Assessment of Community Pharmacists’ Knowledge, Perception and Practice Regarding Antimicrobial Stewardship in Ebonyi State, Southeastern Nigeria
DOI:
https://doi.org/10.4314/ajbr.v27i1.8Keywords:
Antimicrobial Stewardship, Community Pharmacists, Knowledge, Perception, PracticeAbstract
Antimicrobial stewardship (AMS) is vital for promoting the appropriate use of antimicrobials. This study evaluated the knowledge, perception, and practice of community pharmacists regarding AMS in a Nigerian state. The cross-sectional study was conducted among community pharmacists using a 33-item structured questionnaire. Data collected were analyzed using the IBM SPSS Version 25.0, with significance level set as P < 0.05. Out of 79 distributed questionnaires, 70 were completed (participation rate: 88.6%). Majority of the respondents were males (n = 48, 68.6%), aged 26 – 45 years (n = 51, 72.9%), and had ≤ 10 years of community pharmacy experience (n = 54, 77.1%). Overall, more than half of the respondents possessed good AMS knowledge (n = 51, 72.9%), while approximately half had a positive perception (n = 38, 54.3%) and practiced AMS effectively (n = 36, 51.4%). Male pharmacists showed higher awareness of AMS compared to females (89.6% vs. 63.6%; ꭓ2 = 6.716, p = 0.010). Respondents who were Fellows of the West African Postgraduate College of Pharmacists (FPCPharm) had better AMS knowledge (100.0% vs. 67.8%; ꭓ2 = 4.862, p = 0.027) and a more positive perception (81.8% vs. 49.2%; ꭓ2 = 3.986, p = 0.046). While community pharmacists displayed good AMS knowledge, their perception and practice were average. Participation in the West African Postgraduate College of Pharmacists programme was associated with improved knowledge and perception of AMS. Strengthening inter-professional collaborations can optimize health outcomes. Enhancing antibiotic stewardship among Nigerian community pharmacists is imperative.
References
Abubakar U., Tangiisuran B. (2020): Knowledge and practices of community pharmacists towards non-prescription dispensing of antibiotics in Northern Nigeria. Int J Clin Pharm. 42(2): 756-764.
Abubakar U. (2020): Practices and perception of Nigerian community pharmacists towards antimicrobial stewardship program. Int J Pharm Pharm Sci. 12(4): 37-42.
Akpan R.M., Udoh E.I., Akpan S.E., Ozuluoha C.C. (2021): Community pharmacists’ management of self-limiting infections: a simulation study in Akwa Ibom State, South-South Nigeria. Afr Health Sci. 21(2): 576-584.
Al-Omari A., Al Mutair A., Alhumaid S., Salih S., Alanazi A., Albarsan H., Al Subaie M. (2020): The impact of antimicrobial stewardship program implementation at four tertiary private hospitals: results of a five-years pre-post analysis. Antimicrob Resist Infect Control. 9: 95.
Egwuenu A., Obasanya J., Okeke I., Aboderin O., Olayinka A., Kwange D., Ogunniyi A., Mbadiwe E., Omoniyei L., Omotayo H., Niyang M., Abba F., Kudia F., AMR-TWG, Ihekweazu C. (2018): Antimicrobial use and resistance in Nigeria: situation analysis and recommendations, 2017. Pan Afr Med J Conf Proceedings. 2(8): 2.
Ekpenyong A., Udoh A., Kpokiri E., Bates I. (2018): An analysis of pharmacy workforce capacity in Nigeria. J Pharm Policy Pract. 11: 20.
Feng Z., Hayat K., Huang Z., Shi L., Li P., Xiang C., Gong Y., Chang J., Jiang M., Yang C., Zhao M., Ji W., Fang Y. (2020): Knowledge, attitude, and practices of community pharmacy staff toward antimicrobial stewardship programs: a cross-sectional study from Northeastern China. Expert Rev Anti Infect Ther. 19(4): 529-536.
Gajdács M., Albericio F. (2019): Antibiotic resistance: from the bench to patients. Antibiotics (Basel). 8(3): 129.
