دورية أكاديمية
أعرض في EDS

Exploring the practice, confidence and educational needs of hospital pharmacists in reviewing antimicrobial prescribing: a cross-sectional, nationwide survey.

التفاصيل البيبلوغرافية
العنوان: Exploring the practice, confidence and educational needs of hospital pharmacists in reviewing antimicrobial prescribing: a cross-sectional, nationwide survey.
المؤلفون: Khumra S; Centre for Medicines Use and Safety, Faculty of Pharmacy and Pharmaceutical sciences, Monash University, 381 Royal Parade, Parkville, Victoria, 3052, Australia. sharmila.khumra@austin.org.au.; Department of Pharmacy, Austin Health, 145 Studley Road, Heidelberg, Victoria, 3084, Australia. sharmila.khumra@austin.org.au.; Department of Infectious Diseases, Austin Health, 145 Studley Road, Heidelberg, Victoria, 3084, Australia. sharmila.khumra@austin.org.au., Mahony AA; Department of Infectious Diseases, Austin Health, 145 Studley Road, Heidelberg, Victoria, 3084, Australia.; Department of Medicine, University of Melbourne, Melbourne, Victoria, 3010, Australia., Bergen PJ; Centre for Medicines Use and Safety, Faculty of Pharmacy and Pharmaceutical sciences, Monash University, 381 Royal Parade, Parkville, Victoria, 3052, Australia., Page AT; Centre for Medicines Use and Safety, Faculty of Pharmacy and Pharmaceutical sciences, Monash University, 381 Royal Parade, Parkville, Victoria, 3052, Australia.; Department of Pharmacy, Alfred Health, 55 Commercial Rd, Melbourne, Victoria, 3004, Australia., Elliott RA; Centre for Medicines Use and Safety, Faculty of Pharmacy and Pharmaceutical sciences, Monash University, 381 Royal Parade, Parkville, Victoria, 3052, Australia.; Department of Pharmacy, Austin Health, 145 Studley Road, Heidelberg, Victoria, 3084, Australia.
المصدر: BMC medical education [BMC Med Educ] 2021 Apr 23; Vol. 21 (1), pp. 235. Date of Electronic Publication: 2021 Apr 23.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101088679 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6920 (Electronic) Linking ISSN: 14726920 NLM ISO Abbreviation: BMC Med Educ Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Anti-Infective Agents* , Pharmacists*, Anti-Bacterial Agents/therapeutic use ; Australia ; Cross-Sectional Studies ; Hospitals ; Humans
مستخلص: Background: Antimicrobial stewardship (AMS) programs are usually limited in resources and scope. Therefore, wider engagement of hospital pharmacists in reviewing antimicrobial orders is necessary to ensure appropriate prescribing. We assessed hospital pharmacists' self-reported practice and confidence in reviewing antimicrobial prescribing, and their knowledge in making AMS interventions.
Methods: We conducted an Australia-wide, cross-sectional survey in October 2017. A link to the online survey was emailed to hospital pharmacists via the Society of Hospital Pharmacists of Australia. Factors associated with higher knowledge scores were explored using linear regression models.
Results: There were 439 respondents, of whom 272 (61.7%) were from metropolitan public hospitals. Pharmacists were more likely to assess the appropriateness of intravenous, broad-spectrum or restricted antibiotics than narrow-spectrum, oral antibiotics within 24-72 h of prescription; p < 0.001. Fifty percent or fewer respondents were confident in identifying AMS interventions related to dose optimization based on infection-specific factors, bug-drug mismatch, and inappropriate lack of spectra of antimicrobial activity. The median knowledge score (correct answers to knowledge questions) was 6 out of 9 (interquartile range, 5-7); key gaps were noted in antimicrobials' anaerobic spectrum, beta-lactam allergy assessment and dosing in immunocompromised patients. Clinical practice in inpatient areas, registration for 3-5 years and receipt of recent AMS education were associated with higher knowledge scores. More interactive modes of education delivery were preferred over didactic modes; p ≤ 0.01.
Conclusion: Gaps in practice, confidence and knowledge among hospital pharmacists were identified that could inform the design of educational strategies to help improve antimicrobial prescribing in Australian hospitals.
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فهرسة مساهمة: Keywords: Antimicrobial stewardship; Australia; Education; Knowledge; Pharmacists; Survey
المشرفين على المادة: 0 (Anti-Bacterial Agents)
0 (Anti-Infective Agents)
تواريخ الأحداث: Date Created: 20210424 Date Completed: 20210514 Latest Revision: 20210514
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC8066433
DOI: 10.1186/s12909-021-02664-1
PMID: 33892686
قاعدة البيانات: MEDLINE
الوصف
تدمد:1472-6920
DOI:10.1186/s12909-021-02664-1