Department of Pharmaceutics and Pharmaceutical Technology, School of Pharmacy, The University of Jordan, Amman, Jordan.
School of Medicine, The University of Jordan, Amman, Jordan.
Int J Clin Pharm. 2021 Oct;43(5):1198-1207. doi: 10.1007/s11096-021-01234-1. Epub 2021 Jan 29.
Background Antibiotic resistance is a global threat and burden on healthcare systems. One major factor contributing to this problem is inappropriate use of antibiotics, which comprises suboptimal use, misuse, abuse, and dispensing errors. Another important factor is dispensing antibiotics without medical prescription. Many studies considered pharmacists as healthcare providers accountable for this malpractice. Objectives To investigate community pharmacists' knowledge, attitudes, and practices in relation to antibiotic dispensing, antibiotic resistance and antibiotic stewardship. Setting Community pharmacists selected from different areas in Amman/Jordan. Subjects were selected based on their availability and accessibility. Methods A descriptive cross-sectional survey of community pharmacists was conducted between May to October 2019, using a structured, validated, and pilot-tested questionnaire. A four-part systematic survey consisting of biography, knowledge, practice and attitude domains was used. Main outcome measure community pharmacist knowledge, practices and attitudes regarding antibiotic use and resistance. Results Of 150 community pharmacists approached, 114 completed and returned the questionnaire (response rate 76%). More than 83.3% perceived antimicrobial resistance as a global problem. A substantial percentage (59.7%) educate patients about issues of inappropriate antibiotics use. Almost half the participants (44.7%) agreed that implementing antimicrobial stewardship would result in better outcomes. Conclusion It is crucial to improve the curriculum in schools of pharmacy, emphasizing on interprofessional education and developing customized interventions. Regulations on dispensing antibiotics without prescription should be enforced. Policy makers need to implement antimicrobial stewardship and encourage the use of public educational interventions in community pharmacy.
抗生素耐药性是全球范围内对医疗系统的威胁和负担。导致这一问题的一个主要因素是抗生素的不当使用，包括使用不当、滥用、误用和配药错误。另一个重要因素是在没有医疗处方的情况下配药。许多研究认为药剂师是应对这一不当行为的医疗保健提供者。目的：调查社区药剂师在抗生素配药、抗生素耐药性和抗生素管理方面的知识、态度和实践。地点：从安曼/约旦不同地区选择的社区药剂师。研究对象是根据他们的可用性和可及性选择的。方法：2019 年 5 月至 10 月期间，采用结构合理、经验证和预试验的问卷，对社区药剂师进行了描述性横断面调查。使用了一个由传记、知识、实践和态度四个部分组成的系统调查。主要观察指标：社区药剂师在抗生素使用和耐药方面的知识、实践和态度。结果：在 150 名接触到的社区药剂师中，有 114 名完成并返回了问卷（应答率为 76%）。超过 83.3%的人认为抗菌药物耐药性是一个全球性问题。相当一部分（59.7%）的人会教育患者有关不当使用抗生素的问题。近一半的参与者（44.7%）同意实施抗菌药物管理会带来更好的结果。结论：改进药学院的课程至关重要，强调跨专业教育和制定定制的干预措施。应加强对无处方配药的监管。政策制定者需要实施抗菌药物管理，并鼓励在社区药剂师中使用公共教育干预措施。
