Practice of parents and pharmacists regarding antibiotics use in pediatrics: A 2017 cross‐sectional study in Lebanese community pharmacies

Hallit, Souheil; Zahreddine, Lama; Saleh, Nadine; Shakaroun, Shadia; Lahoud, Nathalie

doi:10.1111/jep.13165

Cited by 15 publications

(15 citation statements)

References 31 publications

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“…An online software was used to randomly select the community pharmacies sample using the list of pharmacies provided by the Lebanese Order of Pharmacists (OPL). Similar methodology was used in previous papers [22][23][24][25][26][27][28][29][30][31][32][33][34][35].…”

Section: General Study Designmentioning

confidence: 94%

Knowledge, Attitude and Practice of Lebanese Community Pharmacists toward Chronic Obstructive Pulmonary Disease

Hallit¹,

Zeidan²,

Saade³

et al. 2020

JEGH

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Inclusion of a pharmacist showed that pharmacy-led patient education can positively impact treatment outcome, chronic obstructive pulmonary disease (COPD) knowledge, medication adherence, quality of life, significant reduction in hospital admission rates, and emergency department visits. The objectives were to assess the degree of COPD knowledge in Lebanese community pharmacists as well as their attitudes and practice toward disease management. Between January and May 2018, a cross-sectional survey enrolled 709 Lebanese community pharmacists. A committee was created to build up the questionnaire; it was composed of two physicians (one infectious disease specialist and one pulmonologist) and eight pharmacists, with long expertise in community and hospital pharmacy. It comprised 12 questions assessing knowledge, 12 questions for attitude, and 13 questions for practice. Higher attitude (b = 0.56) and higher practice (b = 0.41) were associated with higher knowledge score. Higher knowledge (b = 0.10) and practice (b = 0.16) scores as well as female gender (b = 0.60) were significantly associated with higher attitude scores. Higher knowledge (b = 0.13) and higher attitude (b = 0.19) showed significant association with higher practice scores. Female gender (b = −0.94), however, was significantly associated with decreased practice score. Our study highlights the importance of assessing the capabilities of pharmacists of achieving their support role in COPD patients. In order to improve community pharmacists' knowledge of COPD, ultimately improving patient outcomes, further education is crucial.

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Section: General Study Designmentioning

confidence: 94%

Knowledge, Attitude and Practice of Lebanese Community Pharmacists toward Chronic Obstructive Pulmonary Disease

Hallit¹,

Zeidan²,

Saade³

et al. 2020

JEGH

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“…Our results also showed a low prescription rate of antibiotics over the phone. Despite this promising practice, earlier studies conducted in Lebanon reported a high prevalence of inappropriate practice among community pharmacists in dispensing antibiotics without a prescription and among parents when administering them to their child (26)(27)(28). For that, we believe that educational campaigns are warranted to increase awareness on antibiotics misuse in pediatrics, and severe legislative actions should be taken to restrict such practices in order to prevent poor clinical outcomes.…”

Section: Discussionmentioning

confidence: 90%

Telephone Consultation and Prescription in Pediatrics: Contributing Factors and Impact on Clinical Outcomes

et al. 2020

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Objectives: To evaluate phone-based consultation practices and drug prescription profiles in pediatrics and to highlight their possible uses, contributing factors, and effects on clinical outcomes. Background: The ownership and everyday use of cell phones are increasing worldwide. Telehealth is gaining the support of health professionals for the delivery of simple healthcare measures to more complex management decisions. Despite this, in our country, doctors have been advised by concerned authorities to avoid any phone-based medical activity as the safety of such practices is still not well-established, especially among vulnerable pediatric patients. Patients and Methods: This cross-sectional study was conducted on a national level over 5 months. Phone consultations and prescription behaviors data were collected through a self-administrated questionnaire. The target population consisted of pediatric-trained physicians with at least 1 year of experience. Factors influencing telephone prescriptions were assessed using bivariate analysis. Results: Of among 120 included physicians (75.0% male), 64.2% were general pediatricians, 77.5% practiced in private clinics, and 27.5% had more than 20 years of work experience. All participants gave medical advice over the phone; 61.7% considered that they should be reimbursed for these activities and 29.2% of them reviewed 50% of their patients for the same complaint. A total of 109 participants (90.8%) prescribed drugs using a direct phone call (80.7%), SMS (27.5%), or WhatsApp application (61.5%). Antipyretics (97.2%) and cough suppressants (48.1%) were the most frequently prescribed drugs. Pharmacists' corrective interventions were seen in 40.4% of prescriptions. Fever was the only symptom that was statistically associated with phone prescriptions. Prescribers seemed to be less experienced and were more likely to consider phone-based practices as reimbursable activities. Conclusions: Consultations and prescriptions through mobile phones are extremely frequent in pediatric practices, even when restricted by responsible authorities. Our results highlight the frequency of medical prescription errors and the need for corrective Haddad et al. Telephone Consultation and Prescription in Pediatrics interventions by pharmacists. The current practice of telemedicine may not ensure the patient's safety but exists rather as a convenience. There is a need for proper oversight with a regulatory framework and input from all stakeholders, including pediatricians and pharmacists.

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“…In this sense, a Lebanese study identified among parents of children who used antibiotics at home that 20.6% did not follow medical instructions on the treatment dosage and duration; 64.3% terminated treatment early and diluted incorrectly. 20 According to the participants' speeches, there is a need to develop, with the relatives, guidelines with an appropriate and easy to understand language, which facilitates care continuity at home. Some participating professionals reported that practical demonstrations enable the relative to develop skills in the correct handling of the syringe and aspiration of antibiotics for solutions.…”

Section: Discussionmentioning

confidence: 99%

Preparation of the discharge of relatives of children using antibiotics: contributions of nursing

et al. 2019

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Objective: To describe the discharge preparation for relatives of hospitalized children for continuing antibiotic therapy at home, from the nurse perspective. Method: A descriptive and qualitative research, performed in the ward of a pediatric hospital in Rio de Janeiro. It was attended by fifteen nurses through semi-structured interviews, between April and May 2018, and data was submitted to Thematic Analysis. Results: The following thematic units emerged: Preparing the relatives for the discharge as a punctual moment; Professionals involved in the preparation of the discharge for relatives; Educational strategies in preparing the relatives for the discharge; and Communication among professionals in preparing the relatives for the discharge. Conclusion and implications for practice: There is a need to systematize the discharge process of the child that leaves the hospital to finish their therapeutic scheme with antibiotics at home, thereby avoiding inappropriate use and therapeutic errors.

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Practice of parents and pharmacists regarding antibiotics use in pediatrics: A 2017 cross‐sectional study in Lebanese community pharmacies

Abstract: Objectives:To assess practices of community pharmacists towards prescribing or dispensing antibiotics without prescription to children, determine obstacles that stand in the way of best practices, and determine whether parents misuse antibiotics when administering them to their children.

Cited by 15 publications

References 31 publications

Knowledge, Attitude and Practice of Lebanese Community Pharmacists toward Chronic Obstructive Pulmonary Disease

Knowledge, Attitude and Practice of Lebanese Community Pharmacists toward Chronic Obstructive Pulmonary Disease

Telephone Consultation and Prescription in Pediatrics: Contributing Factors and Impact on Clinical Outcomes

Preparation of the discharge of relatives of children using antibiotics: contributions of nursing

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