COMMUNITY PHARMACISTS\u27 COMMITMENT TO PREVENTIVE MEASURES DURING THE COVID-19 PANDEMIC IN LIGHT OF THE ECONOMIC CRISIS IN BEIRUT, LEBANON: A SIMULATED CLIENT STUDY

The burden on community pharmacists has dramatically increased since the COVID-19 pandemic, where the increased number of clients demands adhering to optimal infection protective measures. We aimed to investigate the level of adopted COVID-19 preventative measures by Lebanese community pharmacies and the influencing factors. One hundred community pharmacies in Beirut, were randomly selected and inspected by a simulated client. Signs of face-mask use, declaration of COVID-19 infection, and social distancing were observed in 62%, 48%, and 35% of pharmacies, respectively. Body temperature screening was absent. Only 20% of the pharmacies had limitations for the number of clients, and only 31% offered free disinfectants. Direct pharmacist-patient encounters were observed in 25% of pharmacies. Social distancing among pharmacists was practiced in only 8% of the pharmacies and 37% of pharmacists were not wearing facemasks. Female pharmacists, pharmacists \u3e 40 years, and large pharmacies were associated with a significantly higher score than male pharmacists, younger pharmacists, and smaller pharmacies (‎6.13 ± 1.73‎ vs. ‎4.21 ± 1.70‎, P = 0.004; ‎6.27 ± 1.55‎ vs. ‎4.40 ± 1.75‎, P = 0.03; and ‎6.73 ± 1.66‎ vs. ‎4.1 ± 1.74‎, P = 0.01; respectively). The adherence level of Lebanese community pharmacies to COVID-19 preventive measures is unsatisfactory. The economic crisis in addition to poor pharmacy education about infection control could be behind this level. The authorities are advised to wisely allocate the available resources, strengthen the monitoring process, and revise the pharmacy curriculum to include infection control

The Quality of Medicines in Community Pharmacies in Riyadh, Saudi Arabia: A Lot Quality Assurance Sampling (LQAS)-Based Survey

医薬保健研究域薬学系Objectives: To classify community pharmacies (CPs) in Riyadh, Saudi Arabia, in terms of the quality of medicines sold by them, using the lot quality assurance sampling (LQAS) technique with a predefined threshold. Methods: Riyadh CPs were divided into 2 categories (“lots” for the purpose of LQAS), i.e., chain and independent CPs. Upper and lower rate thresholds for CPs that sell low-quality medicines were predefined as 20% and 5%, respectively. Consumer and provider risks were predefined as 0.05 and 0.10, respectively. The calculated number of randomly selected CPs required in each lot was 36; then, sale of low-quality medicines in >3 CPs implies a prevalence of >20% of such CPs according to LQAS. A randomly selected brand of amoxicillin (selected as a quality indicator of medicines because it is both widely counterfeited and heat-sensitive) was purchased from each pharmacy by a “mystery shopper”, checked for authenticity, and analyzed for drug content and content uniformity using a validated HPLC method. Results: Substandard amoxicillin was purchased in 9 pharmacies (4 chains and 5 independent). Both lots were thus rejected as unacceptable, which may indicate that consumers in Riyadh are at risk of purchasing substandard medicines at CPs. Conclusions: The quality of medicines sold in CPs in Riyadh did not meet our acceptability criterion, and appropriate intervention by decision makers is recommended. LQAS proved to be a practical, economical, and statistically valid sampling method for surveying the quality of medicines. It should enable decision makers to allocate resources for improvement more efficiently

Correction: Evaluation of nitazoxanide treatment following triclabendazole failure in an outbreak of human fascioliasis in Upper Egypt.

[This corrects the article DOI: 10.1371/journal.pntd.0007779.]

Nomophobia among university students in five Arab countries in the Middle East: prevalence and risk factors

Abstract Background Excessive use of mobile phones leading to development of symptoms suggestive of dependence syndrome with teenagers are far more likely to become dependent on mobile phones as compared to adults. COVID-19 pandemic has had an impact on the mental health of several groups in society, especially university students. This study aimed to explore the prevalence of mobile phone dependence among university students and its associated factors. Methods Between September 2021 and January 2022, a cross-sectional study was conducted at universities in Jordan, Lebanon, Egypt, Bahrain, and Saudi Arabia utilizing an online and paper-based self-administered questionnaire. We employed a previously developed questionnaire by Aggarwal et al. Results A total of 5,720 university students were involved in this study (Egypt = 2813, Saudi Arabia = 1509, Jordan = 766, Lebanon = 432, and Bahrain = 200). The mean estimated daily time spent on using mobile phone was 186.4 (94.4) minutes. The highest mobile dependence score was observed for the university students from Egypt and the lowest mobile dependence score was observed for the university students from Lebanon. The most common dependence criteria across the study sample was impaired control (55.6%) and the least common one was harmful use (25.1%). Females and those reported having anxiety problem or using a treatment for anxiety were at higher risk of developing mobile phone dependence by 15% and 75%, respectively. Conclusion Mobile phone dependence is common among university students in Arab countries in the Middle East region. Future studies exploring useful interventions to decrease mobile phone dependence are warranted