Cargando…

Antimicrobial Stewardship Practices in a Subset of Community Pharmacies across the United States

Background: Antimicrobial stewardship in the community is essential as most antibiotic prescribing occurs in the outpatient setting. Pharmacists are recognized as co-leaders for implementing efforts to improve antimicrobial use. Objectives: the purpose of this study is to evaluate current antimicrob...

Descripción completa

Detalles Bibliográficos
Autores principales: Lee, Yuman, Bradley, Nicole
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9965000/
https://www.ncbi.nlm.nih.gov/pubmed/36827664
http://dx.doi.org/10.3390/pharmacy11010026
_version_ 1784896648499953664
author Lee, Yuman
Bradley, Nicole
author_facet Lee, Yuman
Bradley, Nicole
author_sort Lee, Yuman
collection PubMed
description Background: Antimicrobial stewardship in the community is essential as most antibiotic prescribing occurs in the outpatient setting. Pharmacists are recognized as co-leaders for implementing efforts to improve antimicrobial use. Objectives: the purpose of this study is to evaluate current antimicrobial stewardship practices in community pharmacies across the United States and identify perceptions and challenges faced by community pharmacists. Methods: a survey based on the Center of Disease Control and Prevention (CDC) Core Elements of Outpatient Antibiotic Stewardship was created and distributed. Results: Sixty-one community pharmacists participated in the survey. The majority of pharmacists practiced in chain pharmacies. Based on the responses, a minority of pharmacies met the requirements of the CDC core elements: commitment (27.9%), action (24.6%), tracking and reporting (14.8%), and education and expertise (23% for providing pharmacist resources and 9.8% for providing patient resources). Regarding perception, 67.9% felt antimicrobial stewardship is important in the community and would participate in antimicrobial stewardship activities if the opportunity was provided (88.5%). Challenges faced by community pharmacists include the lack of time, staff, training, and technology support; pushback from prescribers and patients; and the lack of leadership, financial incentives, funding, and legal requirements. Conclusions: many challenges exist in community pharmacies inhibiting the full potential of pharmacists in implementing antimicrobial stewardship.
format Online
Article
Text
id pubmed-9965000
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-99650002023-02-26 Antimicrobial Stewardship Practices in a Subset of Community Pharmacies across the United States Lee, Yuman Bradley, Nicole Pharmacy (Basel) Communication Background: Antimicrobial stewardship in the community is essential as most antibiotic prescribing occurs in the outpatient setting. Pharmacists are recognized as co-leaders for implementing efforts to improve antimicrobial use. Objectives: the purpose of this study is to evaluate current antimicrobial stewardship practices in community pharmacies across the United States and identify perceptions and challenges faced by community pharmacists. Methods: a survey based on the Center of Disease Control and Prevention (CDC) Core Elements of Outpatient Antibiotic Stewardship was created and distributed. Results: Sixty-one community pharmacists participated in the survey. The majority of pharmacists practiced in chain pharmacies. Based on the responses, a minority of pharmacies met the requirements of the CDC core elements: commitment (27.9%), action (24.6%), tracking and reporting (14.8%), and education and expertise (23% for providing pharmacist resources and 9.8% for providing patient resources). Regarding perception, 67.9% felt antimicrobial stewardship is important in the community and would participate in antimicrobial stewardship activities if the opportunity was provided (88.5%). Challenges faced by community pharmacists include the lack of time, staff, training, and technology support; pushback from prescribers and patients; and the lack of leadership, financial incentives, funding, and legal requirements. Conclusions: many challenges exist in community pharmacies inhibiting the full potential of pharmacists in implementing antimicrobial stewardship. MDPI 2023-02-02 /pmc/articles/PMC9965000/ /pubmed/36827664 http://dx.doi.org/10.3390/pharmacy11010026 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Communication
Lee, Yuman
Bradley, Nicole
Antimicrobial Stewardship Practices in a Subset of Community Pharmacies across the United States
title Antimicrobial Stewardship Practices in a Subset of Community Pharmacies across the United States
title_full Antimicrobial Stewardship Practices in a Subset of Community Pharmacies across the United States
title_fullStr Antimicrobial Stewardship Practices in a Subset of Community Pharmacies across the United States
title_full_unstemmed Antimicrobial Stewardship Practices in a Subset of Community Pharmacies across the United States
title_short Antimicrobial Stewardship Practices in a Subset of Community Pharmacies across the United States
title_sort antimicrobial stewardship practices in a subset of community pharmacies across the united states
topic Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9965000/
https://www.ncbi.nlm.nih.gov/pubmed/36827664
http://dx.doi.org/10.3390/pharmacy11010026
work_keys_str_mv AT leeyuman antimicrobialstewardshippracticesinasubsetofcommunitypharmaciesacrosstheunitedstates
AT bradleynicole antimicrobialstewardshippracticesinasubsetofcommunitypharmaciesacrosstheunitedstates