Sydney Pharmacy School, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Int J Pharm Pract. 2023 May 7;31(3):290-297. doi: 10.1093/ijpp/riad015.
To explore the knowledge and skills of pharmacists practicing in Sydney, Australia, in preventing the use of prohibited medications by athletes.
Using a simulated-patient study design, the researcher (an athlete and pharmacy student herself) contacted 100 Sydney pharmacies by telephone requesting advice about taking a salbutamol inhaler (a WADA-prohibited substance with conditional requirements), for exercise-induced asthma, following a set interview protocol. Data were assessed for both clinical and anti-doping advice appropriateness.
Appropriate clinical advice was provided by 66% of pharmacists in the study, appropriate anti-doping advice was provided by 68%, and 52% provided appropriate advice across both aspects. Of the respondents, only 11% provided both clinical and anti-doping advice at a comprehensive level. Identification of accurate resources was made by 47% of pharmacists.
Whilst most participating pharmacists had the skills to deliver assistance regarding the use of prohibited substances in sports, many lacked core knowledge and resources to enable them to deliver comprehensive care to prevent harm and protect athlete-patients from anti-doping violations. A gap was identified regarding advising/counselling athletes, indicating the need for additional education in sport-related pharmacy. This education would need to be coupled with the incorporation of sport-related pharmacy into current practice guidelines to enable pharmacists to uphold their duty of care and for athletes to benefit from their medicines-related advice.
探讨澳大利亚悉尼执业药师在防止运动员使用禁用药物方面的知识和技能。
研究人员（一名运动员和药学专业学生）采用模拟患者研究设计，通过电话联系了 100 家悉尼药店，根据设定的访谈协议，请求他们就使用沙丁胺醇吸入器（一种世界反兴奋剂机构禁止的物质，但有条件要求）治疗运动诱发的哮喘提供建议。对临床和反兴奋剂建议的适当性进行了评估。
在研究中，66%的药剂师提供了适当的临床建议，68%提供了适当的反兴奋剂建议，52%在这两个方面都提供了适当的建议。在受访者中，只有 11%的人提供了全面的临床和反兴奋剂建议。47%的药剂师能够准确识别资源。
虽然大多数参与的药剂师具备提供有关运动中禁用物质使用方面协助的技能，但许多人缺乏核心知识和资源，无法为运动员提供全面的护理，以防止伤害并防止运动员违反反兴奋剂规定。在为运动员提供咨询/辅导方面存在差距，表明需要在与运动相关的药学方面进行额外的教育。这种教育需要与将与运动相关的药学纳入现行实践指南相结合，以使药剂师能够履行其护理责任，使运动员受益于他们的药物相关建议。
