&lt;p&gt;Using Patient Profiles To Guide The Choice Of Antihistamines In The Primary Care Setting In Malaysia: Expert Consensus And Recommendations&lt;/p&gt;

Abdullah, Baharudin; Latiff, Amir Hamzah Abdul; Woo, Kent; Yap, Felix Boon-Bin; Tang, Ing Ping; Leong, Kin Fon; Chin, Wai Seong; Wang, De Yun

doi:10.2147/tcrm.s221059

Cited by 13 publications

(11 citation statements)

References 57 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There is currently no evidence demonstrating safety if patients were to use intranasal steroids longer than one year. This was also pointed out by the expert consensus statement in Malaysia, where it was noted that current guidelines are still vague in recommending the length of treatment of steroids in AR patients [ 9 ]. More clinical evidence is required to provide stronger guidance to primary care.…”

Section: Discussionmentioning

confidence: 99%

“…Most recently, an expert consensus article from Malaysia identified gaps between the current guidelines and real-world practice, with emphasis at the primary management level. Specific to antihistamine treatments, the authors presented guidance for primary care practitioners by introducing a three-step approach: i) profile each patient; ii) review patient-specific considerations based on profile; iii) recommend and monitor treatment responses and always escalate up to specialist care in more severe or difficult-totreat cases [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Primary care management of allergic rhinitis: A cross-sectional study in four ASEAN countries

et al. 2020

Self Cite

View full text Add to dashboard Cite

Background: In primary care, general practitioners (GPs) and pharmacists are tasked with the frontline responsibility of identifying and managing allergic rhinitis (AR) patients. There are currently no consolidated data on current treatment practices, patient compliance, and usage of guidelines within Southeast Asian Nations (ASEAN).Objective: To assess the attitudes and practices on AR of GPs and pharmacists in 4 ASEAN countries (Philippines, Indonesia, Thailand, and Malaysia).Methods: A cross-sectional survey of 329 GPs and 548 pharmacists was conducted from May to November 2019. Participants answered a questionnaire focused on their i) current practice in the management of AR, ii) views on patient compliance, iii) understanding and usage of guidelines.Results: Clinical history was the most preferred method to diagnose AR by 95.4% of GPs and 58.8% of pharmacists. Second-generation antihistamines were the most widely available treatment option in GP clinics and pharmacies (94.8% and 97.2%) and correspondingly the most preferred treatment for both mild (90.3%, 76.8%) to moderate-severe rhinitis (90.3%, 78.6%) by GPs and pharmacists, respectively. Loratadine was ranked as the most preferred 2nd generation antihistamines (GP vs pharmacists: 55.3% vs 58.9%). More than 90% of GPs and pharmacists ranked length and efficacy of treatment as important factors that increase patient compliance. Awareness of the ARIA guidelines was high among GPs (80%) and lower among pharmacists (48.4%). However, only 63.3% of GPs and 48.2% of pharmacists knew how to identify AR patients.Conclusion: The survey in the 4 ASEAN countries has identified a need to strengthen the awareness and use of ARIA guidelines among primary care practitioners. Adherence to ARIA guidelines, choosing the appropriate treatment option and prioritizing factors that increase patient compliance may contribute to better management outcomes of AR at the primary care practice.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Primary care management of allergic rhinitis: A cross-sectional study in four ASEAN countries

