Alkadhimi Akram, Dawood Omar T, Khan Amer H
Discipline of Clinical Pharmacy, School of Pharmaceutical Sciences Universiti Sains Malaysia Penang Malaysia.
College of Pharmacy Ninevah University Mosul Iraq.
Health Care Sci. 2024 Apr 11;3(2):114-123. doi: 10.1002/hcs2.92. eCollection 2024 Apr.
This study aimed to assess the role of community pharmacists and their perception toward antimicrobial stewardship, in addition to identifying factors influencing their perception and practices in community pharmacy.
A cross-sectional study was carried out among community pharmacists regarding antimicrobial stewardship. Convenience sampling was used to obtain the required sample from a community pharmacy in Baghdad. In total, 381 participants have completed the survey.
The majority of the participants (85.6%) strongly agreed/agreed that "antimicrobial stewardship programs reduce the problems of antibiotic resistance"; and 85.5% of them strongly agreed/agreed that community pharmacists required adequate training on antibiotics use. In addition, high percent of community pharmacists (88.4%) strongly agreed/agreed that pharmacists have a responsibility to take a prominent role in antimicrobial stewardship programs and infection-control programs in the health system. The total score of perception was significantly influenced by older age groups, postgraduate degrees, and experience of 6-10 years ( < 0.001). This study also showed that 65.4% of pharmacists always/often advise patients to continue the full course of antimicrobials, and 64.9% of them reported always/often considering clinical and safety parameters before dispensing antibiotics. The role of pharmacists was significantly influenced by the younger age group, females, higher degree in pharmacy, experience of 3-5 years, and medical complex pharmacy ( < 0.001).
Community pharmacists have a good perception toward antimicrobial stewardship programs, but their role is still limited. More efforts are needed to design better strategies for antimicrobial stewardship in community pharmacy.
本研究旨在评估社区药剂师的作用及其对抗菌药物管理的认知，此外还旨在确定影响他们在社区药房中的认知和实践的因素。
对社区药剂师开展了一项关于抗菌药物管理的横断面研究。采用便利抽样法从巴格达的一家社区药房获取所需样本。共有381名参与者完成了调查。
大多数参与者（85.6%）强烈同意/同意“抗菌药物管理计划减少了抗生素耐药性问题”；85.5%的参与者强烈同意/同意社区药剂师需要接受关于抗生素使用的充分培训。此外，高比例的社区药剂师（88.4%）强烈同意/同意药剂师有责任在卫生系统的抗菌药物管理计划和感染控制计划中发挥突出作用。认知总分受年龄较大组、研究生学历以及6至10年工作经验的显著影响（<0.001）。本研究还表明，65.4%的药剂师总是/经常建议患者完成抗菌药物的整个疗程，64.9%的药剂师报告在配发抗生素前总是/经常考虑临床和安全参数。药剂师的作用受较年轻年龄组、女性、药学更高学位、3至5年工作经验以及综合医疗药房的显著影响（<0.001）。
社区药剂师对抗菌药物管理计划有良好的认知，但他们的作用仍然有限。需要做出更多努力来设计更好的社区药房抗菌药物管理策略。
