Departement of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Bandung, Indonesia
Drug Utilization and Pharmacoepidemiology Research Group, Center of Excellence in Higher Education for Pharmaceutical Care Innovation, Universitas Padjadjaran, Sumedang, Indonesia.
BMJ Open. 2022 Jul 5;12(7):e060078. doi: 10.1136/bmjopen-2021-060078.
Control of tuberculosis (TB) is hampered by suboptimal case detection and subsequent delays in treatment, which is worsened by the COVID-19 pandemic. The community pharmacy is reported as the place for first aid medication among patients with TB. We, therefore, analysed knowledge, attitude and practice (KAP) on TB patient detection (TBPD) of community pharmacy personnel, aiming to find innovative strategies to engage community pharmacies in TBPD.
A multicentre cross-sectional study was performed in four areas of Indonesia's eastern, central and western parts. Pharmacists and pharmacy technicians who worked in community pharmacies were assessed for their characteristics and KAP related to TBPD. Descriptive analysis was used to assess participant characteristics and their KAP, while multivariable regression analyses were used to analyse factors associated with the KAP on TBPD.
A total of 1129 participants from 979 pharmacies, comprising pharmacists (56.6%) and pharmacy technicians (43.4%), were included. Most participants knew about TB. However, knowledge related to TB symptoms, populations at risk and medication for TB were still suboptimal. Most participants showed a positive attitude towards TBPD. They believed in their professional role (75.1%), capacity in TB screening (65.4%) and responsibility for TBPD (67.4%). Nevertheless, a lack of TBPD practice was identified in most participants. Several factors significantly associated with performing the TBPD practice (p<0.05), such as TB training experience (p<0.001), provision of a drug consultation service (p<0.001), male gender (p<0.05), a positive attitude towards TBPD (p<0.001), short working hours (p<0.001) and central city location of the pharmacy (p<0.05).
Most participants had good knowledge and attitude, which did not translate into actual TBPD practice. We identified that TB educational programmes are essential in improving the KAP. A comprehensive assessment is needed to develop effective strategies to engage the community pharmacy in TBPD activities.
结核病（TB）的控制受到病例检测不充分以及随后治疗延迟的阻碍，而 COVID-19 大流行使情况进一步恶化。据报道，社区药房是结核病患者急救药物的场所。因此，我们分析了社区药房工作人员在结核病患者检测（TBPD）方面的知识、态度和实践（KAP），旨在寻找使社区药房参与 TBPD 的创新策略。
在印度尼西亚东部、中部和西部的四个地区进行了一项多中心横断面研究。评估了在社区药房工作的药剂师和药剂技术员的特征以及与 TBPD 相关的 KAP。使用描述性分析评估参与者的特征及其 KAP，同时使用多变量回归分析评估与 TBPD 的 KAP 相关的因素。
共有来自 979 家药房的 1129 名参与者，包括药剂师（56.6%）和药剂技术员（43.4%），包括在内。大多数参与者了解结核病。然而，与结核病症状、高危人群和结核病药物相关的知识仍不充分。大多数参与者对 TBPD 持积极态度。他们相信自己的专业角色（75.1%）、结核病筛查能力（65.4%）和 TBPD 责任（67.4%）。然而，大多数参与者发现 TBPD 实践不足。有几个因素与执行 TBPD 实践显著相关（p<0.05），例如结核病培训经验（p<0.001）、提供药物咨询服务（p<0.001）、男性性别（p<0.05）、对 TBPD 的积极态度（p<0.001）、工作时间短（p<0.001）和药房位于市中心（p<0.05）。
大多数参与者具有良好的知识和态度，但并未转化为实际的 TBPD 实践。我们发现结核病教育计划对于提高 KAP 至关重要。需要进行全面评估，以制定有效的策略，使社区药房参与 TBPD 活动。
