药剂师和肾上腺素自动注射器：评估和优化实践

IF 0.3 4区医学

Revue Francaise d Allergologie Pub Date : 2025-03-20 DOI:10.1016/j.reval.2025.104540

S. Jégu , C. Rochefort-Morel , B. Le Daré , M. Mercerolle , G. Pouessel , E. Renard

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引用次数: 0

摘要

研究目的肾上腺素自动注射器（AAIs）是社区实践中治疗过敏反应的一线急救手段。社区药剂师在确保患者正确使用这些治疗方面发挥着至关重要的作用。本研究的目的是评估药房在分配AAIs时提供给患者的信息。患者和方法于23年10月26日至23年11月30日，通过地区药剂师委员会将一份在谷歌Forms®上制作的18项问卷以电子方式发送给布列塔尼（法国）的956家药店，其中包括提醒。结果共有105名（11%）药师参与问卷调查，其中33名（31.4%）药师了解如何使用法国现有的所有4种AAIs。只有11名（10.5%）药剂师提到了所有证明使用AAI合理的症状，27名（26%）药剂师报告在配药时系统地提供了解释。在提供信息时，96名（91%）药剂师明确指出应在大腿前外侧注射，43名（41%）药剂师提到推荐的注射时间。90名（86%）药剂师向患者解释室温下的储存说明。最后，66名（63%）药剂师报告难以获得AAI供应。结论可优化社区药师在AAIs调剂过程中提供的信息质量。动手设备研讨会和模拟是药剂师初始和/或继续教育的潜在改进领域。

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Pharmaciens et auto-injecteurs d’adrénaline : évaluation et optimisation des pratiques

Aim of the study

Adrenaline auto-injectors (AAIs) are the first-line emergency treatment for anaphylactic reactions in community practice. Community pharmacists play a crucial role in ensuring the proper use of these treatments by patients. The aim of this study is to evaluate the information provided to patients during the dispensing of AAIs in pharmacies.

Patients and methods

An 18-item questionnaire created on Google Forms® was sent to 956 pharmacies in Brittany (France) electronically via the Regional Council of Pharmacists from 26/10/23 to 30/11/23, including a reminder.

Results

A total of 105 (11%) pharmacists responded to the questionnaire, and 33 (31.4%) reported knowing how to use all four AAIs available in France. Only 11 (10.5%) pharmacists mentioned all the symptoms that justify the administration of an AAI, and 27 (26%) reported systematically providing explanations when dispensing. When information is provided, 96 (91%) pharmacists specify that the injection should be administered in the anterolateral thigh, and 43 (41%) mention the recommended injection duration. Storage instructions at room temperature are explained to patients by 90 (86%) pharmacists. Finally, 66 (63%) pharmacists reported difficulties in obtaining AAI supplies.

Conclusion

The quality of information provided by community pharmacists during the dispensing of AAIs could be optimized. Hands-on device workshops and simulations are potential areas for improvement in pharmacists’ initial and/or continuing education.

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来源期刊

Revue Francaise d Allergologie Medicine-Immunology and Allergy

自引率

33.30%

发文量

349

期刊介绍： La Revue Française d''Allergologie : un véritable forum pour faire connaître des travaux originaux et permettre la diffusion de l''information auprès de toutes les spécialités concernées par les pathologies allergiques. La Revue Française d''Allergologie (8 numéros par an) est au carrefour de nombreuses spécialités - dermatologie, pédiatrie, ORL, pneumologie, ophtalmologie, médecine interne - qui, toutes, ont à traiter des maladies allergiques. Les symptômes des allergies fondés sur des mécanismes communs sont le plus souvent associés et se succèdent chez un même patient. En forte progression depuis 20 ans, les maladies allergiques sont dans l''attente de perfectionnements et d''avancées thérapeutiques qui permettront aux nombreux patients qui en sont atteints de mieux vivre avec leurs allergies. La Revue Française d''Allergologie se veut donc un véritable forum de discussions et d''échanges entre tous les spécialistes confrontés aux pathologies