Who is asking? Requests for antimicrobial prescribing advice received by hospital pharmacists

IF 1 Q4 PHARMACOLOGY & PHARMACY Journal of Pharmacy Practice and Research Pub Date : 2022-11-05 DOI:10.1002/jppr.1841
Sarah Wise LLB, MSc, PhD, Eloise Smith BMedSc(Hons), Lilibeth Carlos BPharm, Matthew Coleshill BSc(Hons), PhD, Richard Osborne Day MBBS(Hons), MD, FRACP, Terry Melocco BPharm, Jane Ellen Carland BMedSc(Hons), PhD
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Abstract

Doctors are perceived as the primary decision makers in antimicrobial therapy, but prescribing decisions are influenced by the multidisciplinary team. Antimicrobial stewardship (AMS) programs formalise interprofessional advice-giving. No studies capture the advice provided by pharmacists. This study aimed to describe the volume and nature of antimicrobial prescribing advice that healthcare professionals seek from hospital pharmacists. A prospective audit of antimicrobial-related advice requests received by pharmacists (n = 18) at an Australian public hospital was undertaken in July 2020. Antimicrobial advice was sought from 11 pharmacists on 300 occasions. Most requests (80%) were received by the AMS pharmacist. A mean (range) of 30 (17–40) requests per day was recorded and the AMS pharmacist received 24 (16–31) requests daily. Most requests came from the intensive care unit (22.1%), pharmacy (21.4%), and infectious diseases (17.1%). The AMS pharmacist was mostly contacted by consultants and pharmacists, and other pharmacists were contacted by registrars and junior medical officers. Despite COVID-19 adaptations, face-to-face interaction was most common. This audit demonstrates the value of an AMS pharmacist, and indicates the importance of face-to-face interactions and the formalisation of pharmacists' role in prescribing decision-making. Pharmacists provided antimicrobial advice daily to other healthcare professionals. Further research is required to provide insights into the barriers and enablers to effective advice-giving interactions.

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谁在问?医院药剂师要求提供抗菌药物处方建议
医生被认为是抗菌治疗的主要决策者,但处方决策受到多学科团队的影响。抗菌药物管理(AMS)计划使跨专业的建议正式化。没有任何研究能够获得药剂师提供的建议。本研究旨在描述医疗保健专业人员向医院药剂师寻求的抗菌药物处方建议的数量和性质。2020年7月,对澳大利亚一家公立医院的药剂师(n=18)收到的抗菌药物相关咨询请求进行了前瞻性审计。共有300次向11名药剂师寻求抗菌建议。大多数请求(80%)由AMS药剂师收到。记录了平均每天30(17-40)个请求,AMS药剂师每天收到24(16-31)个请求。大多数请求来自重症监护室(22.1%)、药房(21.4%)和传染病(17.1%)。AMS药剂师主要由顾问和药剂师联系,其他药剂师由注册医生和初级医务人员联系。尽管新冠肺炎适应了新冠肺炎,但面对面的互动最为常见。本次审计证明了AMS药剂师的价值,并表明了面对面互动的重要性,以及药剂师在处方决策中作用的正式化。药剂师每天为其他医疗保健专业人员提供抗菌建议。需要进一步的研究来深入了解有效的咨询互动的障碍和促成因素。
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来源期刊
Journal of Pharmacy Practice and Research
Journal of Pharmacy Practice and Research Health Professions-Pharmacy
CiteScore
1.60
自引率
9.50%
发文量
68
期刊介绍: The purpose of this document is to describe the structure, function and operations of the Journal of Pharmacy Practice and Research, the official journal of the Society of Hospital Pharmacists of Australia (SHPA). It is owned, published by and copyrighted to SHPA. However, the Journal is to some extent unique within SHPA in that it ‘…has complete editorial freedom in terms of content and is not under the direction of the Society or its Council in such matters…’. This statement, originally based on a Role Statement for the Editor-in-Chief 1993, is also based on the definition of ‘editorial independence’ from the World Association of Medical Editors and adopted by the International Committee of Medical Journal Editors.
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