Gauthier Timothy P, Steinberg Jennifer G, Zapantis Antonia, Aragon Laura
Nova Southeastern University, Fort Lauderdale, FL, USA.
Jackson Memorial Hospital, Miami, FL, USA.
J Pharm Technol. 2015 Feb;31(1):3-7. doi: 10.1177/8755122514545885. Epub 2014 Aug 7.
Antimicrobial stewardship is important in managing patients with infectious diseases. Limited data exist documenting the extent of pharmacy student involvement within antimicrobial stewardship activities. The purpose of this study was to document the types of hospital-based antimicrobial stewardship activities in which Advanced Pharmacy Practice Experience (APPE) students are involved. A questionnaire was developed using the most current guideline for developing an institutional antimicrobial stewardship program. It was designed to collect preceptor-reported perceptions and APPE student involvement in antimicrobial stewardship activities. Pharmacist preceptors of APPE students from 2 Florida Colleges of Pharmacy were surveyed in October 2011. Questionnaires fully completed by hospital pharmacists currently serving as an APPE preceptor were included. Forty-eight questionnaires met all inclusion criteria, collectively reporting APPE student participation within every element of antimicrobial stewardship. The most common areas of student participation were dose optimization based on patient characteristics (n = 40, 83%), acquiring patient information for prospective audit with feedback (n = 39, 81%), intravenous to oral conversion (n = 37, 77%), and pharmacokinetic services (n = 36, 75%). Anti-infective subcommittee participation (n = 3, 6%) was uncommon. Respondent perceptions were overall favorable regarding student participation in antimicrobial stewardship activities. With supervision from pharmacist preceptors, APPE students from 2 Florida colleges of pharmacy were reported to participate in each element and activity of antimicrobial stewardship as set forth by current guidelines. The role and value of such involvement is not fully understood. Future research investigating activity-specific outcomes and policy creation are needed to guide appropriate use of APPE students as a resource for optimizing antimicrobial use in hospitals.
抗菌药物管理在感染性疾病患者的管理中至关重要。目前关于药学专业学生参与抗菌药物管理活动程度的数据有限。本研究的目的是记录高级药学实践经验（APPE）学生参与的医院抗菌药物管理活动的类型。我们根据制定机构抗菌药物管理计划的最新指南设计了一份问卷。该问卷旨在收集带教老师报告的看法以及APPE学生在抗菌药物管理活动中的参与情况。2011年10月，我们对佛罗里达州两所药学院的APPE学生的药师带教老师进行了调查。纳入了目前担任APPE带教老师的医院药师完全填写的问卷。48份问卷符合所有纳入标准，共同报告了APPE学生在抗菌药物管理的各个环节的参与情况。学生参与最常见的领域是根据患者特征优化剂量（n = 40，83%）、获取患者信息以便进行前瞻性审核并提供反馈（n = 39，81%）、静脉给药转换为口服给药（n = 37，77%）以及药代动力学服务（n = 36，75%）。参与抗感染小组委员会的情况（n = 3，6%）并不常见。对于学生参与抗菌药物管理活动，受访者总体看法良好。据报告，在药师带教老师的监督下，来自佛罗里达州两所药学院的APPE学生参与了当前指南规定的抗菌药物管理的每个环节和活动。这种参与的作用和价值尚未完全明了。需要开展未来研究，调查特定活动的结果并制定政策，以指导合理利用APPE学生作为优化医院抗菌药物使用的资源。
