Influence of Pharmacist–doctor Communication on Pediatric Antibiotic Prescriptions

Abstract

Objectives: The purpose of the research was to describe drug-related issues and assess the effect of communication between pharmacists and physicians on decreased prescription drug-related problems in pediatric antibiotics. Methods:Intervention was carried out in the form of pharmacist discussing information-related issues about drugs with physicians prescribing antibiotics to pediatric patients. The research sample included 338 prescription sheets on pediatric outpatient use of antibiotics, and a prospective design was used. Analysis of the data was carried out in the form of a frequency distribution and bivariate analysis Wilcoxon test. Results:The results showed that drug-related problems were recorded on 62.22% of the 338 prescription sheets. The biggest problems that occurred had to do with the effectiveness of therapy (P1; 79.3%) and cost issues (P1; 20.7%). In terms of P1, drug-related problems involved excessive frequency of drug administration (80.1%), inappropriate drug dose selection (17.2%), drug interactions (9.6%), inadequate drug selection (12.2%), a subtherapeutic dose (4.1%), and excessive drug dose (0.5%). For P1, therapy cost problems were a lack of indication for the drug (84.1%) and improper drug selection (15.9%). Conclusions:The influence of pharmacist-physician communication concerning the reduction of drug-related problems for pediatric outpatient prescriptions was statistically significant (p<0.05). Ultimately, communication between pharmacists and physicians can reduce drug-related problems by 22.9%.

Barriers to rational antibiotic prescription in Iran: a descriptive qualitative study

“…Similarly, a previous study in Iran reported that 5.6% of physicians never consulted their colleagues and 48% of them occasionally consulted their colleagues for antibiotic therapy [ 29 ]. Effective communication between pharmacologists and physicians can reduce the barriers to RAP [ 30 , 31 ]. Clinical pharmacologists can provide physicians with accurate information about medications and thereby, help them select the best antibiotics for patients, increase the effectiveness of antibiotic therapy, and promote RAP [ 32 ].…”

The Impact of Antimicrobial Stewardship on the Patterns of Antibiotics’ Prescription and Clinical Outcomes in the Medical Ward of a Malaysian Tertiary Care Hospital

“…Methicillin-resistant Staphylococcus aureus (MRSA), carbapenem resistant Enterobacteriaceae (CRE) and vancomycin resistant enterococci (VRE) are the common multidrugresistant organisms (MDRO) being spotted frequently within the hospital wards worldwide [6]. Acinetobacter baumannii, Pseudomonas aeruginosa, Escherichia coli and Clostridium difficile are the salient pathogens causing certain nosocomial infections for which irrational antibiotic prescribing is considered one of the major causes [7,8]. In order to rationalize the antimicrobial (antibiotic) practice, an antimicrobial stewardship (AMS) program is considered an effective intervention [9].…”

Factors Affecting the Sale of Non-Prescribed Antibiotics in Jakarta, Indonesia: A Cross-Sectional Study

“…The knowledge, attitude, educational background, and social demographics of pharmacists have been considered to be the most likely determinants of the quality of antibiotic services [12][13][14][15]. The shift in pharmaceutical services to patient-oriented services has underscored the importance of pharmacist's ability to communicate with other medical staffs to achieve successful therapy [16]. In some countries, appropriate use of antibiotics is encouraged through the implementation of appropriate policies and interventions.…”