Abstract:
:Background Inappropriate use of antibiotic treatment for pharyngitis by community pharmacists is prevalent in developing countries. Little is known about how the pharmacists identify patients with bacterial pharyngitis. Objective To ascertain the appropriateness of diagnosis of streptococcal pharyngitis among Thai community pharmacists according to the Centor criteria and to identify factors related to antibiotic dispensing. Setting 1040 Thai community pharmacists. Method A cross-sectional survey of community pharmacists was conducted in November 2012 to March 2013. The self-administered questionnaires were mailed to 57 % of community pharmacists in the south of Thailand (n = 1040). The survey included questions on diagnosis of streptococcal pharyngitis, knowledge on pharyngitis, and attitudes and control beliefs regarding antibiotic dispensing. Main outcome measure The appropriateness of diagnosis of streptococcal pharyngitis according to the original and modified Centor criteria and determinants of antibiotic dispensing including demographic characteristics of pharmacists, knowledge on pharyngitis, and attitudes and control beliefs on antibiotic dispensing. Results Approximately 68 % completed the questionnaires (n = 703). Compared to the pharmacists who reported not dispensing antibiotics in the hypothetical case with common cold, those reported dispensing antibiotics were more likely to consider the following conditions-presence of cough, mild sore throat and patients with age >60 years as cues for diagnosis of streptococcal pharyngitis (p < 0.05). The use of fewer scores of the clinical prediction rules for diagnosis was observed in antibiotic dispensers, compared to who did not do so (p < 0.005). Antibiotic dispensing was positively associated with period of dispensing experience (>5 years) [odds ratio (OR) 1.52; 95 % confidence interval (CI) 1.03-2.23], belief that antibiotics could shorten duration of pharyngitis (OR 1.48; 95 % CI 1.11-1.99), belief that antibiotics could prevent the complications (OR 1.44; 95 % CI 1.09-1.91) and belief that dispensing antibiotics could satisfy the patients (OR 1.31; 95 % CI 1.01-1.71). Nonetheless, antibiotic dispensing was negatively associated with knowledge about pharyngitis (OR 0.83; 95 % CI 0.75-0.93). Conclusion Pharmacists who are knowledgeable on the Centor criteria are more likely to appropriately diagnose streptococcal pharyngitis and less likely to dispense antibiotics in such case.
journal_name
Int J Clin Pharmjournal_title
International journal of clinical pharmacyauthors
Saengcharoen W,Jaisawang P,Udomcharoensab P,Buathong K,Lerkiatbundit Sdoi
10.1007/s11096-016-0373-7subject
Has Abstractpub_date
2016-10-01 00:00:00pages
1318-25issue
5eissn
2210-7703issn
2210-7711pii
10.1007/s11096-016-0373-7journal_volume
38pub_type
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journal_title:International journal of clinical pharmacy
pub_type: 杂志文章,评审
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abstract::Background The leukotriene receptor antagonist montelukast has been shown to rejuvenate aged brains in rats; however, data on humans are still scarce. Objective To investigate if montelukast may alleviate degenerative neurological changes using a register data. Setting Norwegian registry data analyses. Method The pres...
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journal_title:International journal of clinical pharmacy
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更新日期:2015-06-01 00:00:00
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journal_title:International journal of clinical pharmacy
pub_type: 杂志文章,多中心研究
doi:10.1007/s11096-015-0207-z
更新日期:2016-02-01 00:00:00
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journal_title:International journal of clinical pharmacy
pub_type: 杂志文章,评审
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更新日期:2019-08-01 00:00:00
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journal_title:International journal of clinical pharmacy
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更新日期:2016-12-01 00:00:00
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journal_title:International journal of clinical pharmacy
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journal_title:International journal of clinical pharmacy
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journal_title:International journal of clinical pharmacy
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更新日期:2011-12-01 00:00:00
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journal_title:International journal of clinical pharmacy
pub_type: 已发布勘误
doi:10.1007/s11096-019-00903-6
更新日期:2020-02-01 00:00:00
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journal_title:International journal of clinical pharmacy
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journal_title:International journal of clinical pharmacy
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doi:10.1007/s11096-018-0695-8
更新日期:2018-08-01 00:00:00
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journal_title:International journal of clinical pharmacy
pub_type: 杂志文章
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pub_type: 杂志文章,评审
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journal_title:International journal of clinical pharmacy
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更新日期:2015-12-01 00:00:00
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