chain. Euro Surveill. 2010 Feb 18;15(7):4–7.
Widayati A, Suryawati S, de Crespigny C, Hiller JE. Self medication with antibiotics in Yogyakarta City Indonesia: a cross sectional populationbased survey. BMC Res Notes. BioMed Central Ltd; 2011 Jan;4(1):491.
Al-faham Z, Habboub G, Takriti F. The sale of antibiotics without prescription in pharmacies in Damascus , Syria. J Infect Dev Ctries. 2011;5(5):369–99.
Roque F, Soares S, Breitenfeld L, López-Durán A, Figueiras A, Herdeiro MT. Attitudes of community pharmacists to antibiotic dispensing and microbial resistance: a qualitative study in Portugal. Int J Clin Pharm. 2013 Jun;35(3):417–24.
Saengcharoen W, Lerkiatbundit S. Practice and attitudes regarding the management of childhood diarrhoea among pharmacies in Thailand. Int JPharm Pract. 2010 Dec;18(6):323–31.
Dameh M, Norris P, Green J. New Zealand pharmacists’ experiences, practices and views regarding antibiotic use without prescription. J Prim Health Care. 2012 Jun;4(2):131–40.
Saengcharoen W, Chongsuvivatwong V, Lerkiatbundit S, Wongpoowarak P. Factors influencing dispensing of antibiotics for upper respiratory infections among Southern Thai community pharmacists. J Clin Pharm Ther. 2008 Apr;33(2):123–9.
Saengcharoen W, Lerkiatbundit S. Practice and attitudes regarding the management of childhood diarrhoea among pharmacies in Thailand. Int JPharm Pract. 2010 Dec;18(6):323–31.
Widayati A, Suryawati S, de Crespigny C, Hiller JE. Knowledge and beliefs about antibiotics among people in Yogyakarta City Indonesia: a cross sectional population-based survey. Antimicrob Resist Infect Control. 2012 Jan;1(1):38.
Widayati A, Suryawati S, de Crespigny C, Hiller JE. Beliefs About the Use of Nonprescribed Antibiotics Among People in Yogyakarta City, Indonesia: A Qualitative Study Based on the Theory of Planned Behavior. Asia Pac J Public Health. 2012 May 1;
Direktorat Jenderal Pelayanan Kefarmasian dan Alat Kesehatan. Undangundang obat keras. St. No 419 tgl. 22 Desember 1949 Indonesia; 1949.
Pe S, Leroy M, Sabuncu E, David J, Berne C. Significant Reduction of Antibiotic Use in the Community after a Nationwide Campaign in France, 2002-2007. 2009;6(6):2002–7.
Shah SJ, Ahmad H, Rehan RB, Najeeb S, Mumtaz M, Jilani MH, Rabbani MS, Alam MZ, Farooq S, Kadir MM. Self-medication with antibiotics among non-medical university students of Karachi : a cross-sectional study. 2014;15(1):1–7.
Suaifan GARY, Shehadeh M, Darwish DA, Al-ijel H, Yousef AM, Darwish RM. A cross-sectional study on knowledge , attitude and behavior related to antibiotic use and resistance among medical and non-medical university students in Jordan. 2012;6(10):763–70.
Belkina T, Warafi A Al, Eltom EH, Tadjieva N, Kubena A. Original Article Antibiotic use and knowledge in the community of Yemen, Saudi Arabia, and Uzbekistan. :4–9.
Liu YC, Huang WK, Huang TS, Kunin CM. Inappropriate use of antibiotics and the risk for delayed admission and masked diagnosis of infectious diseases: a lesson from Taiwan. Arch Intern Med. 2001 Oct 22;161(19):2366–70.
Khan SJ, Khan S, Shah N, Complex HM. Self-medication with Antibiotics in Urban Areas of Peshawar. 2011;9(1):2009–12.
Grigoryan L, Burgerhof JGM, Haaijer-ruskamp FM, Degener JE, Deschepper R, Monnet DL, Matteo A Di, Scicluna EA, Bara A, Sta C, Ab A. Is self-medication with antibiotics in Europe driven by prescribed use ? 2007;(November 2006):152–6.
Suaifan GARY, Shehadeh M, Darwish DA, Al-ijel H, Yousef AM, Darwish RM. A cross-sectional study on knowledge, attitude and behavior related to \ antibiotic use and resistance among medical and non-medical university students in Jordan. African J Pharm Pharmacol. 2012 Mar 15;6(10):763–70.
Donkor ES, Tetteh-quarcoo PB, Nartey P, Agyeman IO. Self-Medication Practices with Antibiotics among Tertiary Level Students in Accra, Ghana : A Cross-Sectional Study. 2012;3519–29.
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