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ASSESSMENT OF COMMUNITY PHARMACISTS’ COUNSELING SKILLS ON SELLING ANTIBIOTICS IN CAN THO CITY, VIETNAM: A SIMULATED PATIENT STUDY
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Background: The wide and prolonged use and abuse of antibiotics in livestock and poultry farming, aquaculture, and farming to treat and prevent animal diseases, as well as production purposes, made microorganisms adapt to drugs, facilitate the resistance of many types of antibiotics, and decrease the effectiveness of medicines. Objective: To assess the counseling skills of community pharmacists for antibiotics by using the simulated patient approach. Methods: A cross-sectional study was conducted from June 2021 to June 2022. Data were obtained from a convenience sampling consisting of one pharmacist from each of the 24 participating community pharmacies. To evaluate the pharmacists’ counseling skills, a simulated patient role played a standardized headache case requesting self-medication. The interactions of the simulated patient with the pharmacists were audiovisually recorded using a hidden micro-camera. These recordings were analyzed using a questionnaire designed based on the guidelines of the World Health Organization on the rational and safe use of drugs. Results: 100% of pharmacy retailers sold medicines at clients’ request, 26.7% of the pharmacies and 15.8% of pharmacy counters selling antibiotics for more than 5 days. None of the visited pharmacies asked about past medical history or the history of allergic reactions. The most common advice was to change medicines/use others (n=22, 18.3%). Around 4.2% of pharmacy staff gave instructions for taking the right dose of antibiotics. No simulated patient received information on side effects. The number of pharmacists who gave instructions for the number of drugs used per day (n=40, p<0.05) and for a single dose (n=44, p<0.05) were fewer than the others. Conclusion: This study showed that the pharmacists’ counseling skills, guidance provided by the pharmacists to the patient, and training courses for community pharmacists in Vietnam should be enhanced.
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Từ khóa
Community Pharmacy Services, Professional Practice, Patient Simulation
Tài liệu tham khảo
2. Belachew, Sewunet Admasu, et al. (2021), “Non-prescription dispensing of antibiotic agents among community drug retail outlets in Sub-Saharan African countries: a systematic review and meta-analysis”, Antimicrob Resist Infect Control, 10(1).
3. Chang Jie et al. (2019), Assessment of non-prescription antibiotic dispensing at community pharmacies in China with simulated clients: a mixed cross-sectional and longitudinal study, Lancet Infect 19(12), pp. 1345-1354.
4. Do T.T. Nga et al. (2014), “Antibiotic sales in rural and urban pharmacies in northern Vietnam: an observational study”, BMC Pharmacology and Toxicology, 15(6).
5. Do Van Hao (2018). Analysing the implementation of some regulations in the medicine selling practice of pharmacies in Vinh Phuc area, Pharmacology thesis, Ha Noi University of Pharmacy.
6. Hallit, S. et al. (2020), “Practice of parents and pharmacists regarding antibiotics use in pediatrics: A 2017 cross-sectional study in Lebanese community pharmacies”, Journal of evaluation in clinical practice, 26(1), pp. 181–189.
7. Hoang Thu Thuy (2021), Actual situation of drug supply of private drug retailers and effectiveness of interventions in two rural districts of Hai Duong province, Doctor of Pharmacy thesis, Institute of Hygiene and Epidemiology center.
8. Ministry of Health (2017), Decision approving the project to strengthen the control of prescriptions and selling prescription medicines in the period from 2017 to 2020, Hanoi.
9. Nguyen Thi Phuong Thuy (2020), “Evaluating of selling antibiotics at pharmacy retailers in Vietnam by the method of performing as a customer”, Journal of Pharmacy, 60(3).
10. Pius G. Horumpende et al. (2018), “Prescription and non-prescription antibiotic dispensing practices in part I and part II pharmacies in Moshi Municipality, Kilimanjaro Region in Tanzania: A simulated clients approach”, PLoS ONE, 13(11).