Antibiotic prescribing for acute uncomplicated cystitis in Lebanese community pharmacies using a simulated patient
| Autor: | Nicole J. Francis, Nathalie Lahoud, Sally G. Yaacoub, Valerie Koyess, Patrick Maison, Nadine Saleh, Deema Rahme |
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| Rok vydání: | 2019 |
| Předmět: |
Counseling
Cross-sectional study pharmacists cross-sectional studies lcsh:RS1-441 Pharmaceutical Science Inappropriate Prescribing Pharmacy Drug resistance mesh:Professional Practice Pharmacists 030226 pharmacology & pharmacy mesh:Drug Resistance Antimicrobial Stewardship 0302 clinical medicine drug resistance bacterial Antimicrobial stewardship Lebanon Referral and Consultation mesh:Counseling Original Research Prescription Drug Overuse inappropriate prescribing Professional Practice patient simulation Anti-Bacterial Agents mesh:Urinary Tract Infections counseling lebanon Urinary Tract Infections mesh:Referral and Consultation mesh:Antimicrobial Stewardship medicine.medical_specialty referral and consultation Referral Simulated patient lcsh:Pharmacy and materia medica mesh:Patient Simulation 03 medical and health sciences anti-bacterial agents pharmacies Antibiotic resistance medicine Drug Resistance Bacterial mesh:Pharmacists Pharmacies prescription drug overuse mesh:Inappropriate Prescribing business.industry lcsh:RM1-950 mesh:Pharmacies professional practice mesh:Anti-Bacterial Agents Patient Simulation antimicrobial stewardship mesh:Bacterial lcsh:Therapeutics. Pharmacology Cross-Sectional Studies mesh:Cross-Sectional Studies mesh:Lebanon Family medicine urinary tract infections business mesh:Prescription Drug Overuse |
| Zdroj: | Pharmacy Practice (Granada) v.17 n.4 2019 SciELO España. Revistas Científicas Españolas de Ciencias de la Salud instname Pharmacy Practice Pharmacy Practice (Granada), Volume: 17, Issue: 4, Article number: 1604, Published: 20 APR 2020 Pharmacy Practice, Vol 17, Iss 4, p 1604 (2019) |
| Popis: | Background: Urinary tract infections are considered as one of the most frequent bacterial infections in the community and hospital settings. In this era of increasing antimicrobial resistance, antimicrobial stewardship has become highly important in the struggle to preserve the effectiveness of available drugs. One the main causes of antibiotic resistance is the inappropriate prescribing of antibiotics; which evidence show that community pharmacists contribute to. Objective: This study aims to evaluate antibiotic prescribing rate and responses of the contact persons in community pharmacies and to assess the conformity of the prescribed antibiotics with international guidelines. It also aims to evaluate the responses with sociodemographic characteristics. Methods: A cross-sectional, nationwide study conducted between February and May 2017 using a simulated patient case of acute uncomplicated cystitis. Two hundred fifty pharmacies were included. Descriptive data was reported for the medications prescribed, conformity, questions asked and counseling. Bivariate analysis using the Pearson chi-squared, Fisher’s exact and Student’s t-tests were used to identify possible factors affecting the prescribing rates and responses in community pharmacies. Results: The prescribing rate of antibiotics was 83.6% (n=209) with ciprofloxacin being the most prescribed (50.2%, n=105). The global conformity to international guidelines was 3.8% (n=8) with the highest conformity rate for the antibiotic choice (91.4%, n=191). Counseling about what to do in case symptoms persist was 12.8% (n=32) and that of non-pharmacological management was 53.6% (n=134). Male participants (88.1%) had a higher prescribing rate than female participants (77.6%) (p |
| Databáze: | OpenAIRE |
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