Enhancing pharmacists’ role in developing countries to overcome the challenge of antimicrobial resistance: a narrative review

Autor: Alexandra A. Bennett, Andrew J. McLachlan, M. H. F. Sakeena
Rok vydání: 2018
Předmět:
Microbiology (medical)
Developing country
health care facilities
manpower
and services
education
Pharmacist
MEDLINE
Review
Community Pharmacy Services
Antimicrobial resistance
Pharmacists
030226 pharmacology & pharmacy
lcsh:Infectious and parasitic diseases
03 medical and health sciences
Professional Role
0302 clinical medicine
Antibiotic resistance
Pharmacy services
Nursing
Global issue
Antibiotics
health services administration
Drug Resistance
Bacterial
Health care
Global health
Humans
Medicine
lcsh:RC109-216
Pharmacology (medical)
030212 general & internal medicine
Developing Countries
health care economics and organizations
Pharmacy education
business.industry
Public Health
Environmental and Occupational Health
Infectious Diseases
Patient Care
business
Delivery of Health Care
Developed country
Zdroj: Antimicrobial Resistance and Infection Control, Vol 7, Iss 1, Pp 1-11 (2018)
Antimicrobial Resistance and Infection Control
ISSN: 2047-2994
Popis: Background Antimicrobial resistance (AMR) is a global health challenge and developing countries are more vulnerable to the adverse health impacts of AMR. Health care workers including pharmacists can play a key role to support the appropriate use of antimicrobials in developing countries and reduce AMR. Objective The aim of this review is to investigate the role of pharmacists in the appropriate use of antibiotics and to identify how the pharmacists’ role can be enhanced to combat AMR in developing countries. Method The databases MEDLINE, EMBASE, Web of Science and Google Scholar were searched for articles published between 2000 and the end of August 2017 that involved studies on the role of pharmacists in developing countries, the expanded services of pharmacists in patient care in developed countries and pharmacists’ contributions in antimicrobial use in both developed and developing nations. Key findings In developing countries pharmacists role in patient care are relatively limited. However, in developed nations, the pharmacists’ role has expanded to provide multifaceted services in patient care resulting in improved health outcomes from clinical services and reduced health care costs. Success stories of pharmacist-led programs in combating AMR demonstrates that appropriately trained pharmacists can be part of the solution to overcome the global challenge of AMR. Pharmacists can provide education to patients enabling them to use antibiotics appropriately. They can also provide guidance to their healthcare colleagues on appropriate antibiotic prescribing. Conclusions This review highlights that appropriately trained pharmacists integrated into the health care system can make a significant impact in minimising inappropriate antibiotic use in developing countries. Strengthening and enhancing the pharmacists’ role in developing countries has the potential to positively impact the global issue of AMR.
Databáze: OpenAIRE
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