Minyaliwa Collins, Bandawe Chiwoza, Mwale Richman James
Ministry of Health, Lilongwe, Malawi.
Malawi Med J. 2012 Mar;24(1):1-4.
To determine the knowledge of dispensers in hospital and community pharmacies within Blantyre on new malaria treatment guidelines.
An interviewer administered questionnaire was used for data collection and the questions focused on the knowledge of dispensers on the new malaria treatment guidelines and whether the subjects were involved in the preparation or implementation of the guidelines or had undertaken any training on how to dispense the new anti-malarial medicines.
None of the participants had been involved in the preparation of the treatment guidelines and only 45.5% of the participants had undertaken the pre-implementation training. Ninety percent of the interviewees had knowledge concerning the appropriate treatment of malaria in pregnancy. However, as many as 90.9% of the interviewed participants could not mention any possible five or more side-effects of LA and only 13.6% knew how to properly manage the possible effects. Only 27.3% knew the correct dose regimen of LA and none of them knew the condition of taking LA with a fatty meal for improved absorption.
Lack of involvement of the pharmaceutical personnel working in hospital and community pharmacies, from the preparation of new malaria treatment guidelines to their implementation, inadequate training and qualifications of the dispensing personnel contributed to their lack of knowledge and skill on how to rationally dispense the medicines. Pharmaceutical personnel dispensing in the pharmacies need to be involved from the beginning in the preparation of treatment guidelines. Adequate training should be provided and followed by continuous professional education.
确定布兰太尔市医院和社区药房药剂师对新疟疾治疗指南的了解情况。
采用访谈式问卷进行数据收集，问题聚焦于药剂师对新疟疾治疗指南的了解程度，以及受试者是否参与了指南的制定或实施，或者是否接受过关于如何调配新型抗疟药物的培训。
没有参与者参与过治疗指南的制定，只有45.5%的参与者接受了实施前培训。90%的受访者了解孕期疟疾的适当治疗方法。然而，多达90.9%的受访参与者无法说出青蒿琥酯的任何五种或更多可能的副作用，只有13.6%的人知道如何正确处理这些可能的副作用。只有27.3%的人知道青蒿琥酯的正确剂量方案，而且没有人知道与高脂餐一起服用青蒿琥酯以提高吸收的情况。
在新疟疾治疗指南从制定到实施的过程中，医院和社区药房的药学人员缺乏参与，药剂人员培训不足和资质不够导致他们在如何合理调配药物方面缺乏知识和技能。药房的药剂人员需要从一开始就参与治疗指南的制定。应提供充分的培训，并随后进行持续的专业教育。
