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社区药房主导的驱虫相关咨询服务的影响:一项在中低收入国家开展的干预性研究

The Impact of a Community Pharmacy-Led Deworming-Related Counselling Service: An Interventional Study in a Low-to-Middle Income Country.

作者信息

Kassem Amira B, Al Meslamani Ahmad Z, AbdElrahman Mohamed, Al Mazrouei Nadia, Okda Sherouk M, El-Bassiouny Noha A, Hamedo Asmaa Abdel-Hamed, Shaban Doaa Abdelrazek, Elsmadessy Dina Fathy, Binsaleh Ammena Y, Saleh Asmaa, Moustafa Hebatallah Ahmed Mohamed

机构信息

Department of Clinical Pharmacy and Pharmacy Practice, Faculty of Pharmacy, Damanhour University, Damanhour 22514, Egypt.

College of Pharmacy, Al Ain University, Abu Dhabi P.O. Box 112612, United Arab Emirates.

出版信息

Trop Med Infect Dis. 2025 Jul 30;10(8):215. doi: 10.3390/tropicalmed10080215.

Abstract

Since the current increase in antimicrobial resistance globally, parasitic infectious diseases have become a greater public health crisis than ever before and an absolute priority. The Egyptian community pharmacist, as a health care provider and advisor, has a potential role to play in deworming. : To evaluate the outcomes of community pharmacist-led deworming-related counseling services. A prospective randomized controlled study was conducted in Damanhur, Behera, Egypt. The intervention group received community pharmacy counseling, and the control group received the usual care. Both groups were monitored for 12 months for recurrence evaluation. A total of 173 patients were included, of whom 96 (55.5%) received patient counseling. The types of infection included (44.5%), (28.9%), Ascaris (8.7%), (8.7%), (4.6%), (2.9%), and (1.7%). A total of 119 participants (68.8%) reported a need for dose repetition. Personal hygiene practices were reported by 71 participants (41%). Recurrence of infection was observed in 101 cases (58.4%). Patient counseling was significantly associated with lower recurrence rates and higher rates of personal hygiene application ( < 0.001). Multivariate logistic regression analysis revealed that patient counseling and personal hygiene measures were the only significant predictors of infection recurrence rate. Community pharmacists' deworming-related counseling had positive behavioral and clinical outcomes.

摘要

鉴于当前全球抗菌药物耐药性的增加,寄生虫传染病已成为比以往任何时候都更严重的公共卫生危机,也是绝对的优先事项。埃及社区药剂师作为医疗保健提供者和顾问,在驱虫方面可发挥潜在作用。:评估社区药剂师主导的与驱虫相关的咨询服务的效果。在埃及贝赫拉省达曼胡尔市进行了一项前瞻性随机对照研究。干预组接受社区药房咨询,对照组接受常规护理。对两组进行了12个月的监测以评估复发情况。总共纳入了173名患者,其中96名(55.5%)接受了患者咨询。感染类型包括(44.5%)、(28.9%)、蛔虫(8.7%)、(8.7%)、(4.6%)、(2.9%)和(1.7%)。共有119名参与者(68.8%)报告需要重复给药。71名参与者(41%)报告了个人卫生习惯。观察到101例(58.4%)感染复发。患者咨询与较低的复发率和较高的个人卫生应用率显著相关(<0.001)。多因素逻辑回归分析显示,患者咨询和个人卫生措施是感染复发率的唯一显著预测因素。社区药剂师与驱虫相关的咨询产生了积极的行为和临床效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2780/12390342/733cbe82c112/tropicalmed-10-00215-g001.jpg

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