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Open AccessArticle

Knowledge and Practice of Pharmacists toward Antimicrobial Stewardship in Pakistan

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School of Pharmacy, Monash University, Jalan Lagoon Selatan, Bandar Sunway, 47500 Selangor, Malaysia
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Department of Pharmacy, Abdul Wali Khan University, Mardan 23200, Pakistan
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Department of Pharmaceutical services, Jinnah Postgraduate Medical Center, Karachi 75510, Pakistan
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Institute of Pharmaceutical Sciences, University of Veterinary and Animal Sciences, Lahore 54000, Pakistan
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Department of Pharmacy, University of Peshawar, Peshawar 25210, Pakistan
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Maternal, Newborn, and Child Health (MNCH) Project Coordinator at Frontier Primary Health Care, Mardan 23200, Pakistan
*
Authors to whom correspondence should be addressed.
Pharmacy 2018, 6(4), 116; https://doi.org/10.3390/pharmacy6040116
Received: 21 August 2018 / Revised: 16 September 2018 / Accepted: 16 October 2018 / Published: 23 October 2018
(This article belongs to the Section Pharmacy Education and Student / Practitioner Training)
Background: The irrational use, “over the counter supply”, and unregulated supply chains of antimicrobials are contributing toward antimicrobial resistance. Antimicrobial stewardship programs regulate antimicrobials usage to prevent resistance and reduce health care burden. Objective: To assess the knowledge and practice of pharmacists’ working in various healthcare settings toward antimicrobial stewardship in Pakistan. Method: A cross-sectional study was conducted among pharmacists working in different sectors between March to June 2017. Results: A total of 181 pharmacists participated, of whom (n = 145, 80.1%) were males. The majority of participants were in the 20–30 age group (n = 147, 81.2%) and hold Doctor of Pharmacy degrees. More than 80% of pharmacists agreed that “antimicrobial stewardship is essential to improve patient care”; while (n = 159, 87.8%) pharmacists agreed that “pharmacist should be trained on the use of antimicrobial”. Close to 90% of pharmacists agreed that “adequate training should be provided to pharmacists on antimicrobial use”. Regarding the practice of antimicrobial stewardship, (n = 72, 39.8%) pharmacists often/always “make efforts to prevent or reduce the transmission of infections within the community”; (n = 58, 32%) pharmacists never “dispense antimicrobials without a prescription”; and (n = 60, 32%) pharmacist often/always “communicate with prescribers if unsure about the appropriateness of an antibiotic prescription”. Conclusions: Increased antimicrobial stewardship efforts can both optimize the treatment of infections and reduce adverse events associated with antibiotic use. Pharmacists in Pakistan have good knowledge and adopt positive practices toward antimicrobial stewardship. Pharmacist and other health care professionals should collaborate within multi-disciplinary teams to reduce the problem of antimicrobial resistance and improve the quality of life of patients. View Full-Text
Keywords: practice; knowledge; antimicrobial stewardship; pharmacist; Pakistan practice; knowledge; antimicrobial stewardship; pharmacist; Pakistan
MDPI and ACS Style

Rehman, I.U.; Asad, M.M.; Bukhsh, A.; Ali, Z.; Ata, H.; Dujaili, J.A.; Blebil, A.Q.; Khan, T.M. Knowledge and Practice of Pharmacists toward Antimicrobial Stewardship in Pakistan. Pharmacy 2018, 6, 116.

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