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Perspective of community pharmacists about community-based antimicrobial stewardship programs. A multicenter cross-sectional study from China

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posted on 2019-11-18, 18:57 authored by Khezar Hayat, Pengchao Li, Meagen Rosenthal, Sen Xu, Jie Chang, Ali Hassan Gillani, Faiz Ullah Khan, Muhammad Rehan Sarwar, Shiyu Ji, Li Shi, Aoyu Cheng, Yu Fang

Background: Antimicrobial stewardship programs (ASPs) are commonly used worldwide to tackle antimicrobial resistance. The current study aimed to investigate the perspective of pharmacists on community-based ASPs in China.

Methods: A multicenter cross-sectional study was conducted in the capital cities of three different provinces of China between March 2019 and July 2019. A systematic random sampling method was used to recruit respondents.

Results: A response rate of 87.4% (416/476) was obtained. A large number of respondents (n = 308, 74.0%) believed that ASPs are vital to improving patient care (Median = 4, IQR = 2). Approximately one-third of the respondents (n = 142, 34.1%) always ask patients about their knowledge related to antimicrobials (Median = 4, IQR = 2). Additionally, a considerable number of respondents (n = 127, 30.5%) always, or often (n = 117, 28.1%) collaborated with other healthcare professionals (Median = 4, IQR = 2). Age, gender, and experience were observed to have a significant association (p < 0.05) with median scores of knowledge about antibiotics, perceptions, and practices on ASPs.

Conclusions: The perceptions of pharmacists regarding ASPs were positive. However, gaps in knowledge about some aspects of antibiotics and participation in ASPs were found. The development of regional community-based ASPs is urgently required.

Funding

This paper was funded by the National Natural Science Fund (71974156), ‘Young Talent Support Plan,’ ‘High Achiever Plan’ of Health Science Center, Xi’an Jiaotong University, and the Central University Basic Research Fund (2015qngz05).

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