Candace Bishop1, Zeeshan Yacoob2, Mary Jo Knobloch3, Nasia Safdar4. 1. University of Wisconsin - School of Pharmacy and School of Medicine and Public Health, 750 Highland Avenue, Madison, WI, 53726, USA. Electronic address: Csbishop2@wisc.edu. 2. University of Wisconsin - School of Medicine and Public Health, 750 Highland Avenue, Madison, WI, 53726, USA. Electronic address: yacoob@wisc.edu. 3. William S. Middleton Memorial Veterans Hospital and University of Wisconsin - School of Medicine and Public Health, Department of Medicine, Infectious Disease, 1685 Highland Avenue, Madison, WI, 53792, USA. Electronic address: mjknoblo@medicine.wisc.edu. 4. William S. Middleton Memorial Veterans Hospital and University of Wisconsin - School of Medicine and Public Health, Department of Medicine, Infectious Disease, 1685 Highland Avenue, Madison, WI, 53792, USA. Electronic address: ns2@medicine.wisc.edu.
Abstract
BACKGROUND: Antibiotic resistance is one of the world's most pressing public health problems, resulting in over 23,000 deaths per year. One of the main contributing factors to antimicrobial resistance is antibiotic misuse and overuse. Community pharmacists can play a role in reducing antibiotic resistance, since they are one of the most accessible healthcare professionals. OBJECTIVE: The purpose of this paper is to describe community pharmacy interventions and strategies to reduce antibiotic misuse and overuse and to discuss the implications for pharmacy training. METHODS: A narrative overview strategy was employed to identify papers on antibiotic stewardship and the role of the community pharmacist. Our review examined potential stewardship strategies and interventions within community pharmacy practice that provide opportunities for pharmacists to engage or lead in the reduction of antimicrobial resistance. RESULTS: We describe five promising community pharmacist-led intervention strategies: Collaborative Practice Agreements (CPAs), point-of-care (POC) testing, patient consultations, academic detailing and serving as an advocate for patients and other healthcare providers CONCLUSIONS: This review highlights topics that may warrant increased attention in pharmacy school curricula. Pharmacy schools may want to consider modifying their curricula to address the shifts in practice of the community pharmacist - emphasizing the expanded role of the pharmacist in patient care and public health issues such as outpatient antibiotic stewardship. Published by Elsevier Inc.
BACKGROUND: Antibiotic resistance is one of the world's most pressing public health problems, resulting in over 23,000 deaths per year. One of the main contributing factors to antimicrobial resistance is antibiotic misuse and overuse. Community pharmacists can play a role in reducing antibiotic resistance, since they are one of the most accessible healthcare professionals. OBJECTIVE: The purpose of this paper is to describe community pharmacy interventions and strategies to reduce antibiotic misuse and overuse and to discuss the implications for pharmacy training. METHODS: A narrative overview strategy was employed to identify papers on antibiotic stewardship and the role of the community pharmacist. Our review examined potential stewardship strategies and interventions within community pharmacy practice that provide opportunities for pharmacists to engage or lead in the reduction of antimicrobial resistance. RESULTS: We describe five promising community pharmacist-led intervention strategies: Collaborative Practice Agreements (CPAs), point-of-care (POC) testing, patient consultations, academic detailing and serving as an advocate for patients and other healthcare providers CONCLUSIONS: This review highlights topics that may warrant increased attention in pharmacy school curricula. Pharmacy schools may want to consider modifying their curricula to address the shifts in practice of the community pharmacist - emphasizing the expanded role of the pharmacist in patient care and public health issues such as outpatient antibiotic stewardship. Published by Elsevier Inc.
Authors: Rosalie Allison; Sarah Chapman; Philip Howard; Tracey Thornley; Diane Ashiru-Oredope; Sue Walker; Leah F Jones; Cliodna A M McNulty Journal: JAC Antimicrob Resist Date: 2020-10-29
Authors: Julie Hui-Chih Wu; Fatima Khalid; Bradley J Langford; Nathan P Beahm; Mark McIntyre; Kevin L Schwartz; Gary Garber; Valerie Leung Journal: Can Pharm J (Ott) Date: 2021-04-08
Authors: Nga T T Do; Huong T L Vu; Chuc T K Nguyen; Sureeporn Punpuing; Wasif Ali Khan; Margaret Gyapong; Kwaku Poku Asante; Khatia Munguambe; F Xavier Gómez-Olivé; Johannes John-Langba; Toan K Tran; Malee Sunpuwan; Esperanca Sevene; Hanh H Nguyen; Phuc D Ho; Mohammad Abdul Matin; Sabeena Ahmed; Mohammad Mahbubul Karim; Olga Cambaco; Samuel Afari-Asiedu; Ellen Boamah-Kaali; Martha Ali Abdulai; John Williams; Sabina Asiamah; Georgina Amankwah; Mary Pomaa Agyekum; Fezile Wagner; Proochista Ariana; Betuel Sigauque; Stephen Tollman; H Rogier van Doorn; Osman Sankoh; John Kinsman; Heiman F L Wertheim Journal: Lancet Glob Health Date: 2021-03-10 Impact factor: 26.763