Knowledge, attitude, and perceived barrier of pharmacy professionals in antimicrobial stewardship in central hospitals of Kathmandu, Nepal

Registration ID: IJNRD_216204

Published ID: IJNRD2403539

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Yagya Raj Badu

Antimicrobial stewardship; Pharmacy professionals; Central hospitals; Nepal

Introduction: Antimicrobial stewardship (AMS) has been defined as “the optimal selection, dosage, and duration of antimicrobial treatment that results in the best clinical outcome for the treatment or prevention of infection, with minimal toxicity to the patient and minimal impact on subsequent resistance. Antimicrobial resistance (AMR) is an extremely complicated global health challenge. Our responsibility in human health care becomes even more important as the development and discovery of newer antimicrobial agents (AMA) and newer classes of AMA is rapidly depleting, despite the reality that their use and abuse are on the emergence all over the world. Objectives: To evaluate the knowledge, attitudes and perceived barrier of pharmacy professionals in antimicrobial stewardship in the central hospitals of Kathmandu. Methodology: A descriptive cross-sectional study was conducted in 151 pharmacy professionals working in the allopathic hospital. All the central level hospital pharmacies were included in the study. A validate questionnaire were used to estimate knowledge, attitudes and perceived barrier of pharmacy professionals. Data were entered in excel and transferred in SPSS for analysis. Results: A total of 151 questionnaires were distributed, and all the questionnaires were retrieved producing 100% response rate among which 61.6 %( 93) males and 38.4 %( 58) females participated in this study. The participants respond that they had 60%.9(92) DTC, 32.5 %( 49) AMS and 47.7 %( 72) antimicrobial formulary in their hospital. Most of the responders 95.4 %( 144) heard about the antimicrobial stewardship. 68.9 %( 104) responded that they were able to identify situations where antibiotics treatment is not necessary and suggesting cessation. Very few 43.0(65) responded they have sharp knowledge about ADR. 43.7(66) of pharmacists strongly agreed and 55.6(84) agreed that the Antimicrobial stewardship is important to review the appropriateness of antibiotic prescriptions, so patients received the best possible treatment for Diseases. 67.5(102) strongly agreed that AMS program helps to reduce the spreading of antimicrobial resistance. Most respondents believed that AMS program reduces the antimicrobial resistance and improve patient output. Almost all participants agreed to incorporate AMS in the hospital. Majority agree 50.3(76) that communication between pharmacist and doctors making it difficult to practice AMS. More than 50% of responds that pharmacist’s advice related to antibiotics is not well received by the doctors. Many of participants strongly agreed 51.0(77) that there is lack of support from the hospital administration about AMS activities. Conclusion: On the basis of information collected, the study has come with the conclusion that for the good practice of antimicrobial stewardship in the hospitals firstly, AMS program needed to be incorporated in the hospitals which reduces the abuse of antibiotics, as well as to lower antimicrobial resistance and enhance patient outcomes. The main obstacles for the pharmacy professionals throughout the study were lack of AMS training, lack of knowledge in ADR, a hospital administrator's lack of support from hospital administrators, lack of effective communication between the pharmacist and doctors in the hospitals, and patient neglect during counseling.

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Yagya Raj Badu (March-2024). Knowledge, attitude, and perceived barrier of pharmacy professionals in antimicrobial stewardship in central hospitals of Kathmandu, Nepal. INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT, 9(3), f348-f358. https://ijnrd.org/papers/IJNRD2403539.pdf

Volume 9 Issue 3, March-2024

Pages : f348-f358

Paper Reg. ID: IJNRD_216204

Published Paper Id: IJNRD2403539

Research Area: Pharmacy

Author Type: Foreign Author

Country: Kathmandu, Bagmati, Nepal

Published Paper PDF: https://ijnrd.org/papers/IJNRD2403539.pdf

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