Antibiotic stewardship in community pharmacies a scoping review

The increase in antibiotic resistance has frequently been linked to unrestrained antibiotic dispensing. This review was conducted to mainly assess the perception and attitudes of community pharmacists towards antibiotic dispensing. This scoping review was performed between June 2016 and September 2016 to identify published studies related to the perception and attitudes of community pharmacists towards antibiotic dispensing. The combination of terms such as ‘antibiotic dispensing’, ‘antimicrobial resistance’, ‘community pharmacy’, and ‘community pharmacists’ were searched in electronic databases such as PubMed, ProQuest, Google Scholar, and Science Direct. Only published articles within the last 12 years were included. A total of 13 studies were identified. In general, community pharmacists have good awareness and knowledge of antibiotic dispensing. However, the majority of them are still selling antibiotics to their customers and/or patients for unjustified reasons. The community pharmacists seem well aware of the antimicrobial resistance crisis and considered it a significant health issue. However, many embraced the concept that dispensing antibiotics without medical prescription (DAwMP) can be one of the key features in the dissemination of multidrug resistant bacteria

Evaluation of the involvement of pharmacists in diabetes self-care: a review from the economic perspective

Objectives: To analyze the studies encompassing the involvement of pharmacists in diabetes self-care. Method: We reviewed studies conducted from 2005 to 2017 on the involvement of pharmacists in diabetes self-care. The keywords mainly used in this search are pharmacoeconomic analysis, diabetes self-care, pharmacist involvement,cost-effectiveness analysis, cost of utilization, cost of illness, cost of minimization and cost-benefit analysis. PubMed, Science Direct, Springer Link and Medline searched for the relevant studies. These databases searched for full text articles ranging from 2007 to 2017. We tried to limit the search with the inclusion of studies having any sort of pharmacoeconomically relevant component. Key Findings: Cost of illness varied among the countries in managing diabetes mellitus, and the cost of managing diabetes complications were twice the cost of management of diabetes. Continuous involvement of the pharmacist in primary health care is a cost-effective strategy and pronounced to be essential for helping diabetes patient in controlling and managing their disease. Implementation of diabetes self-care by pharmacists such as lifestyle intervention rendered improved quality of life of patient without any increase in health care cost. Self-care management generates intensive blood glucose control and improved quality of life. Conclusions: Implementation of diabetic self-care intervention including intensive lifestyle intervention, education, self-monitoring of blood glucose and adherence toward medication-initiated reduction in the overall healthcare cost of diabetic patients compared to patients relying on only any one of the interventions. Impact of diabetes self-care intervention by pharmacist reported to significantly reduce the HbA1C levels of diabetic patients along with the reduction of yearly healthcare cost. This review showed that pharmacist involvement in diabetes self-care interventions prove to be cost-effective and can significantly affect the condition of the diabetic patients and reduces the risk of complications

An Exploratory Sequential Mixed Method Evaluation Of General Practitioners, Pharmacists, Consumers And Pharmacy Students’ Knowledge, Perception And Attitude On Contemporary Issues Surrounding Generic Medicine Use In Karachi, Pakistan

Developing countries are struggling with the high cost of treatment and Pakistan is not an exception to this issue. Generic medicines could be instrumental in curtailing the cost of treatment and reduce healthcare expenditures in Pakistan. Therefore, it is imperative to ascertain the knowledge, perception and attitudes of different stakeholders in this regard. The study used a sequential mixed-method research in which the qualitative and quantitative approaches were applied. The qualitative data was collected through in-depth semi-structured, face-to-face interviews with general practitioners, pharmacists, consumers, and pharmacy students. Saturation point, a peak after which no new information was sought from additional interviews, was achieved at 11 for doctors, 11 for pharmacists, 29 for consumers and 28 for pharmacy students

Mobile applications in clinical practice: What is needed in the pharmacy scenario?

