OBJECTIVE: It is a well known phenomenon in the Kingdom of Saudi Arabia that prescription drugs are dispensed over the counter in the community pharmacies. The aim of this study is to document the attitude of community pharmacists to fulfill the concept of pharmaceutical care and to evaluate how they manage a case of acute uncomplicated lower @entity293 . METHODS: Eighty-eight community pharmacists in the Eastern province of Saudi Arabia were presented with a @entity1 claiming @entity293 and seeking medical treatment. RESULTS: Only one attendant pharmacist refused to dispense medications without prescription. Fifteen others (17%) dispensed urinary antiseptic only and 72 (82%) gave antibacterial agents. @entity2887 were the most commonly dispensed (69%) as first choice and 87% as an alternative) followed by @entity799 , penicillins, @entity2886 and @entity2930 . The number of drugs dispensed ranged from a single agent at 52 (59%), 2 drugs at 31 (35%) and 3 drugs at 4 (4.5%) pharmacies. The average cost was Saudi Riyal (SR) 45.8 ( 12.2) for first choice drugs and SR 31.5 (  8.4) for the alternatives. CONCLUSION: The heavy dispensing of @entity2887 over the counter could eventually lead to increased resistance of the pathogenic bacteria to these drugs. However, despite the lack of pharmacist's adherence to the pharmaceutical law, this study does not indicate that they had abused their @entity1 . It is rather demonstrating the urgent needs for successful implementation of the pharmaceutical law taking into consideration better integration between governmental health providers and the private retail pharmacies. In addition, it supports calls to educate pharmacists to perform basic clinical assessment in the community pharmacy, as a vital tool to effectively manage their @entity1 ' health status. The Ministry of health should credit such educational activity for the renewal of pharmacist's license in the Kingdom.

Empirical treatment of uncomplicated XXXX by community pharmacist in the Eastern province of Saudi Arabia.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity799 :: ('MESH:D015662', 'Chemical') :: ['co-trimoxazole'] @entity2930 :: ('MESH:D013754', 'Chemical') :: ['tetracyclines'] @entity2886 :: ('MESH:D002511', 'Chemical') :: ['cephalosporins'] @entity2887 :: ('MESH:D024841', 'Chemical') :: ['fluoroquinolones', 'Fluoroquinolones'] @entity293 :: ('MESH:D014552', 'Disease') :: ['urinary tract infection']
@entity293 :: (MESH:D014552,Disease) :: ['urinary tract infection']
