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Perception and practices of public hospital pharmacists towards the antimicrobial stewardship programme in the State of Selangor, Malaysia

Objective The increase in antimicrobial resistance and the lack of new antimicrobial agents in drug discovery pipelines have called for global attention to mitigate the problem of antimicrobial misuse. While an antimicrobial stewardship (AMS) programme has been implemented in Malaysia, the perceptio...

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Main Authors: Saleh, Muhammad Syafiq, Hong, Yet Hoi, Muda, Mohd Rahimi, Dali, Ahmad Fauzi, Hassali, Mohamed Azmi, Khan, Tahir Mehmood, Neoh, Chin Fen
Format: Article
Published: BMJ Publishing Group 2018
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R Medicine
Online Access:http://eprints.um.edu.my/25187/
https://doi.org/10.1136/ejhpharm-2018-001679
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spelling my.um.eprints.251872020-07-28T01:17:14Z http://eprints.um.edu.my/25187/ Perception and practices of public hospital pharmacists towards the antimicrobial stewardship programme in the State of Selangor, Malaysia Saleh, Muhammad Syafiq Hong, Yet Hoi Muda, Mohd Rahimi Dali, Ahmad Fauzi Hassali, Mohamed Azmi Khan, Tahir Mehmood Neoh, Chin Fen R Medicine Objective The increase in antimicrobial resistance and the lack of new antimicrobial agents in drug discovery pipelines have called for global attention to mitigate the problem of antimicrobial misuse. While an antimicrobial stewardship (AMS) programme has been implemented in Malaysia, the perception and practices of public hospital pharmacists remain unknown. The aim of this study was to determine the perception and practices of Malaysian public hospital pharmacists towards the AMS programme in the state of Selangor, Malaysia. Methods A cross-sectional study, using a validated 23-item self-administered questionnaire, was conducted among pharmacists from 11 public hospitals in the State of Selangor, Malaysia, from December 2016 to January 2017. All public hospital pharmacists (n=432) were invited to participate in the survey. A 5-point Likert scale was employed in the questionnaire; the perception section was scored from 1 (strongly disagree) to 5 (strongly agree) while the practice section was scored from 1 (never) to 5 (always). Both descriptive and inferential statistical analyses were used to analyse data. Results Of the 432 pharmacists surveyed, 199 responded, giving a response rate of 46.0%. The majority of the respondents agreed (n=190, 95.5%) that the AMS programme improves patient care at their hospitals (median=5; IQR=1). Slightly less than half of the respondents indicated that a local antibiotic guideline was established in their hospitals (median=3, IQR=2.5), and had taken part in antimicrobial awareness campaigns to promote optimal use of antimicrobials in hospitals (median=3, IQR=1). Conclusions Overall, the perception and practices of the surveyed hospital pharmacists towards AMS programme were positive. National antibiotic guidelines, which take into consideration local antimicrobial resistance patterns, should be used fully to improve antimicrobial usage and to reduce practice variation. Collaboration among healthcare professionals should be strengthened to minimise the unfavourable consequences of unintended use of antimicrobial agents while optimising clinical outcomes. © European Association of Hospital Pharmacists 2020. No commercial re-use. See rights and permissions. Published by BMJ. BMJ Publishing Group 2018 Article PeerReviewed Saleh, Muhammad Syafiq and Hong, Yet Hoi and Muda, Mohd Rahimi and Dali, Ahmad Fauzi and Hassali, Mohamed Azmi and Khan, Tahir Mehmood and Neoh, Chin Fen (2018) Perception and practices of public hospital pharmacists towards the antimicrobial stewardship programme in the State of Selangor, Malaysia. European Journal of Hospital Pharmacy, 27 (3). pp. 173-177. ISSN 2047-9956 https://doi.org/10.1136/ejhpharm-2018-001679 doi:10.1136/ejhpharm-2018-001679
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic R Medicine
spellingShingle R Medicine
Saleh, Muhammad Syafiq
Hong, Yet Hoi
Muda, Mohd Rahimi
Dali, Ahmad Fauzi
Hassali, Mohamed Azmi
Khan, Tahir Mehmood
Neoh, Chin Fen
Perception and practices of public hospital pharmacists towards the antimicrobial stewardship programme in the State of Selangor, Malaysia
description Objective The increase in antimicrobial resistance and the lack of new antimicrobial agents in drug discovery pipelines have called for global attention to mitigate the problem of antimicrobial misuse. While an antimicrobial stewardship (AMS) programme has been implemented in Malaysia, the perception and practices of public hospital pharmacists remain unknown. The aim of this study was to determine the perception and practices of Malaysian public hospital pharmacists towards the AMS programme in the state of Selangor, Malaysia. Methods A cross-sectional study, using a validated 23-item self-administered questionnaire, was conducted among pharmacists from 11 public hospitals in the State of Selangor, Malaysia, from December 2016 to January 2017. All public hospital pharmacists (n=432) were invited to participate in the survey. A 5-point Likert scale was employed in the questionnaire; the perception section was scored from 1 (strongly disagree) to 5 (strongly agree) while the practice section was scored from 1 (never) to 5 (always). Both descriptive and inferential statistical analyses were used to analyse data. Results Of the 432 pharmacists surveyed, 199 responded, giving a response rate of 46.0%. The majority of the respondents agreed (n=190, 95.5%) that the AMS programme improves patient care at their hospitals (median=5; IQR=1). Slightly less than half of the respondents indicated that a local antibiotic guideline was established in their hospitals (median=3, IQR=2.5), and had taken part in antimicrobial awareness campaigns to promote optimal use of antimicrobials in hospitals (median=3, IQR=1). Conclusions Overall, the perception and practices of the surveyed hospital pharmacists towards AMS programme were positive. National antibiotic guidelines, which take into consideration local antimicrobial resistance patterns, should be used fully to improve antimicrobial usage and to reduce practice variation. Collaboration among healthcare professionals should be strengthened to minimise the unfavourable consequences of unintended use of antimicrobial agents while optimising clinical outcomes. © European Association of Hospital Pharmacists 2020. No commercial re-use. See rights and permissions. Published by BMJ.
format Article
author Saleh, Muhammad Syafiq
Hong, Yet Hoi
Muda, Mohd Rahimi
Dali, Ahmad Fauzi
Hassali, Mohamed Azmi
Khan, Tahir Mehmood
Neoh, Chin Fen
author_facet Saleh, Muhammad Syafiq
Hong, Yet Hoi
Muda, Mohd Rahimi
Dali, Ahmad Fauzi
Hassali, Mohamed Azmi
Khan, Tahir Mehmood
Neoh, Chin Fen
author_sort Saleh, Muhammad Syafiq
title Perception and practices of public hospital pharmacists towards the antimicrobial stewardship programme in the State of Selangor, Malaysia
title_short Perception and practices of public hospital pharmacists towards the antimicrobial stewardship programme in the State of Selangor, Malaysia
title_full Perception and practices of public hospital pharmacists towards the antimicrobial stewardship programme in the State of Selangor, Malaysia
title_fullStr Perception and practices of public hospital pharmacists towards the antimicrobial stewardship programme in the State of Selangor, Malaysia
title_full_unstemmed Perception and practices of public hospital pharmacists towards the antimicrobial stewardship programme in the State of Selangor, Malaysia
title_sort perception and practices of public hospital pharmacists towards the antimicrobial stewardship programme in the state of selangor, malaysia
publisher BMJ Publishing Group
publishDate 2018
url http://eprints.um.edu.my/25187/
https://doi.org/10.1136/ejhpharm-2018-001679
_version_ 1680857006817148928
score 13.211869

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