Prot-Labarthe Sonia, Stil-Baudry Julien, Fahd Mony, Brion Françoise, Bourdon Olivier
AP-HP, Hôpital Robert Debré, Pharmacie, Université Paris Descartes, Paris, France.
J Pediatr Hematol Oncol. 2013 Apr;35(3):188-92. doi: 10.1097/MPH.0b013e3182707aff.
The patients receiving hematopoietic stem cell transplantation (HSCT) require routine management: the role of the pharmacist has not been extensively considered. This study had 2 aims: to explore the knowledge of community pharmacists relating to pediatric HSCT and to evaluate their expectations in terms of training needs.
We interviewed 40 community pharmacists in May and June 2010 in Paris (France) with a 3 parts questionnaire: information concerning the community pharmacy, analysis of 2 pediatric prescriptions and knowledge about HSCT and professional training.
Twenty-nine (72.5%) of the 40 community pharmacies agreed to participate in the study. When asked what pharmacological advice they would give for an episode of fever, 13% of the pharmacists asked said that they would deliver acetaminophen without asking any further questions. Concerning hypertrichosis in patients treated with corticosteroids and ciclosporin, none mentioned the role of ciclosporin. The erroneous indications for HSCT given included road accidents (1 pharmacist; 3.4%) and hemophilia (3 pharmacists; 10.3%). Almost 80% of the pharmacists questioned considered their HSCT knowledge insufficient for their professional practice. An E-learning session adapted to their needs was of interest to almost three quarters of the pharmacists questioned.
接受造血干细胞移植（HSCT）的患者需要常规管理：药剂师的作用尚未得到广泛考虑。本研究有两个目的：探索社区药剂师关于儿科HSCT的知识，并评估他们在培训需求方面的期望。
2010年5月和6月，我们在法国巴黎对40名社区药剂师进行了访谈，采用一份包含三个部分的问卷：关于社区药房的信息、对两份儿科处方的分析以及关于HSCT和专业培训的知识。
40家社区药房中有29家（72.5%）同意参与研究。当被问及对于发热情况会给出什么药理学建议时，13%的受访药剂师表示他们会直接提供对乙酰氨基酚而不再询问其他问题。关于接受皮质类固醇和环孢素治疗的患者出现多毛症的情况，没有人提到环孢素的作用。给出的HSCT错误适应症包括道路交通事故（1名药剂师；3.4%）和血友病（3名药剂师；10.3%）。近80%接受询问的药剂师认为他们的HSCT知识不足以用于专业实践。近四分之三接受询问的药剂师对根据他们的需求量身定制的电子学习课程感兴趣。
