Planning and Funding, Hawke's Bay District Health Board, Private Bag 9014, Hastings 4156, New Zealand; and Corresponding author. Email:
Health Hawke's Bay, Hastings, New Zealand.
J Prim Health Care. 2020 Jun;12(2):122-128. doi: 10.1071/HC19110.
INTRODUCTION In August 2016 contamination of the local water supply resulted in a significant gastroenteritis outbreak in Hawke's Bay. The significance of the initial test result was recognised early, partly as a result of information provided by a Havelock North pharmacist to health authorities about an unusual number of requests for anti-diarrhoeal medication. AIM To describe the breadth of activities undertaken by pharmacists working in Hawke's Bay in August 2016, following Campylobacter jejuni contamination of the public water supply in Havelock North, New Zealand. METHODS All pharmacists and hospital pharmacy management staff working in Hawke's Bay in 2017 were eligible to complete the qualitative online questionnaire. Additionally, information was requested from stakeholders with known relevant experiences. Free-text responses were thematically analysed using a general inductive approach. RESULTS Thirteen pharmacists and two ancillary staff from community pharmacy, hospital pharmacy, general practice, management, emergency response and dispensary management responded to the survey. Analysis of responses revealed three overarching themes and six sub-themes. The first was public wellbeing, with sub-themes of community information, local emergency response and pharmacy operational management. The second was pharmaceutical distribution, with a sub-theme of stock management. The third theme was clinical medicine management, with sub-themes of acute symptom management and medicine management. DISCUSSION The pharmacy profession appears to have played an important role in public wellbeing, pharmaceutical distribution and medicine therapy management during the outbreak. It is likely that through their actions, responding pharmacists reduced demand on other primary care services and prevented hospitalisations. Further research directions include exploring the effectiveness of community pharmacists in public health surveillance and the use of endorsed public health information to ensure consistent delivery of health messages.
简介
2016 年 8 月，由于当地供水受到污染，霍克斯湾发生了一起严重的肠胃炎疫情。由于哈夫洛克北部的一名药剂师向卫生当局报告了一种不寻常的抗腹泻药物需求数量，因此及早认识到了初始测试结果的重要性。
目的
描述在新西兰哈夫洛克北部公共供水受到空肠弯曲菌污染后，2016 年 8 月霍克斯湾工作的药剂师所开展的广泛活动。
方法
2017 年在霍克斯湾工作的所有药剂师和医院药房管理人员都有资格完成定性在线问卷调查。此外，还向具有相关经验的利益相关者请求了信息。使用一般归纳法对自由文本回复进行主题分析。
结果
来自社区药房、医院药房、全科医生、管理、应急响应和配药管理的 13 名药剂师和 2 名辅助人员对调查做出了回应。对回复的分析揭示了三个总体主题和六个子主题。第一个主题是公众福祉，包括社区信息、当地应急响应和药房运营管理三个子主题。第二个主题是药品分销，包括库存管理一个子主题。第三个主题是临床医学管理，包括急性症状管理和药物管理两个子主题。
讨论
在疫情期间，药学专业似乎在公众福祉、药品配送和药物治疗管理方面发挥了重要作用。药剂师的行动可能减少了对其他初级保健服务的需求，并防止了住院治疗。进一步的研究方向包括探索社区药剂师在公共卫生监测中的作用，以及使用认可的公共卫生信息来确保一致传递健康信息。
