Netthong Rojjares, Kane Ros, Ahmadi Keivan
Joseph Banks Laboratories, School of Pharmacy, University of Lincoln, Beevor St., Lincoln LN6 7DL, UK.
Faculty of Pharmaceutical Sciences, Ubon Ratchathani University, Warin Chamrab, Ubon Ratchathani 34190, Thailand.
Antibiotics (Basel). 2022 Jan 27;11(2):161. doi: 10.3390/antibiotics11020161.
Global action plans to tackle antimicrobial resistance (AMR) are the subject of ongoing discussion between experts. Community pharmacists have a professional responsibility to tackle AMR. This study aimed to evaluate the knowledge of antibiotic resistance and attitudes to promoting Antibiotic Smart Use (ASU) amongst part and full-time practicing community pharmacists across Thailand. An online mixed-method survey applying Appreciative Inquiry theory was validated and conducted in 2020. Non-probability sampling was used, with online survey dissemination via social networks. A total of 387 community pharmacists located in 59 out 77 provinces seemed knowledgeable about antimicrobial resistance (mean score = 82.69%) and had acceptable attitudes towards antibiotic prescribing practices and antimicrobial stewardship (mean score = 73.12%). Less than 13% of pharmacists had postgraduate degrees. Postgraduate education, training clerkship, preceptors, and antibiotic stewardship training positively affected their attitudes. The community pharmacists proposed solutions based on the Appreciative Inquiry theory to promote ASU practices. Among these were educational programmes consisting of professional conduct, social responsibility and business administration knowledge, up-to-date legislation, and substitutional strategies to compensate business income losses.
应对抗菌药物耐药性（AMR）的全球行动计划是专家们正在讨论的主题。社区药剂师有应对AMR的专业责任。本研究旨在评估泰国兼职和全职执业社区药剂师对抗生素耐药性的了解以及对促进合理使用抗生素（ASU）的态度。2020年开展了一项采用赞赏式探询理论的在线混合方法调查，并进行了验证。采用非概率抽样，通过社交网络进行在线调查传播。位于77个省份中59个省份的387名社区药剂师似乎对抗菌药物耐药性有一定了解（平均得分=82.69%），并且对抗生素处方行为和抗菌药物管理持可接受的态度（平均得分=73.12%）。拥有研究生学位的药剂师不到13%。研究生教育、培训实习、带教老师和抗菌药物管理培训对他们的态度有积极影响。社区药剂师根据赞赏式探询理论提出了促进ASU实践的解决方案。其中包括由专业行为、社会责任和工商管理知识、最新法规以及弥补商业收入损失的替代策略组成的教育计划。
