School of Pharmacy, Monash University Malaysia, Jalan Lagoon Selatan, 47500, Subang Jaya, Selangor, Malaysia.
School of Pharmacy, Monash University Malaysia, Jalan Lagoon Selatan, 47500, Subang Jaya, Selangor, Malaysia; Asian Centre for Evidence Synthesis in Population, Implementation and Clinical Outcomes (PICO), Health and Well-being Cluster, Global Asia in the 21st Century (GA21) Platform, Monash University Malaysia, Jalan Lagoon Selatan, 47500, Subang Jaya, Selangor, Malaysia; Gerontechnology Laboratory, Global Asia in the 21st Century (GA21) Platform, Monash University Malaysia, Jalan Lagoon Selatan, 47500, Subang Jaya, Selangor, Malaysia; School of Pharmacy, Taylor's University Lakeside Campus, Jalan Taylors, 47500, Subang Jaya, Selangor, Malaysia.
Res Social Adm Pharm. 2023 Jan;19(1):5-15. doi: 10.1016/j.sapharm.2022.09.001. Epub 2022 Sep 7.
A multidisciplinary approach is required to tackle the tuberculosis (TB) epidemic, which is one of the most pressing public health concerns worldwide. However, community pharmacists are underutilized in TB programs.
To identify community pharmacists-led interventions in TB management with their corresponding impacts in TB case detection and treatment outcomes.
A systematic search was performed in six electronic databases and health organization websites, from database inception to August 2, 2022. Studies which described TB screening, referral and/or treatment monitoring by community pharmacists with their corresponding outcomes were screened and reviewed independently by two reviewers. The studies were checked for the risk of bias using Cochrane risk of bias tools. All data of included studies were analysed qualitatively and presented narratively.
The search yielded 8,121 studies and five reports for initial screening. Sixteen studies and two case study reports were included in this review. Community pharmacists were involved throughout the TB care cascade, contributing their services in TB screening, referrals and in directly observed treatment-short course (DOTS) program. These interventions showed improvements in the effective control and prevention of further spread of TB, which improves individual, community and population level outcomes.
The inclusion of community pharmacists into TB program can improve the continuity of care, bridging the gaps in TB case detection and treatment monitoring. Adequate training and support are essential, to further empower the role of community pharmacists in TB control and prevention, in building a TB-free world.
需要采取多学科方法来应对结核病（TB）流行，这是全球最紧迫的公共卫生问题之一。然而，社区药剂师在结核病规划中的作用尚未得到充分发挥。
确定社区药剂师主导的结核病管理干预措施及其对结核病病例发现和治疗结果的相应影响。
从数据库建立到 2022 年 8 月 2 日，在六个电子数据库和卫生组织网站上进行了系统搜索。筛选并独立审查了描述社区药剂师进行结核病筛查、转诊和/或治疗监测及其相应结果的研究。使用 Cochrane 偏倚风险工具检查研究的偏倚风险。对纳入研究的所有数据进行定性分析并进行叙述性呈现。
搜索产生了 8121 项研究和 5 项初步筛选报告。本综述纳入了 16 项研究和 2 项病例研究报告。社区药剂师参与了整个结核病护理链，在结核病筛查、转诊和直接观察治疗短期疗程（DOTS）方案中提供服务。这些干预措施改善了结核病的有效控制和预防进一步传播，从而改善了个人、社区和人群层面的结果。
将社区药剂师纳入结核病规划可以改善护理的连续性，弥合结核病病例发现和治疗监测方面的差距。充分的培训和支持至关重要，可以进一步增强社区药剂师在结核病控制和预防中的作用，建设一个没有结核病的世界。
