乌干达私人药店对微生物性角膜炎的管理：知识、态度及实践的研究
Management of microbial keratitis by private pharmacies in Uganda: a study of knowledge, attitude, and practice.
作者信息
Ebong Abel, Arunga Simon, Mtuy Tara B, Birungi Angela Meric, Onyango John, Arinda Gilbert, Orishaba Francis, Kwaga Teddy, Kageni Rita, Macleod David, Yadav Reena, Sanyam Sandip Das, Hoffman Jeremy J, Mohamed Ahmed Abeer H A, Leck Astrid, Burton Mathew J
机构信息
Department of Ophthalmology, Mbarara University of Science and Technology, Mbarara, Western Region, Uganda.
London School of Hygiene & Tropical Medicine, International Centre for Eye Health, London, UK.
出版信息
Wellcome Open Res. 2025 Jan 27;10:30. doi: 10.12688/wellcomeopenres.22594.1. eCollection 2025.
PURPOSE
To determine the knowledge, attitude, and practice of pharmacy attendants in the management of microbial keratitis.
METHODS
This mixed-methods study was conducted in selected pharmacies and drug shops located in Mbarara City between March and May 2022. We administered questionnaires assessing the knowledge, attitudes, and practices (KAP) related to microbial keratitis (MK) to 140 pharmacy attendants (PAs) in the drug shops and pharmacies. We also conducted 40 in-depth interviews (IDI) and three focus group discussions (FGD) with pharmacy attendants to discuss practices, challenges, and opportunities to improve the management of MK.
RESULTS
Of the 140 pharmacy attendants, almost half (49.29%) reported that they were not confident when making diagnoses in patients with eye problems, and 19.29% were uncertain of which drug to prescribe. In the IDIs and FGDs, the pharmacy attendants reported that they receive and manage patients with MK. Some immediately refer any patients they receive with eye complaints without prescribing any medication while others only refer those who are not responding to medication. The challenges faced in managing patients with MK included inadequate knowledge of managing eye diseases including MK, patients presenting with severe diseases because of delays in seeking healthcare, and the use of traditional eye medicine. The pharmacy attendants suggested ways of improving the management of MK and other eye diseases in the community including community sensitisation on eye diseases and conducting continued professional development lecture sessions on MK in pharmacies, drug shops, and clinics.
CONCLUSION
The study showed that probable MK was a common presentation among patients seeking to buy drugs from pharmacies and drug shops. Pharmacies are key stakeholders in the health seeking journey of patients and hence need to be supported through capacity building and strengthening the referral network to improve the outcomes of patients with eye diseases and MK.
目的
确定药剂师在微生物性角膜炎管理方面的知识、态度和实践情况。
方法
这项混合方法研究于2022年3月至5月在姆巴拉拉市选定的药店和药房进行。我们向药店和药房的140名药剂师发放了评估与微生物性角膜炎（MK）相关的知识、态度和实践（KAP）的问卷。我们还与药剂师进行了40次深入访谈（IDI）和3次焦点小组讨论（FGD），以讨论改善MK管理的实践、挑战和机会。
结果
在140名药剂师中，近一半（49.29%）报告称，他们在对有眼部问题的患者进行诊断时没有信心，19.29%不确定该开哪种药。在深入访谈和焦点小组讨论中，药剂师报告称他们接收并管理MK患者。一些人在收到有眼部不适的患者时，不开任何药物就直接转诊，而另一些人只转诊那些对药物没有反应的患者。管理MK患者面临的挑战包括对包括MK在内的眼部疾病管理知识不足、患者因寻求医疗保健延迟而出现严重疾病，以及使用传统眼药。药剂师提出了改善社区MK和其他眼部疾病管理的方法，包括对眼部疾病进行社区宣传，以及在药店、药房和诊所举办关于MK的持续专业发展讲座。
结论
该研究表明，疑似MK是在药店和药房买药的患者中的常见症状。药店是患者就医过程中的关键利益相关者，因此需要通过能力建设和加强转诊网络来提供支持，以改善眼部疾病和MK患者的治疗效果。
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