Isabel N.A., Joshua O.I., Efe A.E. (2021): Antibiotics in the hands of community pharmacists: a prospective avenue for community based antimicrobial stewardship initiative. Afr J Health Saf Environ. 2(2): 63-70.
Mudenda S., Hankombo M., Saleem Z, Sadiq M.J., Banda M., Munkombwe D., Mwila C., Kasanga M., Zulu A.C., Hangoma J.M., Mufwambi W., Muungo L.T., Kampamba R.M., Bambala A.M., Abdulrahman N.M., Akram M., Hikaambo C.N., Muma J.B. (2021): Knowledge, attitude, and practices of community pharmacists on antibiotic resistance and antimicrobial stewardship in Lusaka, Zambia. J Biomed Res Environ Sci. 2(10): 1005-1014.
Padiyara P., Inoue H., Sprenger M. (2018): Global governance mechanisms to address antimicrobial resistance. Infect Dis (Auckl). 11: 1178633718767887.
Pallares C., Hernández-Gómez C., Appel T.M., Escandón K., Reyes S., Salcedo S., Matta L., Martínez E., Cobo S., Mora L., Marín A., Correa A., De La Cadena E., Rodríguez-Baño J., Villegas M.V. (2022): Impact of antimicrobial stewardship programs on antibiotic consumption and antimicrobial resistance in four Colombian healthcare institutions. BMC Infect Dis. 22: 420.
Peragine C., Walker S.A.N., Simor A., Walker S.E., Kiss A., Leis J.A. (2019): Impact of a comprehensive antimicrobial stewardship program on institutional burden of antimicrobial resistance: a 14-year controlled interrupted time-series study. Clin Infect Dis. 71(11): 2897-2904.
Pharmacy Council of Nigeria (PCN). (2023): Available from: http://www.pcn.gov.ng (accessed 13 August, 2023).
Rizvi T., Thompson A., Williams M., Zaidi S.T.R. (2018): Perceptions and current practices of community pharmacists regarding antimicrobial stewardship in Tasmania. Int J Clin Pharm. 40(5): 1380-1387.
Saha S.K., Barton C., Promite S., Mazza D. (2019): Knowledge, perceptions and practices of community pharmacists towards antimicrobial stewardship: a systematic scoping review. Antibiotics (Basel). 8(4): 263.
Sakeena M.H.F., Bennett A.A., McLachlan A.J. (2018): Non-prescription sales of antimicrobial agents at community pharmacies in developing countries: a systematic review. Int J Antimicrob Agents. 52(6): 771-782.
Sarwar M.R., Saqib A., Iftikhar S., Sadiq T. (2018): Knowledge of community pharmacists about antibiotics, and their perceptions and practices regarding antimicrobial stewardship: a cross-sectional study in Punjab, Pakistan. Infect Drug Resist. 11: 133-145.
Ugwu M.C., Demola O.T., Ugwu C.B., Ejikeugwu C.P. (2023): Perceptions and Practices of Antimicrobial Stewardship among Community Pharmacists in Abuja, Nigeria. Arch Clin Microbiol. 14(1): 226.
World Health Organization (WHO). (2019): Antimicrobial stewardship programmes in health-care facilities in low- and middle-income countries: A WHO practical toolkit. Available from: https://apps.who.int/iris/bitstream/handle/10665/329404/9789241515481-eng.pdf (accessed 13 August, 2023).
World Health Organization (WHO). (2021 a): Experts caution Nigerians against indiscriminate use of antibiotics to reduce future health crisis. WHO | Regional Office for Africa. Published 2021. Available from: https://www.afro.who.int/news/experts-caution-nigerians-against-indiscriminate-use-antibiotics-reduce-future-health-crisis (accessed 13 August, 2023).
World Health Organization (WHO.) (2021b): Global Antimicrobial Resistance and Use Surveillance System (GLASS) Report 2021. Available from: https://www.who.int/publications/i/item/9789240027336 (accessed 13 August, 2023).
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