et al. 2020

Self Cite

View full text Add to dashboard Cite

show abstract

“…In the primary care environment, general practitioners (GPs) and pharmacists are key healthcare providers [ 7 ]. Specifically, pharmacists are at the front line of AR management facing challenges of identifying and managing varied clinical symptoms in diverse patient populations [ 8 ], both in acute and chronic disease management [ 9 , 10 ]. The inclusion of community pharmacists in patient-centric pharmacy care programs has been shown to improve diagnosis, prevention, treatment and control of chronic respiratory diseases [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, there is an identified gap between these international guidelines and real-world clinical practice at the primary care level [ 17 ]. This challenge is compounded by the complexity of interpreting various treatment algorithms, as well as the low-level awareness of the ARIA guidelines [ 8 , 17-19 ]. To overcome these challenges, researchers from Malaysia introduced the “patient profiling tool” to identify individualized needs and make specific recommendations for each patient profile [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…This challenge is compounded by the complexity of interpreting various treatment algorithms, as well as the low-level awareness of the ARIA guidelines [ 8 , 17-19 ]. To overcome these challenges, researchers from Malaysia introduced the “patient profiling tool” to identify individualized needs and make specific recommendations for each patient profile [ 8 ]. Within Asia-Pacific, the findings from a recently published cross-sectional primary care study, conducted among 4 countries (Philippines, Indonesia, Thailand and Malaysia), further demonstrated that the awareness of ARIA guidelines was high among GPs (80%) but notably lower in pharmacists (48.4%).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Closing the knowledge gap in Malaysian pharmacists: A virtual Allergic Rhinitis Boot Camp initiative

et al. 2021

Self Cite

View full text Add to dashboard Cite

Background: In primary care, general practitioners (GPs) and pharmacists are at the frontline to identify, classify and manage patients suffering from allergic rhinitis (AR). The Allergic Rhinitis and its impact on Asthma (ARIA) guidelines aid clinicians in disease management by providing evidence-based recommendations. A recently published ASEAN primary care survey demonstrated that the awareness of ARIA guidelines was high among GPs but notably lower in pharmacists. Hence, this study seeks to evaluate the effectiveness of a Boot Camp education initiative in bridging the unmet needs in pharmacist awareness and education.Methods: The boot camp was organised as a virtual event. The participants answered the same questionnaire before (pre-assessment) and immediately after (post-assessment) the boot camp session. Statistical analysis was performed on the data paired between the pre- and post- assessments using SPSS v. 25.0 software.Results: The boot camp survey results showed that second-generation oral antihistamines and allergen avoidance are the most preferred options for AR treatment in pharmacy practice, irrespective of the disease severity. In both pre- and post-assessments, efficacy was ranked as the most important factor considered for choosing an antihistamine and which affects patient adherence. With the boot camp initiative, there was a statistically significant increase in awareness about the patient profiling tool (from 31.6% to 88.2%) and ARIA guidelines (from 40.4% to 91.2%) among the pharmacists (p<0.05). The proportion of pharmacists who were able to identify, classify and refer AR patients was significantly increased in post-assessment (p<0.05). Post the boot camp, among the proportion of pharmacists (91.2%) who were already aware of ARIA, a high percentage of them further agreed that ARIA guidelines were useful in identifying and treating patients with AR, as well as classifying AR, respectively (97.6%, 95.2%, and 93.5%).Conclusions: Based on improvements in knowledge and understanding of disease management post assessment, the Allergic Rhinitis Boot Camp initiative is effective and relevant to pharmacy practice. Outreach programs like this reiterate the emphasis on patient compliance and importance of utilizing ARIA guidelines in pharmacy practice that facilitates better management of AR in primary care.

show abstract

House dust mite allergy in Malaysia: review of research gaps in the current scenario and the way forward

Lee,

Kow,

Jacquet

et al. 2023

Exp Appl Acarol

View full text Add to dashboard Cite

<p>Using Patient Profiles To Guide The Choice Of Antihistamines In The Primary Care Setting In Malaysia: Expert Consensus And Recommendations</p>

Cited by 13 publications

References 57 publications

Primary care management of allergic rhinitis: A cross-sectional study in four ASEAN countries

Primary care management of allergic rhinitis: A cross-sectional study in four ASEAN countries

Closing the knowledge gap in Malaysian pharmacists: A virtual Allergic Rhinitis Boot Camp initiative

House dust mite allergy in Malaysia: review of research gaps in the current scenario and the way forward

Contact Info

Product

Resources

About