Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan.
Int J Clin Pract. 2021 Nov;75(11):e14652. doi: 10.1111/ijcp.14652. Epub 2021 Aug 2.
Paediatric patients are highly exposed to medication errors especially dosing errors. This study assessed the community pharmacists' knowledge about appropriate dosing of antibiotics among paediatric patients, factors affecting community pharmacists' knowledge and barriers that lead to inappropriate dosing of antibiotics.
A self-administered questionnaire was distributed to 1283 Jordanian pharmacists who worked in community pharmacies. Descriptive statistics and multivariate regression were conducted.
The response rate was 87.1%. The majority of pharmacists (86.4%) were non-knowledgeable about appropriate dosing of antibiotics among paediatrics. The monthly income of the pharmacist was positively associated with pharmacists' knowledge. The case of azithromycin dosing in acute bacterial pharyngitis was answered correctly by the highest percentage of community pharmacists (55.8%) while the case of trimethoprim-sulfamethoxazole dosing in lower urinary tract infection was answered correctly by the lowest percentage (15.7%). Poor scientific knowledge about dose calculation was the most reported barrier by the participants (54.7%).
Most community pharmacists were non-knowledgeable about appropriate dosing of antibiotics in paediatrics and the level of knowledge was affected by monthly income. Implementing adequate and appropriate educational programmes, constructing specific guidelines that regulate antibiotics practice among community pharmacists are highly recommended.
儿科患者特别容易受到用药错误的影响,尤其是剂量错误。本研究评估了社区药剂师在儿科患者中适当使用抗生素的知识、影响社区药剂师知识的因素以及导致抗生素使用不当的障碍。
向在社区药房工作的 1283 名约旦药剂师发放了一份自我管理问卷。进行了描述性统计和多变量回归。
回应率为 87.1%。大多数药剂师(86.4%)对儿科抗生素的适当剂量不了解。药剂师的月收入与药剂师的知识呈正相关。在急性细菌性咽炎中阿奇霉素剂量的病例中,社区药剂师回答正确的比例最高(55.8%),而下尿路感染中复方磺胺甲噁唑剂量的病例回答正确的比例最低(15.7%)。参与者报告最多的障碍是剂量计算方面的科学知识不足(54.7%)。
大多数社区药剂师对儿科抗生素的适当剂量不了解,知识水平受到月收入的影响。建议实施充分和适当的教育计划,制定规范社区药剂师抗生素使用的具体准则。