Healthcare Providers’ knowledge, attitudes and practice in relation to drug hypersensitivity reactions at King Abdulaziz Medical City in Riyadh

IF 3 3区 医学 Q2 PHARMACOLOGY & PHARMACY
Mohammed Alrashed , Ahmed A. Alanazi , Khalid Bin Saleh , Faisal Alanazi , Ahmed S. Alanazi , Sumayyah Mashraqi , Madhawi Mahdali , Abdullah Alshammari , Mohammed A Alnuhait , Mohammed Alzahrani , Tariq Alqahtani
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Abstract

Background

Drug hypersensitivity reactions (DHRs) are immune-mediated responses triggered by exposure to a drug. DHRs are responsible for serious adverse drug reactions (ADRs) and are considered the fifth leading cause of death. This study aims to assess and evaluate the knowledge, practice, and attitudes of healthcare providers (HCPs) towards DHRs.

Methods

A cross-sectional survey was conducted at King Abdulaziz Medical City (KAMC) in Riyadh, Saudi Arabia. Healthcare providers, including pharmacists, physicians, and nurses, were recruited using a convenience sampling method to complete the survey. The survey comprised three domains: knowledge (14 items), attitudes (5 items), and practices (6 items), utilizing a standardized self-administered questionnaire.

Results

The survey was completed by 373 healthcare providers. The respondents were predominantly female (72.1 %) with a mean age of 33.8 ± 7.8 years. Of the respondents, 64 % were nurses, 25 % pharmacists, and 11.3 % physicians. Educational levels varied, with 53 % holding a bachelor's degree, 22 % an associate degree, and 25 % a master's degree or higher. The median knowledge score was 48. Female healthcare providers, those with advanced levels of education, and physicians had higher knowledge scores compared to male and nurse participants (p < 0.05). One-third of the respondents (33 %) were satisfied with their knowledge of DHRs, and 42 % believed HCPs should receive more advanced training in DHR management. Less than a quarter of HCPs reported inquiring about patients' histories of hypersensitivity reactions.

Conclusions

The study revealed that healthcare workers had a relatively low level of knowledge about drug hypersensitivity reactions and lacked a consensus on DHR management. While displaying a positive attitude towards DHRs, they often did not translate this attitude into consistent clinical practice.

利雅得阿卜杜勒阿齐兹国王医疗城医护人员对药物过敏反应的认识、态度和做法
背景药物超敏反应(DHRs)是由接触药物引发的免疫介导反应。药物超敏反应是严重药物不良反应(ADRs)的罪魁祸首,被认为是导致死亡的第五大原因。本研究旨在评估医疗服务提供者(HCPs)对 DHRs 的认识、实践和态度。方法 在沙特阿拉伯利雅得的阿卜杜勒阿齐兹国王医疗城(KAMC)进行了一项横断面调查。采用方便抽样的方法招募了包括药剂师、医生和护士在内的医疗服务提供者来完成调查。调查包括三个方面:知识(14 个项目)、态度(5 个项目)和实践(6 个项目),采用的是标准化的自填式问卷。受访者以女性为主(72.1%),平均年龄(33.8 ± 7.8)岁。受访者中,护士占 64%,药剂师占 25%,医生占 11.3%。受访者的教育水平参差不齐,53%的人拥有学士学位,22%的人拥有副学士学位,25%的人拥有硕士或以上学位。知识得分中位数为 48 分。与男性和护士相比,女性医疗保健提供者、受过高等教育者和医生的知识得分更高(p < 0.05)。三分之一的受访者(33%)对自己掌握的危险健康分类知识表示满意,42%的受访者认为医疗保健人员应接受更多危险健康分类管理方面的高级培训。研究显示,医护人员对药物超敏反应的了解程度相对较低,对药物超敏反应的处理缺乏共识。虽然他们对药物过敏反应表现出积极的态度,但往往没有将这种态度转化为一致的临床实践。
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来源期刊
Saudi Pharmaceutical Journal
Saudi Pharmaceutical Journal PHARMACOLOGY & PHARMACY-
CiteScore
6.10
自引率
2.40%
发文量
194
审稿时长
67 days
期刊介绍: The Saudi Pharmaceutical Journal (SPJ) is the official journal of the Saudi Pharmaceutical Society (SPS) publishing high quality clinically oriented submissions which encompass the various disciplines of pharmaceutical sciences and related subjects. SPJ publishes 8 issues per year by the Saudi Pharmaceutical Society, with the cooperation of the College of Pharmacy, King Saud University.
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