在马来西亚实施基于社区的抗菌药物管理干预措施

IF 0.9 Q4 INFECTIOUS DISEASES
A. H. Mohammed, Angelina Lim, Bassam Abdul Rasool Hassan, A. Blebil, Juman Dujaili, D. Ramachandram, Hawar Sardar Hassan, Arooj Abid
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引用次数: 0

摘要

在马来西亚,抗生素的使用不受管制,药剂师对抗菌药耐药性(AMR)缺乏认识,这些都构成了重大挑战。实施以社区为基础的抗菌药物管理 (AMS) 计划对于解决 AMR 上升问题至关重要。我们根据世界卫生组织的 AMS 模块,为社区药剂师量身定制了一个为期 2 天的在线教育研讨会,作为 AMS 干预措施。我们利用研讨会前后的调查问卷对研讨会的效果进行了评估,重点是 AMS 知识和对抗菌药物使用的态度。在 528 名参加者中,有 489 人完成了这两份问卷。研讨会前,只有 59% 的人正确理解了抗生素耐药性可逆性的概念,研讨会后这一比例提高到了 85.9% ( p = .002)。AMS 知识的平均得分从干预后的 5/10 提高到了 8/10 ( p < .05)。药剂师选择适当抗生素疗法的能力也有明显提高,尤其是在治疗尿路感染时,正确率从 78% 提高到 90%。AMS 讲座广受欢迎,大大提高了社区药剂师的 AMS 知识水平。这些结果突出表明,马来西亚有必要在这一人群中开展更多的以抗菌药物治疗为重点的干预活动,从而促进抗菌药物治疗计划的正规化发展。这些举措有望提高抗生素使用意识,鼓励最佳抗生素使用方法,并积极转变社区环境中的职业行为。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Implementing a community-based antimicrobial stewardship intervention in Malaysia
In Malaysia, the unregulated use of antibiotics and lack of awareness about antimicrobial resistance (AMR) among pharmacists pose significant challenges. Implementing community-based Antimicrobial Stewardship (AMS) initiatives is crucial to address the rising AMR. We developed a bespoke AMS intervention, aligned with the World Health Organization’s AMS modules, as a 2-day online educational seminar for community pharmacists. The effectiveness of the workshop was evaluated using pre- and post-seminar questionnaires, focusing on AMS knowledge and attitudes towards antimicrobial usage. Among 528 participants, 489 completed both questionnaires. Pre-seminar, only 59% correctly understood the concept of antibiotic resistance reversibility, which improved to 85.9% post-seminar ( p = .002). The average AMS knowledge score increased from 5/10 to 8/10 post-intervention ( p < .05). A significant improvement was also noted in pharmacists’ ability to select appropriate antibiotic therapies, particularly for urinary tract infections, with an increase from 78% to 90% correct responses. The AMS seminar was well-received and significantly improved the AMS knowledge of community pharmacists. The results underline the need for more AMS-focused interventions in this demographic in Malaysia, contributing to the development of formalized AMS programs. Such initiatives are expected to enhance antibiotic use awareness, encourage optimal antibiotic practices, and positively shift professional conduct in community settings.
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来源期刊
Journal of Infection Prevention
Journal of Infection Prevention Nursing-Advanced and Specialized Nursing
CiteScore
1.70
自引率
8.30%
发文量
46
期刊介绍: Journal of Infection Prevention is the professional publication of the Infection Prevention Society. The aim of the journal is to advance the evidence base in infection prevention and control, and to provide a publishing platform for all health professionals interested in this field of practice. Journal of Infection Prevention is a bi-monthly peer-reviewed publication containing a wide range of articles: ·Original primary research studies ·Qualitative and quantitative studies ·Reviews of the evidence on various topics ·Practice development project reports ·Guidelines for practice ·Case studies ·Overviews of infectious diseases and their causative organisms ·Audit and surveillance studies/projects
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