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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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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 |
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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 |
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