Sarwar Muhammad Rehan, Saqib Anum, Iftikhar Sadia, Sadiq Tayyaba
Department of Pharmacy, Islamia University of Bahawalpur, Bahawalpur.
Akhtar Saeed College of Pharmaceutical Sciences, Lahore.
Infect Drug Resist. 2018 Jan 18;11:133-145. doi: 10.2147/IDR.S148102. eCollection 2018.
To evaluate the knowledge of community pharmacists about antibiotics, and their perceptions and practices toward antimicrobial stewardship (AMS) in Punjab, Pakistan.
A descriptive cross-sectional study was conducted among community pharmacists in Punjab, Pakistan from April 1, 2017 to May 31, 2017. A self-administered and pretested questionnaire was used for data collection. A simple random-sampling method was used to select community pharmacies. Independent-sample Mann-Whitney tests, independent sample Kruskal-Wallis tests, and logistic regression analysis were performed with SPSS version 21.0.
Of the 414 pharmacists, 400 responded to the survey (response rate 96.6%). The participants had good knowledge about antibiotics. They showed positive perceptions, but poor practices regarding AMS. All of the participants were of the view that AMS program could be beneficial for health care professionals for improvement of patient care, and 78% (n=312) of participants gave their opinion about incorporation of AMS programs in community pharmacies. Collaboration was never/rarely undertaken by pharmacists with other health care professionals over the use of antibiotics (n=311, 77.8%), and a significant proportion of participants (n=351, 87.8%) never/rarely participated in AMS-awareness campaigns. Logistic regression analysis revealed that male sex (OR 0.204, 95% CI 0.104-0.4; <0.001), age 20-29 years (OR 0.172, 95% CI 0.05-0.595; =0.005), and <1 year of experience (OR 0.197, 95% CI 0.083-0.468; <0.001) were the factors associated with poor practices regarding AMS.
Pharmacists had good knowledge about antibiotics. There were some gaps in perceptions and practices of community pharmacists regarding AMS. In the current scenario, it will be critical to fill these gaps and improve perceptions and practices of community pharmacists regarding AMS by developing customized interventions.
评估巴基斯坦旁遮普邦社区药剂师对抗生素的了解程度，以及他们对抗菌药物管理（AMS）的认知和实践情况。
2017年4月1日至2017年5月31日在巴基斯坦旁遮普邦的社区药剂师中开展了一项描述性横断面研究。采用自行设计并经过预测试的问卷收集数据。使用简单随机抽样方法选择社区药房。使用SPSS 21.0版进行独立样本曼-惠特尼检验、独立样本克鲁斯卡尔-沃利斯检验和逻辑回归分析。
414名药剂师中，400人回复了调查（回复率96.6%）。参与者对抗生素有较好的了解。他们表现出积极的认知，但在AMS实践方面较差。所有参与者都认为AMS项目对医疗保健专业人员改善患者护理有益，78%（n = 312）的参与者对在社区药房纳入AMS项目发表了意见。药剂师在抗生素使用方面从未/很少与其他医疗保健专业人员合作（n = 311，77.8%），并且很大一部分参与者（n = 351，87.8%）从未/很少参加AMS意识宣传活动。逻辑回归分析显示，男性（OR 0.204，95% CI 0.104 - 0.4；<0.001）、年龄20 - 29岁（OR 0.172，95% CI 0.05 - 0.595；=0.005）以及工作经验<1年（OR 0.197，95% CI 0.083 - 0.468；<0.001）是与AMS实践较差相关的因素。
药剂师对抗生素有较好的了解。社区药剂师在AMS的认知和实践方面存在一些差距。在当前情况下，通过制定定制化干预措施来填补这些差距并改善社区药剂师对AMS的认知和实践至关重要。
