Mohammed Ali Haider, Lim Angelina, Hassan Bassam Abdul Rasool, Blebil Ali, Dujaili Juman, Ramachandram Dinesh Sangarran, Hassan Hawar Sardar, Abid Arooj
School of Pharmacy, Monash University Malaysia, Bandar Sunway, Malaysia.
Department of Pharmacy, Al-Rafidain University College, Baghdad, Iraq.
J Infect Prev. 2024 Nov;25(6):225-235. doi: 10.1177/17571774241251650. Epub 2024 May 7.
In Malaysia, the unregulated use of antibiotics and lack of awareness about antimicrobial resistance (AMR) among pharmacists pose significant challenges. Implementing community-based Antimicrobial Stewardship (AMS) initiatives is crucial to address the rising AMR.
We developed a bespoke AMS intervention, aligned with the World Health Organization's AMS modules, as a 2-day online educational seminar for community pharmacists. The effectiveness of the workshop was evaluated using pre- and post-seminar questionnaires, focusing on AMS knowledge and attitudes towards antimicrobial usage.
Among 528 participants, 489 completed both questionnaires. Pre-seminar, only 59% correctly understood the concept of antibiotic resistance reversibility, which improved to 85.9% post-seminar ( = .002). The average AMS knowledge score increased from 5/10 to 8/10 post-intervention ( < .05). A significant improvement was also noted in pharmacists' ability to select appropriate antibiotic therapies, particularly for urinary tract infections, with an increase from 78% to 90% correct responses.
The AMS seminar was well-received and significantly improved the AMS knowledge of community pharmacists. The results underline the need for more AMS-focused interventions in this demographic in Malaysia, contributing to the development of formalized AMS programs. Such initiatives are expected to enhance antibiotic use awareness, encourage optimal antibiotic practices, and positively shift professional conduct in community settings.
在马来西亚，抗生素的无节制使用以及药剂师对抗菌药物耐药性（AMR）认识的缺乏构成了重大挑战。实施基于社区的抗菌药物管理（AMS）举措对于应对不断上升的AMR至关重要。
我们开发了一项定制的AMS干预措施，与世界卫生组织的AMS模块相一致，作为面向社区药剂师的为期两天的在线教育研讨会。通过研讨会前后的问卷评估该工作坊的有效性，重点关注AMS知识以及对抗菌药物使用的态度。
在528名参与者中，489人完成了两份问卷。研讨会前，只有59%的人正确理解抗生素耐药性可逆性的概念，研讨会后这一比例提高到了85.9%（P = 0.002）。干预后AMS知识平均得分从5/10提高到了8/10（P < 0.05）。药剂师选择合适抗生素治疗方案的能力也有显著提高，尤其是对于尿路感染，正确回答率从78%提高到了90%。
AMS研讨会受到好评，显著提高了社区药剂师的AMS知识。结果强调了在马来西亚这一人群中需要更多以AMS为重点的干预措施，这有助于制定正式的AMS计划。此类举措有望提高对抗生素使用的认识，鼓励优化抗生素使用做法，并积极改变社区环境中的专业行为。
