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药物遗传学:叙利亚药剂师和医师的知识评估。

Pharmacogenetics: Knowledge assessment amongst Syrian pharmacists and physicians.

机构信息

Department of Pharmaceutics, Faculty of Pharmacy, Arab International University, Damascus, Syria.

Department of Biology, Faculty of Science, Damascus University, Damascus, Syria.

出版信息

BMC Health Serv Res. 2021 Oct 1;21(1):1031. doi: 10.1186/s12913-021-07040-9.

Abstract

BACKGROUND

Pharmacogenetics targets genetic variations that influence drug response. It is relatively a new science that has not been vastly employed in most developing countries including Syria. Therefore we aimed at evaluating the depth of knowledge in pharmacogenetics and the attitude towards it amongst Syrian pharmacists and physicians.

METHODS

We carried out an internet-based questionnaire consisted of 26 questions, sent through specialized websites and private groups with a large number of pharmacists and physicians members. The survey was available online for a period of 1 month.

RESULTS

The total number of respondents was 154, mostly female pharmacists. Our statistical analysis showed a strong positive association between profession (in favour of pharmacists) and pharmacogenetics knowledge p = 0.049; however, no correlation with experience p = 0.811 was found. A significant difference was reported between the knowledge of pharmacists and physicians p = 0.001 concerning drugs that need pharmacogenetics testing before being prescribed. The majority of respondents had no information about applying genetic tests in Syria before prescribing medications nor did they possess the knowledge regarding drugs that show differential responses in patients according to their unique genotypes. In our study, the percentage knowledge assessment score was low in general (mean ± Standard deviation, SD) (46% ± 13.9%). The majority of the respondents agreed that pharmacists should provide counselling to patients on the subject of pharmacogenetics. Respondents' opinions varied concerning making pharmacogenetics learning a priority.

CONCLUSION

Lack of pharmacogenetics knowledge was found amongst respondents in general. Our findings raise concerns about the lack of awareness amongst physicians, which may hinder the implementation of this crucial field in Syria. We suggest an emphasis on the role of education, training, and conducting genotyping research on the Syrian population.

摘要

背景

药物遗传学针对影响药物反应的遗传变异。这是一门相对较新的科学,在包括叙利亚在内的大多数发展中国家尚未得到广泛应用。因此,我们旨在评估叙利亚药剂师和医生对药物遗传学的了解程度和对其的态度。

方法

我们进行了一项基于互联网的问卷调查,共包含 26 个问题,通过专门的网站和拥有大量药剂师和医生成员的私人团体发送。该调查在线进行了一个月。

结果

共有 154 名受访者,主要是女性药剂师。我们的统计分析显示,职业(有利于药剂师)与药物遗传学知识之间存在很强的正相关关系,p=0.049;然而,经验之间没有相关性,p=0.811。药剂师和医生之间在需要进行药物遗传学检测后才能开处方的药物方面的知识存在显著差异,p=0.001。大多数受访者在开处方前没有关于在叙利亚应用遗传检测的信息,也不了解根据患者独特的基因型表现出不同反应的药物。在我们的研究中,总体而言,知识评估得分较低(平均±标准差,SD)(46%±13.9%)。大多数受访者同意药剂师应为患者提供有关药物遗传学的咨询。受访者对将药物遗传学学习作为优先事项的看法不一。

结论

一般来说,受访者缺乏药物遗传学知识。我们的研究结果表明,医生对此缺乏认识,这可能会阻碍这一关键领域在叙利亚的实施。我们建议强调教育、培训和对叙利亚人群进行基因分型研究的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5362/8485485/f5af1b8e835f/12913_2021_7040_Fig1_HTML.jpg

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