[e-drug] Use of ceftriaxone in poor countries (7)

e-drug
1

E-DRUG: Use of ceftriaxone in poor countries (7)
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Dear colleagues,

According to information obtained from my colleague from a small
municipality Rahovec (23.000 inhabitants in town and about 73.000
inhabitants in total), annual sales of injectable antibiotics in his
community pharmacy is as following (estimated):

1. Ceftriaxone 1 g inj 4000-5000 ampoules
2. Lincomycin 600 mg inj 3000 ampoules
3. Gentamycin (all strength) 3000 ampoules
4. Procain benzylpenicillin 1000 ampoules

Estimated number of consumers/day is 400. There are 6 pharmacies in town (one is operating with no pharmacist).

Republic of Kosova is one of the poorest European countries and since
January 2007 all medicines in community pharmacies (all private) are
purchased out of pocket by patients.

Adnan Mustafa, MPharm
Ulpiana D7/1/8
Prishtina, 10000
Republic of Kosova
phone/fax: +381 38 247725
mobile: +377 44 166 590, +386 49 166 590
email: admustafa@yahoo.com
web: www.pharmaks.com

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E-DRUG: Use of ceftriaxone in poor countries (16)
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Dear all,

In Bhutan, Ceftriaxone is supplied in the followng
strengths: 1g and 250mg injection.

the 1g injection is only supplied till referral hospital;
it does not go to district hospital and community health
centres. The annual consumption is about 30,000 vials.

the 250mg injection is only supplied for use in syndromic
management of STIs and therefore supplied to all levels of
health centres. We try and monitor that it is only used
for the said purpose but it does become very difficult at
times to prevent misuse.

Manusika Rai
Program Manager
Essential Drugs Program
Ministry of Health
Bhutan
edp@druknet.bt