Medical Preparedness and Response Aspect: Role of Pharmacists in Disaster Management

Khadka, Sitaram; Saleem, Mohammad; Usman, Muhammad; Hashmi, Furqan K.; Giri, Santoshi; Adnan, Muhammad Abdul Jabar; Rasheed, Usman

doi:10.1017/dmp.2021.217

Cited by 4 publications

(3 citation statements)

References 6 publications

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“…Lack of awareness of the people is also highly responsible for the misuse of antibiotics, potentially leading to the emergence of AMR. Regular training, seminars, and mock drills should be arranged to address the problems regarding the misuse of antibiotics and AMR stewardship practices [35] . Similarly, conducting education and awareness campaigns through audiovisual media and face-to-face communication with the public is also a dire need for proper stewardship.…”

Section: Discussionmentioning

confidence: 99%

Rational use of antimicrobials: a nationwide cross-sectional survey among people of Pakistan

Khadka¹,

Hashmi²,

Lamichhane³

et al. 2023

International Journal of Surgery: Global Health

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Background: The misuse of antibiotics in low-and middle-income countries is getting escalated leading to the emergence of antimicrobial resistance. This study aims to evaluate the knowledge, behavior, and practice of antimicrobial misuse among the Pakistani population for the implementation of an effective stewardship plan that ensures the rational use of medicines. Methods: It was a nationwide cross-sectional survey conducted among 1011 participants in Pakistan from March 2022 to August 2022. Statistical analysis was done through SPSS v21. The original Bloom's cut-off point was utilized to categorize the participants' overall knowledge, behavior, and practice. The χ 2 test was used to test for group differences. For multivariable logistic regression analyses, adjusted odds ratio (AOR) was calculated at 95% CI. Results: The majority of the respondents were female 69.3%, in a state of good health 81.5%, and non-health care professionals 64.0%. More than half of the participants (55.3%) demonstrated true knowledge, whereas more than four-fifths (88.6%) and almost half (47.9%) of the participants showed moderate to good behavior and practice about the rational use of antimicrobials. The employed participants (AOR: 2.12, 95% CI: 1.51-2.98), health professionals (AOR: 1.64, 95% CI: 1.25-2.17), urban residents (AOR: 1.61, 95% CI: 1.12-2.38) and participants without comorbidities (AOR: 1.89, 95% CI: 1.32-2.70) had significant association with good/true knowledge. Lower education (AOR: 1.69, 95% CI: 1.06-2.70), rural residence (AOR: 2.06, 95% CI: 1.42-3.01), and lower monthly income <50 PKR (AOR: 1.67, 95% CI: 1.28-2.17) were significant factors affecting practice about rational use of antimicrobials. However, none of the factors had significant association with behavior of the participants. Conclusion: Implementation of an effective management plan for rational use of medicines is suggested to halt antibiotic misuse which harms public health. Adequate training programs for health care professionals and educational interventions for the general public are required. Strict enforcement of rules and regulations, Drug Sale Rules 2007, and implementation of Pakistan's National Action Plan on antimicrobial resistance are essential.

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Section: Discussionmentioning

confidence: 99%

Rational use of antimicrobials: a nationwide cross-sectional survey among people of Pakistan

Khadka¹,

Hashmi²,

Lamichhane³

et al. 2023

International Journal of Surgery: Global Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…Moreover, pharmacists would play a central role in maintaining the logistics of drugs in large-scale disasters, for example: 1) establishing drug supplies and 2) normalizing the medical systems in evacuation shelters and medical facilities through the establishment of logistics [9][10][11]. Therefore, it is crucial for pharmacists to collaborate with healthcare providers effectively to ensure a continuous supply of drugs.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Drug Needs and Contributions of Pharmacists in the Aftermath of the 2011 Triple Disaster in Fukushima, Japan: A Combined Analysis

Hashimoto

Ozaki

Nonaka³

et al. 2023

Preprint

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“…Several studies 4,[13][14][15][16] have explored the potential roles that pharmacists can assume during disasters. Additionally, studies 17,18 have assessed the knowledge of pharmacists regarding emergency preparedness.…”

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confidence: 99%

Exploring Volunteer Pharmacists’ Experiences in Responding to 2023 Türkiye Earthquakes: A Qualitative Phenomenological Study

Uzun,

Gülpınar,

Iqbal

2024

Disaster med. public health prep.

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Objective: Pharmacists are vital in disaster response efforts, dispensing essential medications, managing pharmacy services, consulting, and educating survivors regarding their medications. Their contributions, however, are often underrepresented in scientific literature. This study aimed to explore the experiences of pharmacists who provided pharmacy services to meet the pharmaceutical needs of the survivors after 2 major earthquakes in Türkiye in 2023. Methods: This study adopted a phenomenological approach. Data were collected using semi-structured interviews. Purposive sampling was used to invite pharmacists who provided pharmacy services to survivors. Interview transcripts were analyzed following an inductive, reflexive thematic analysis. Results: In total, 15 pharmacists were interviewed. Four main overarching themes “response to the earthquake,” “preparedness for the earthquake,” “experiences during service delivery,” and “mental and physical experiences” were developed. Conclusions: From participants’ experiences, it is essential to expand the clinical responsibilities of pharmacists and train them in providing wound care, administering immunization, and prescribing. Pharmacists should be integrated as essential members of disaster health teams. International health organizations, nongovernmental organizations, and governments are encouraged to work collaboratively and develop disaster management plans including pharmacists in early responders. This might help mitigate the deficiencies and overcome challenges in health-care systems to provide effective patient-centered care by health professionals and respond effectively to disasters.

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Medical Preparedness and Response Aspect: Role of Pharmacists in Disaster Management

Cited by 4 publications

References 6 publications

Rational use of antimicrobials: a nationwide cross-sectional survey among people of Pakistan

Rational use of antimicrobials: a nationwide cross-sectional survey among people of Pakistan

Assessment of Drug Needs and Contributions of Pharmacists in the Aftermath of the 2011 Triple Disaster in Fukushima, Japan: A Combined Analysis

Exploring Volunteer Pharmacists’ Experiences in Responding to 2023 Türkiye Earthquakes: A Qualitative Phenomenological Study

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