Les antimicrobiens les plus utilisés à sétif et béjaia

Abstract

This dissertationaims to analyze the use of antimicrobials in the wilayas of Sétif and Béjaïa during the year 2024.To achieve this, a field survey was conducted using a questionnaire distributed directly to several pharmacies in both regions. This method made it possible to collect concrete data on the most commonly used classes of antimicrobials, as well as on the most frequently dispensed molecules.A comparative analysis of antimicrobial use in the wilayas of Sétif and Béjaïa highlights a strong predominance of antibiotics in both regions, with a rate of 87% in Sétif and 87.58% in Béjaïa, reflecting a frequent reliance on empirical prescriptions. In Sétif, antiparasitics come second (8%), followed by antifungals (4%) and antivirals (1%). In Béjaïa, the order differs, with antifungals ranking second (7.40%), followed by antiparasitics (3.44%) and antivirals (1.20%).Regarding antibiotics, in Sétif, amoxicillin is the most prescribed molecule (38.95%), followed by cephalosporins (14.46%), while sulfonamides and ampicillin represent only 0.6%, with other classes marginally used. In Béjaïa, amoxicillin also tops the list (23.20%), followed by the combination of amoxicillin + clavulanic acid (21.64%), azithromycin (16.36%), cephalexin (15%), spiramycin (4.10%), and other antibiotics in lower proportions.For antiparasitics, in Sétif, metronidazole dominates (83%), followed by flubendazole (13%) and others in small amounts, while in Béjaïa, metronidazole is also the most prescribed but at a lower rate (44%), followed by flubendazole (39.50%). As for antifungals, in Sétif, Lamidaz is the most used (67%), followed by terbinafine (12%), ketoconazole (9%), and others in smaller quantities. In Béjaïa, sertaconazole is the most prescribed (32.49%), followed by fluconazole (29.92%), ketoconazole (24.67%), econazole (8.42%), and terbinafine (6.13%). Finally, for antivirals, acyclovir is almost exclusively prescribed, with a rate of 96% in Sétif and 100% in Béjaïa.