Community Pharmacists’ role in Optimising Antibiotic Use: The HAPPY PATIENT Project to Improve Dispensing Practices in Five EU Countries
Research in Social and Administrative Pharmacy,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 1, 2025
Community
pharmacies
can
play
a
pivotal
role
in
optimising
the
use
of
antibiotics
through
their
dispensing
practice.
To
evaluate
impact
multifaceted
intervention
on
community
pharmacies'
quality
antibiotic
dispensing.
A
prospective
before-after
study
conducted
according
to
Audit
Project
Odense
methodology
France,
Greece,
Lithuania,
Poland,
and
Spain.
Pharmacy
staff
audited
practices
self-registry
form
before
after
intervention,
comprising
feedback
participants
practice,
communication
training,
providing
educational
materials
for
patients.
Dispensing
all
oral
five
days
February
2022
interventions
2023
was
registered.
Data
were
analysed
by
country
overall
using
ten
indicators,
with
Chi-square
tests
Students'
t-tests
applied.
total
91
pharmacists
registered
5.054
dispenses.
There
an
18
%
(p
<
0.001)
improvement
mean
number
safety
checks
performed
17
reduction
dispenses
which
no
intervention.
Pharmacists
provided
more
advice
patients
reduced
35
=
0.006).
This
came
44
increase
inappropriate
that
provided.
Large
differences
between
countries
observed.
For
performing
checks,
13
0.004)
worsening
seen
Greece
72
(p=<0.001)
In
treatment
duration
dose
discussed
97
98
at
baseline,
respectively,
without
improvements
Spain,
this
66
51
significantly
improving
80
64
Quality
increased
significantly,
indicating
is
promising
strategy
improve
use,
especially
lower
practice
standards.
Язык: Английский
Duration of antibiotic treatment for respiratory tract infections in primary care
JAC-Antimicrobial Resistance,
Год журнала:
2024,
Номер
7(1)
Опубликована: Дек. 26, 2024
Abstract
Objectives
The
primary
driver
of
antimicrobial
resistance
is
excessive
antibiotic
use,
posing
a
global
threat
to
public
health.
Reducing
individual
exposure
antibiotics
key
addressing
the
problem.
This
study
aimed
assess
duration
courses
administered
patients
with
acute
respiratory
tract
infections
(RTIs)
in
care.
Methods
Consecutive
presenting
RTI
symptoms
were
prospectively
included
from
general
practices
and
out-of-hours
services
France,
Greece,
Lithuania,
Poland
Spain
for
two
winter
periods
(February
April
2022
2023).
Data
collected
using
paper-based
Audit
Project
Odense
template,
clinicians
recording
patient
age,
gender,
diagnosis,
type
prescribed
treatment
duration.
Results
A
total
196
doctors
(133
practice
63
services)
registered
11
270
cases,
34.0%
(3835)
receiving
antibiotics.
mean
course
was
7.52
days
(SD
2.11),
which
significantly
longer
pneumonia,
COVID-19
infection
pharyngotonsillitis
(8.01,
8.00
7.74
days,
respectively),
lowest
predominantly
viral
infections,
such
as
common
cold
flu
infection,
laryngitis
bronchitis
(6.32,
6.48
6.98
respectively;
P
<
0.001).
26.7%
10
or
longer.
Conclusions
Antibiotic
RTIs
are
often
prolonged,
does
not
align
current
recommendations
Antibiotics
should
be
avoided
cases
most
mixed
infections;
however,
if
deemed
necessary,
substantially
reduced
minimize
unnecessary
exposure.
Язык: Английский