Background
Different healthcare professionals should contribute to antibiotic stewardship (ABS) activities. Involvement of community pharmacists (CPs) has been little explored worldwide to date.
Objectives
To explore French CPs’ views on ABS and antibiotic resistance, their role and current practices, and future opportunities for ABS.
Methods
A qualitative study using semi-structured face-to-face individual interviews was performed from May to October 2019 among CPs from north-eastern France. Transcripts of the interviews were analysed using a thematic analysis.
Results
Twenty-seven interviews were conducted. Most participants had a clear understanding of antibiotic resistance and ABS. They considered themselves as ‘guardians of the appropriate use of drugs’ but often failed to fulfil this mission because of difficult relationships with physicians. Their current ABS practices are: (i) counselling patients about the antibiotic treatment; and (ii) reporting to the prescriber when they identify contraindications/drug interactions. Concerning their potential increased involvement in ABS, CPs felt they could perform more rapid diagnostic testing for sore throat; they were divided on the possibility for them to change the antibiotic prescription made by a physician and were mainly against the possibility of initiating an antibiotic prescription. The idea of systematically collecting unused antibiotics was perceived well by CPs, while unit dose delivery was not.
Conclusions
French community pharmacists are willing to become more involved in ABS activities. Collaboration and trust between pharmacists and prescribers should however be improved.
Dans une perspective théorique issue de la gérontologie critique, l’objectif de cet article est de comprendre les itinéraires et les vécus des bénéficiaires d’une aide à domicile. Dans un premier temps, il s’agit de montrer combien les parcours de dépendance qui nécessitent le recours à l’aide sont traversés par des logiques genrées. Dans un second temps, l’élaboration d’une typologie des vécus de la relation d’aide permet de compléter l’analyse en croisant les dimensions de genre et d’appartenance sociale. Cet article est basé sur une double enquête quantitative et qualitative menée auprès de bénéficiaires d’une aide à domicile en Belgique francophone.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.