Coaching ward pharmacists in antimicrobial stewardship: A pilot study

Khumra, Sharmila; Mahony, Andrew A; Stewart, Kay; Bergen, Phillip J.; Elliott, Rohan A

doi:10.1016/j.rcsop.2022.100131

Cited by 2 publications

(3 citation statements)

References 21 publications

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“…Clinical pharmacists who worked at hospitals with wellestablished ASPs in this study were more competent in their knowledge of the policies and procedures of ASPs compared with dispensing pharmacists. These findings were also observed among Australian pharmacists, wherein gaps in practice, knowledge, and confidence among hospital pharmacists in reviewing antibiotic prescriptions were evident 14 . A review highlighted that pharmacists' practice-based knowledge was produced about the routinely performed tasks in their practice area 28 .…”

Section: Discussionmentioning

confidence: 66%

“…The ASPs are directly related to pharmacists' competencies in drug knowledge since they perform appropriateness of antibiotic therapies through thorough reviewing of dose, route of administration, and duration of the therapy 13 . Hospital pharmacists' knowledge of antibiotics enabled them as drivers of sustainable, comprehensive prospective audit and feedback initiatives that examine the appropriateness of antibiotic orders and provide recommendations to prescribers to improve prescribing 14 . The ability to showcase pharmacists' expertise on drugs through their clinical interventions made them more active and visible in clinical practice 15 .…”

Section: Pharmaceutical Sciences Asiamentioning

confidence: 99%

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Hospital pharmacists’ expertise and cooperation towards antimicrobial stewardship in the Philippines: A qualitative study

Malazarte,

Diane Manila,

Javier

et al. 2024

Pharm Sci Asia

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Antimicrobial resistance has compromised the existing antibiotic therapies. In response, antimicrobial stewardship (AMS) programs were established to encourage and preserve the sustainable use of antibiotics in hospitals. However, little is known about hospital pharmacists' expertise and cooperation in AMS programs in lowresource settings, such as the Philippines. The study aimed to explore the hospital pharmacists' expertise and cooperation in antibiotic use optimization toward AMS practice in the Philippines. Individual, semi-structured interviews were conducted with 19 hospital pharmacists involved in hospitals with AMS programs. Audio-recorded interviews were transcribed verbatim, and MAXQDA was used to code and manage the data. A thematic analysis was used to identify themes from the qualitative data until theme saturation was reached. Expertise and cooperation are the two main concepts established as the fundamental tenets of AMS practice among hospital pharmacists. The three key themes that emerged under expertise were knowledge, skills, and hands-on experience. Under the cooperation, the four key themes that emerged were AMS advocacy, intraprofessional collaboration, interprofessional relationships, and motivation. Applying formal and tacit knowledge of hospital pharmacists was essential to their clinical roles in AMS. However, interprofessional dynamics and their role definition limit their capacity to propose interventions. There is a need to strengthen hospital pharmacists' expertise to increase their cooperation in streamlining antibiotics.

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Section: Discussionmentioning

confidence: 66%

Section: Pharmaceutical Sciences Asiamentioning

confidence: 99%

Hospital pharmacists’ expertise and cooperation towards antimicrobial stewardship in the Philippines: A qualitative study

Malazarte,

Diane Manila,

Javier

et al. 2024

Pharm Sci Asia

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“…Nevertheless, the majority of what is presented shows significant positive results on their knowledge and acknowledges the necessity of antimicrobial stewardship programs to be implemented which aim topromote the appropriate use of antimicrobials (including antibiotics) [32][34] and improve patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms [33]. The utilization of AMS resulted in a positive review as the pharmacists were more confident to provide better patient care [36] albeit, of relatively low knowledge among other medical practitioners [37]. Hence, the need for promoting and confessing the importance of antimicrobial stewardship programs for improving the general patient care [38][39] [40].…”

Section: Aslani Et Al 2019mentioning

confidence: 99%

A Review on the Role of Community Pharmacists on Antimicrobial Stewardship Programs

Ambray¹,

Real²,

Diaz³

et al. 2022

Int.J.Res.Publ.Rev.

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Antibiotics are the "marvel medicines" for fighting bacteria. For the past years, multiple varieties of antibiotics have performed well in combating microbes. However, over time, bacteria have developed a way to counter antimicrobial agents' effects and become resistant to antibiotics. The goal of this paper was to conduct a systematic review of published studies on the role of community pharmacists, as drug experts, in antimicrobial stewardship programs (ASPs). Thus, a search strategy was employed to gather existing literature using the following databases: Elsevier, Google Scholar, PubMed, and Science Direct. The literature retrieved was classified and analyzed according to the perception, knowledge, and practices toward AMS programs. After evaluation, results show that pharmacists are essential when creating and implementing ASPs in inpatient and outpatient settings. They can monitor and report AMS indicators and ensure all legal specifications are followed for accreditation and payment reasons. Most pharmacists always/often dispense antimicrobials with a prescription, evaluate the prescribed antimicrobials if they follow the guidelines, and communicate with prescribers whenever they have difficulty reading the prescription. Additionally, approximately 85% of pharmacists agreed that to enhance the understanding of antimicrobial stewardship, pharmacists should be exposed to relevant workshops and conferences and that “antimicrobial stewardship programs reduce the problem of antimicrobial resistance.” However, the results indicate that appropriate actions are still needed to rationalize antimicrobial use in the future and that more training and access to AMS guidelines are necessary.

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Coaching ward pharmacists in antimicrobial stewardship: A pilot study

Cited by 2 publications

References 21 publications

Hospital pharmacists’ expertise and cooperation towards antimicrobial stewardship in the Philippines: A qualitative study

Hospital pharmacists’ expertise and cooperation towards antimicrobial stewardship in the Philippines: A qualitative study

A Review on the Role of Community Pharmacists on Antimicrobial Stewardship Programs

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