Effect of Community Pharmacist’s Counseling to Reduce Inappropriate Antibiotics Use for Patients with Upper Respiratory Tract Infection
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Abstract
Objective: To evaluate the outcomes of pharmacist’s counseling in patients with viral associated upper respiratory tract infection (URI) in the community pharmacy. Methods: This research was a prospective one-group study collecting the data from the clients receiving the services at Chiang Mai University Pharmacy during March to December 2012 with the diagnosis of URI with no need antibiotic treatment. The researcher employed the McIsaac score to evaluate disease severity and need of antibiotic treatment. The primary outcome was the proportion of patients who accepted treatment with no antibiotics after receiving the counseling about the disease, medications, self-care, and rational use of antibiotics by a pharmacist. Flip chart and brochure were used as assisted media. The patients choosing not to use antibiotics were follow up by phone 5 days after intervention. Results: Among 380 patients, 58.9% were female with an average age of 36.9 years. The patients had the symptoms for 2.3 days on average prior to visiting the pharmacy. Sore throat was the most common symptom among subjects (87.9%). The patients had the McIsaac score ranging from 0-3 with the average of 1.2 ± 0.9. There were 240 (63.2%) patients asking for antibiotics but 184 patients accepted advice not to use antibiotics after counseling with pharmacist. Therefore, the total of 324 patients (85.3%) did not use the antibiotics. Only 21.7% of patients with no antibiotics treatment were able to reach during the follow up. However, most of them were cured within approximately 3.2 ± 1.5 days after receiving treatment. Conclusion: Counseling by the pharmacist in the community pharmacy is one of the method to rational antibiotic use which could lead to reduce the problem on bacterial resistance and expenditure for unnecessary treatment in the part of patients.
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ผลการวิจัยและความคิดเห็นที่ปรากฏในบทความถือเป็นความคิดเห็นและอยู่ในความรับผิดชอบของผู้นิพนธ์ มิใช่ความเห็นหรือความรับผิดชอบของกองบรรณาธิการ หรือคณะเภสัชศาสตร์ มหาวิทยาลัยสงขลานครินทร์ ทั้งนี้ไม่รวมความผิดพลาดอันเกิดจากการพิมพ์ บทความที่ได้รับการเผยแพร่โดยวารสารเภสัชกรรมไทยถือเป็นสิทธิ์ของวารสารฯ
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