ArticleAntibiotics (Basel, Switzerland)2020
Outpatient Antibiotic Dispensing for the Population with Government Health Insurance in Syria in 2018-2019.
Article in Antibiotics (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Three-year cumulative antibiogram of breast-associated secretion and drainage specimens in female patients in Syria (2022-2024): microbiologic spectrum, antimicrobial susceptibility, and annual MSSA trends.BMC microbiology · 2026Article
- High frequency of antibiotic administration for COVID-19 patients in Syria and its associations with mortality and complications.BMC infectious diseases · 2025Observational
- A cross-sectional survey of knowledge, attitudes, and practices regarding antimicrobial resistance among Syrian health care professionals.IJID regions · 2025Article
- Dispensing of medicines for asthma and chronic obstructive pulmonary disease through the government health insurance in Syria: a retrospective analysis.Global health action · 2025Article
- The role of community pharmacists with Syrian migration background in addressing healthcare needs of migrant population in Germany: a qualitative study.BMC health services research · 2025Article
- Increasing the use of the WHO AWaRe system in antibiotic surveillance and stewardship programmes in low- and middle-income countries.JAC-antimicrobial resistance · 2025Review
- Antibiotic prescribing in public primary healthcare centres in Maseru, Lesotho.Southern African journal of infectious diseases · 2025Article
- Access to essential medicines for noncommunicable diseases during conflicts: The case cardiovascular diseases, diabetes and epilepsy in Northern Syria.PLOS global public health · 2025Article
- Article
- Survey of the Knowledge, Attitudes and Practice towards Antibiotic Use among Prospective Antibiotic Prescribers in Serbia.Antibiotics (Basel, Switzerland) · 2022Article
- Study of the indications for macrolide prescriptions in a Colombian populationBiomedica : revista del Instituto Nacional de Salud · 2022Article
- Pattern of Antibiotic Dispensing at Pharmacies According to the WHO Access, Watch, Reserve (AWaRe) Classification in Bangladesh.Antibiotics (Basel, Switzerland) · 2022Article
- The Overlooked Issue of Outpatient Combination Antibiotic Prescribing in Low- and Middle-Income Countries: An Example from Syria.Antibiotics (Basel, Switzerland) · 2022Article
- Outpatient cardiovascular diseases and diabetes medicines dispensing in the population with government health insurance in Syria between 2018 and 2019: a retrospective analysis.BMC health services research · 2021Article
- Appropriate Antibiotic Use and Associated Factors in Vietnamese Outpatients.Healthcare (Basel, Switzerland) · 2021Article
- Increase and Change in the Pattern of Antibiotic Use in Serbia (2010-2019).Antibiotics (Basel, Switzerland) · 2021Article
- Evaluation of Adult Outpatient Antibiotics Use at Jimma Medical Center (with Defined Daily Doses for Usage Metrics).Infection and drug resistance · 2021Article
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3 authors.
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Abstract
Little is known about antibiotic uses at the population level in Syria. The aim of our study is to present outpatient antibiotic dispensing (OAD) patterns and rates for patients with health insurance in the parts of Syria that are controlled by the Syrian government using different indicators. Outpatient data on all dispensed antibiotics for 81,314 adults with health insurance were obtained and stratified according to age, sex, governorate and annual season. OAD was mainly expressed as the number of defined daily doses (DDDs) per 1000 people per day (DID). OAD patterns were assessed according to the anatomical therapeutic classification (ATC) and the Access, Watch and Reserve (AWaRe) classification. OAD was 20.13 DID. Amoxicillin/clavulanic acid and clarithromycin were the most dispensed antibiotics (5.76 and 4.4 DID, respectively). Overall, a predominant consumption of broad-spectrum antibiotics was noted. The Watch group of the AWaRe classification had the biggest percentage of OAD (13.26 DID), followed by the Access and the Reserve groups (6.55 and 0.17 DID, respectively). There was a significant difference in OAD between the sex and age groups. The seasonal and regional variations in OAD were also significant. Broad-spectrum antibiotics dispensing was high compared to other studies from different countries. These results are concerning, as they can contribute to antibiotic resistance.
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