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社区药房中的抗生素管理:一项范围综述

Antibiotic Stewardship in Community Pharmacies: A Scoping Review.

作者信息

Jamshed Shazia, Padzil Fadzlan, Shamsudin Siti Hadijah, Bux Siti Halimah, Jamaluddin Abdul Aziz, Bhagavathula Akshaya Srikanth, Azhar Saira, Hassali Mohamed Azmi

机构信息

Department of Pharmacy Practice, International Islamic University, Kuantan Pahang 25200, Malaysia.

Department of Internal Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, Abu Dhabi 15551, UAE.

出版信息

Pharmacy (Basel). 2018 Aug 23;6(3):92. doi: 10.3390/pharmacy6030092.

DOI:10.3390/pharmacy6030092
PMID:30142902
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6163858/
Abstract

The increase in antibiotic resistance has frequently been linked to unrestrained antibiotic dispensing. This review was conducted to mainly assess the perception and attitudes of community pharmacists towards antibiotic dispensing. This scoping review was performed between June 2016 and September 2016 to identify published studies related to the perception and attitudes of community pharmacists towards antibiotic dispensing. The combination of terms such as 'antibiotic dispensing', 'antimicrobial resistance', 'community pharmacy', and 'community pharmacists' were searched in electronic databases such as PubMed, ProQuest, Google Scholar, and Science Direct. Only published articles within the last 12 years were included. A total of 13 studies were identified. In general, community pharmacists have good awareness and knowledge of antibiotic dispensing. However, the majority of them are still selling antibiotics to their customers and/or patients for unjustified reasons. The community pharmacists seem well aware of the antimicrobial resistance crisis and considered it a significant health issue. However, many embraced the concept that dispensing antibiotics without medical prescription (DAwMP) can be one of the key features in the dissemination of multidrug resistant bacteria.

摘要

抗生素耐药性的增加常常与无节制的抗生素配给有关。开展这项综述主要是为了评估社区药剂师对抗生素配给的认知和态度。这项范围综述于2016年6月至2016年9月进行,以确定已发表的与社区药剂师对抗生素配给的认知和态度相关的研究。在电子数据库如PubMed、ProQuest、谷歌学术和科学Direct中搜索了“抗生素配给”、“抗菌药物耐药性”、“社区药房”和“社区药剂师”等术语组合。仅纳入过去12年内发表的文章。共确定了13项研究。总体而言,社区药剂师对抗生素配给有良好的认知和知识。然而,他们中的大多数人仍在以不合理的理由向顾客和/或患者销售抗生素。社区药剂师似乎充分意识到了抗菌药物耐药性危机,并将其视为一个重大的健康问题。然而,许多人认同这样一种观念,即无医疗处方配给抗生素(DAwMP)可能是多重耐药菌传播的关键因素之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bd3/6163858/b6c7829b2393/pharmacy-06-00092-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bd3/6163858/b6c7829b2393/pharmacy-06-00092-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bd3/6163858/b6c7829b2393/pharmacy-06-00092-g001.jpg

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本文引用的文献

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J Clin Pharm Ther. 2018 Apr;43(2):302-307. doi: 10.1111/jcpt.12650. Epub 2017 Dec 4.
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Nonprescription Antimicrobial Use in a Primary Care Population in the United States.美国基层医疗人群的非处方抗菌药物使用情况
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Community pharmacists' knowledge, attitude, and practices towards dispensing antibiotics without prescription (DAwP): a cross-sectional survey in Makkah Province, Saudi Arabia.
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Cochrane Database Syst Rev. 2025 Jan 29;1(1):CD013722. doi: 10.1002/14651858.CD013722.pub2.
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Explor Res Clin Soc Pharm. 2024 Dec 12;17:100552. doi: 10.1016/j.rcsop.2024.100552. eCollection 2025 Mar.
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