Pharmacy informatics is demonstrated to have a positive effect on pharmacy practice. The incorporation of pharmacy informatics in academic programs is a common feature in the pharmacy curriculum. This work aims to provide an overview of the current and potential role of mobile applications (apps) in pharmacy education and practice. Mobile apps are the most common informatics tools used by medical and pharmacy practitioners as well as students. Both students and practitioners have overall positive perceptions toward using mobile apps in their daily clinical training and practice although the fact that the number of pharmacy apps is still small relatively in comparison with other medical-related apps. There are many potential roles for mobile apps in pharmacy practice and education. The future efforts of educational uses of mobile apps in pharmacy should target playing a role in the provision of customized tools for clinical pharmacy education

Reflective writing in pharmacy practice

Pharmacists, being health information gurus and one of the largest groups of healthcare providers, seep into the changing dynamics of the healthcare environment where now the patient is both demanding of, and receptive to, information even on minor illnesses. The profession of pharmacy holds the concept of ‘patient centred care,’ thus shifting the image of a pharmacist from a dispenser to a decision-maker and caregiver. This places an additional burden on the pharmacist, and therefore the practice of professional principles should be more dynamic and action-oriented in the best interest of the patient. Future pharmacy practitioners need to gain better understanding of the professional principles and heterogeneous philosophies of pharmacy practice that initiate from dispensing, counselling, congenial interprofessional and intra-professional working, and later culminate in drug and patient safety, pharmacogenomics and pharmacoinformatics. In order to accomplish this, future pharmacy practitioners could be frequently acclimatized to the concept of reflective learning in different pharmacy modules. It is suggested that the concept of reflective learning could be nurtured by observational writing. The requirement of reflection-imbued observational writing generally, exposes the students to activities related to learning and makes them an insider for a transient epoch facilitating in facing the world being observed

Knowledge of the risk factors of non-communicable diseases (NCDs) among pharmacy students: findings from a Malaysian university

Non-communicable diseases (NCDs) are a global health burden that affects a broad scope of individuals worldwide. Pharmacists, as members of the multidisciplinary team, play a significant role in promoting public awareness towards potential risk factors for NCDs. This study aims to gauge the knowledge of NCDs risk factors among pharmacy students of a Malaysian public university. This paper also outlines perspectives of pharmacy students on the strategies to raise the awareness of NCDs risk factors. A descriptive cross-sectional study was conducted in the Faculty of Pharmacy, International Islamic University Malaysia. Self-administered questionnaires were pretested and validated before being distributed to pharmacy students across different years of study. The data indicated an average level of knowledge towards risk factors of NCDs among study participants with no significant differences in knowledge between male and female genders (p = 0.583). However, there is a significant difference in knowledge concerning the year of study (p < 0.001); as positive correlation can be seen between the level of education and the knowledge of NCDs risk factor. Most of the students (75%) were unaware of the planning by the Ministry of Health (MOH) to control NCDs. Reinforcement of NCDs-related education activities is imperative in order to increase the overall awareness concerning the risk factors of NCDs among future pharmacy practitioners. Further collaborations between educational institutions and the MOH were proposed to help raise awareness of NCDs risk factors among the younger population

PRN Medicines Management for Older People with Long-Term Mental Health Disorders in Home Care

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Evaluating effectiveness and safety toward electronic cigarette among Malaysian vapers: One-month observational study

Objective: Electronic cigarette (e‑cig) is recently growing substitute for smoking. The attention and practice of e‑cig among consumers is expanded globally, and Malaysia is not an exception to this, but the paucity of local data motivates us to do the current research. Methods: A total of 220 e‑cig vapers recruited for the study and divided into two categories based on smoking status as a single user and dual user. Both users observed for 1 month period to assess smoking cessation rate, adverse effects, withdrawal symptoms, and smoking‑related diseases. Results: A month follow‑up showed still 28.44% (P ≤ 0.001) of the entire study population (62 of 218, intention to treat analysis) were abstained from tobacco smoking. However, a high number of single user shown more quit rate as compared to of dual users (72.9% [51] vs. 7.4% [11]: Odds ratio 33.43; 95% confidence interval: 0.102–3.410) and merely two persons (<1%) started e‑cig by ever smokers. The key adverse effects and withdrawal symptoms that observed in dual users were coughing, breathing problems, and craving, whereas in single users high appetite cases documented; however, no cases of any diseases reported among both users during the whole study period. Conclusion: A month follow‑up showed a good smoking cessation rate among Malaysian vapers mainly in single users, whereas less number of quitters but the high reduction in tobacco cigarette consumption observed in dual users without any harmful effects. Furthermore, extended period studies are warranted to confirm its long‑term safety and effectiveness among different Malaysian population