Nationwide survey of Pharmacist’s involvement in antimicrobial stewardship program in Nigerian Tertiary Hospitals

Objectives To evaluate the participation and the barriers to hospital pharmacists’ participation in antimicrobial stewardship program (ASP) in Nigerian tertiary hospitals. Methods A cross sectional nationwide online survey was conducted over six weeks period between May and June 2019. Invitatio...

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Main Authors: Abubakar, Usman, Tangiisuran, Balamurugan
Format: Article
Language:English
English
Published: Elsevier Ltd 2019
Subjects:
Online Access:http://irep.iium.edu.my/78583/
http://irep.iium.edu.my/78583/1/78583_Nationwide%20survey%20of%20Pharmacist%E2%80%99s%20involvement_article
http://irep.iium.edu.my/78583/2/78583_Nationwide%20survey%20of%20pharmacists_Scopus.pdf
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author Abubakar, Usman
Tangiisuran, Balamurugan
author_facet Abubakar, Usman
Tangiisuran, Balamurugan
author_sort Abubakar, Usman
building IIUM Repository
collection Online Access
description Objectives To evaluate the participation and the barriers to hospital pharmacists’ participation in antimicrobial stewardship program (ASP) in Nigerian tertiary hospitals. Methods A cross sectional nationwide online survey was conducted over six weeks period between May and June 2019. Invitation was sent to all the Heads of Pharmacy department or pharmacist in charge of the Infectious Disease (ID) or antimicrobial pharmacist. A validated questionnaire consisting of 24-item were used for data collection. Results Forty five hospitals were invited and 37 completed the survey (response rate: 82.2%). Only 5 (13.5%) hospitals had a formal antimicrobial stewardship (AMS) team with each of them having pharmacist representation. Regardless of the existence of AMS team, most hospital pharmacists executed AMS strategy including evaluating the appropriateness of antimicrobial prescriptions (54.1%) and monitoring antimicrobial consumption (48.6%). The most common barriers to pharmacists’ involvement in ASP were lack of education and training in AMS and ID (51.4%), lack of pharmacists with ID specialization (40.5%) and lack of support from hospital administrators (37.8%). Majority of the respondents recommended training in AMS and ID (100%), participation in ward rounds (89.2%) and employment of more pharmacists (73%) as strategies to improve pharmacist’s participation in ASP. Conclusions Hospital pharmacists are actively involved in AMS activities despite the lack of established AMS team in most tertiary hospitals. However, lack of training and personnel are major barrier to their involvement in ASP.
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spelling iium-785832020-07-08T08:18:13Z http://irep.iium.edu.my/78583/ Nationwide survey of Pharmacist’s involvement in antimicrobial stewardship program in Nigerian Tertiary Hospitals Abubakar, Usman Tangiisuran, Balamurugan RM Therapeutics. Pharmacology Objectives To evaluate the participation and the barriers to hospital pharmacists’ participation in antimicrobial stewardship program (ASP) in Nigerian tertiary hospitals. Methods A cross sectional nationwide online survey was conducted over six weeks period between May and June 2019. Invitation was sent to all the Heads of Pharmacy department or pharmacist in charge of the Infectious Disease (ID) or antimicrobial pharmacist. A validated questionnaire consisting of 24-item were used for data collection. Results Forty five hospitals were invited and 37 completed the survey (response rate: 82.2%). Only 5 (13.5%) hospitals had a formal antimicrobial stewardship (AMS) team with each of them having pharmacist representation. Regardless of the existence of AMS team, most hospital pharmacists executed AMS strategy including evaluating the appropriateness of antimicrobial prescriptions (54.1%) and monitoring antimicrobial consumption (48.6%). The most common barriers to pharmacists’ involvement in ASP were lack of education and training in AMS and ID (51.4%), lack of pharmacists with ID specialization (40.5%) and lack of support from hospital administrators (37.8%). Majority of the respondents recommended training in AMS and ID (100%), participation in ward rounds (89.2%) and employment of more pharmacists (73%) as strategies to improve pharmacist’s participation in ASP. Conclusions Hospital pharmacists are actively involved in AMS activities despite the lack of established AMS team in most tertiary hospitals. However, lack of training and personnel are major barrier to their involvement in ASP. Elsevier Ltd 2019 Article PeerReviewed application/pdf en http://irep.iium.edu.my/78583/1/78583_Nationwide%20survey%20of%20Pharmacist%E2%80%99s%20involvement_article application/pdf en http://irep.iium.edu.my/78583/2/78583_Nationwide%20survey%20of%20pharmacists_Scopus.pdf Abubakar, Usman and Tangiisuran, Balamurugan (2019) Nationwide survey of Pharmacist’s involvement in antimicrobial stewardship program in Nigerian Tertiary Hospitals. Journal of Global Antimicrobial Resistance. (In Press) 10.1016/j.jgar.2019.10.007
spellingShingle RM Therapeutics. Pharmacology
Abubakar, Usman
Tangiisuran, Balamurugan
Nationwide survey of Pharmacist’s involvement in antimicrobial stewardship program in Nigerian Tertiary Hospitals
title Nationwide survey of Pharmacist’s involvement in antimicrobial stewardship program in Nigerian Tertiary Hospitals
title_full Nationwide survey of Pharmacist’s involvement in antimicrobial stewardship program in Nigerian Tertiary Hospitals
title_fullStr Nationwide survey of Pharmacist’s involvement in antimicrobial stewardship program in Nigerian Tertiary Hospitals
title_full_unstemmed Nationwide survey of Pharmacist’s involvement in antimicrobial stewardship program in Nigerian Tertiary Hospitals
title_short Nationwide survey of Pharmacist’s involvement in antimicrobial stewardship program in Nigerian Tertiary Hospitals
title_sort nationwide survey of pharmacist’s involvement in antimicrobial stewardship program in nigerian tertiary hospitals
topic RM Therapeutics. Pharmacology
url http://irep.iium.edu.my/78583/
http://irep.iium.edu.my/78583/
http://irep.iium.edu.my/78583/1/78583_Nationwide%20survey%20of%20Pharmacist%E2%80%99s%20involvement_article
http://irep.iium.edu.my/78583/2/78583_Nationwide%20survey%20of%20pharmacists_Scopus.pdf