The Knowledge, Attitudes, and Practices of Community Pharmacists in their Approach to Antibiotic Use: A Nationwide Survey in Italy.

Francesco Napolitano, Giorgia Della Polla, Caterina De Simone, Chiara Lambiase, Concetta Paola Pelullo, Italo Francesco Angelillo
Author Information
  1. Francesco Napolitano: Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Via L. Armanni, 5 80138 Naples, Italy. francesco.napolitano2@unicampania.it. ORCID
  2. Giorgia Della Polla: Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Via L. Armanni, 5 80138 Naples, Italy. giorgiadellapolla@gmail.com.
  3. Caterina De Simone: Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Via L. Armanni, 5 80138 Naples, Italy. caterinadesimone14@gmail.com.
  4. Chiara Lambiase: Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Via L. Armanni, 5 80138 Naples, Italy. chiara.lambiase@gmail.com.
  5. Concetta Paola Pelullo: Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Via L. Armanni, 5 80138 Naples, Italy. paolapelullo@hotmail.it.
  6. Italo Francesco Angelillo: Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Via L. Armanni, 5 80138 Naples, Italy. italof.angelillo@unicampania.it. ORCID

Abstract

: This investigation has been carried out to evaluate the knowledge, attitudes, and practices toward antibiotic resistance and antibiotic use among community pharmacists in Italy and to investigate their influencing factors. : A cross-sectional telephone survey using a semi-structured interview was performed between September 2018 and April 2019 among a random sample of community pharmacists. : Almost two thirds (61.5%) correctly answered that the overuse of antibiotics in primary care, hospital settings, and veterinary medicine is a significant cause of antibiotic resistance. Males, those who worked a lower number of hours per week, and those who acquired information through scientific journals and educational activity were more likely to know that the overuse of antibiotics causes antibiotic resistance. More than two thirds of those pharmacists (70.8%) often or always inform the public about the risks of antibiotic resistance. Those who have been practicing for a higher number of years were more likely to act in that way, whereas pharmacy directors and those who did not need additional information on antibiotic resistance were less likely to inform the public. : Pharmacists need to be aware of the issue of antibiotic resistance and policy makers should promote the implementation of antibiotic use public educational interventions in this setting.

Keywords

References

  1. BMC Public Health. 2018 Jun 8;18(1):711 [PMID: 29884154]
  2. Biomed Res Int. 2019 Mar 5;2019:7634528 [PMID: 30949509]
  3. Infect Control Hosp Epidemiol. 2015 Apr;36(4):381-6 [PMID: 25782891]
  4. BMC Infect Dis. 2016 Jan 08;16:7 [PMID: 26746228]
  5. Hum Vaccin Immunother. 2018 Jul 3;14(7):1573-1579 [PMID: 29863958]
  6. Int J Clin Pharm. 2018 Oct;40(5):1380-1387 [PMID: 30069668]
  7. Pharm Pract (Granada). 2018 Jul-Sep;16(3):1194 [PMID: 30416621]
  8. Clin Infect Dis. 2012 Sep;55(6):807-15 [PMID: 22700828]
  9. Clin Microbiol Infect. 2014 Oct;20(10):973-80 [PMID: 25273968]
  10. J Glob Antimicrob Resist. 2018 Jun;13:240-245 [PMID: 29414723]
  11. Int J Environ Res Public Health. 2019 Jun 12;16(12): [PMID: 31212739]
  12. Can Fam Physician. 2017 Dec;63(12):e526-e535 [PMID: 29237649]
  13. BMC Health Serv Res. 2018 Sep 26;18(1):737 [PMID: 30257671]
  14. PLoS One. 2019 Apr 12;14(4):e0215252 [PMID: 30978211]
  15. PLoS One. 2013 Dec 23;8(12):e84177 [PMID: 24376793]
  16. Clin Infect Dis. 2017 Aug 15;65(suppl_1):S58-S63 [PMID: 28859341]
  17. Antimicrob Resist Infect Control. 2019 Apr 24;8:67 [PMID: 31049196]
  18. Curr Med Res Opin. 2019 Jun;35(6):939-946 [PMID: 30388895]
  19. BMJ Open. 2017 Oct 8;7(10):e015674 [PMID: 28993379]
  20. Infect Drug Resist. 2018 Jan 18;11:133-145 [PMID: 29403295]
  21. Hum Vaccin Immunother. 2018 May 4;14(5):1197-1202 [PMID: 29452028]
  22. Bull World Health Organ. 2015 Apr 1;93(4):219-27 [PMID: 26229186]
  23. PLoS One. 2016 Feb 22;11(2):e0149623 [PMID: 26901404]
  24. Hum Vaccin Immunother. 2016 Jun 2;12(6):1504-10 [PMID: 27070042]
  25. Int J Infect Dis. 2017 Jan;54:18-24 [PMID: 27836794]
  26. PLoS One. 2019 Apr 25;14(4):e0215484 [PMID: 31022197]
  27. J Antimicrob Chemother. 2018 Jul 1;73(7):1984-1988 [PMID: 29590400]

Word Cloud

Created with Highcharts 10.0.0antibioticresistance:pharmacistsusecommunityItalylikelypublicknowledgeattitudespracticesamongtwothirdsoveruseantibioticsnumberinformationeducationalinformneedPharmacistsinvestigationcarriedevaluatetowardinvestigateinfluencingfactorscross-sectionaltelephonesurveyusingsemi-structuredinterviewperformedSeptember2018April2019randomsampleAlmost615%correctlyansweredprimarycarehospitalsettingsveterinarymedicinesignificantcauseMalesworkedlowerhoursperweekacquiredscientificjournalsactivityknowcauses708%oftenalwaysriskspracticinghigheryearsactwaywhereaspharmacydirectorsadditionallessawareissuepolicymakerspromoteimplementationinterventionssettingKnowledgeAttitudesPracticesCommunityApproachAntibioticUse:NationwideSurvey

Similar Articles

Cited By