Knowledge and Opinion of Patients on Pharmacists' Counselling of Antibacterial Usage in Ogun State Nigeria

Authors

  • Adebisi Michael Adeola Department of Clinical Pharmacy and Pharmacy Administration
  • Moses Kayode Omole Department of Clinical pharmacy and pharmacy administration
  • Oludele Adelanwa Itiola Department of Pharmaceutics,
  • Johnson Segun Sowande Department of Clinical Pharmacy and Pharmacy Administration

Keywords:

Patients, Antibacterials, Knowledge, Opinion, Counselling

Abstract

Background: The relief from the high morbidity and mortality of the pre antibacterial era is being threatened by antibacterial resistance. This has been traced to irrational antibacterial use probably due to lack of proper counselling. In Nigeria, there is scarcity of study on impact of pharmacists' counselling on patients' knowledge of antibacterial use. This study therefore assessed patients' knowledge and opinion of antibacterial use due to pharmacists' counselling.

Methods: The study was a cross-sectional study among patients with antibacterial prescription dispensed at the outpatient department of seventeen government-owned secondary health care facilities in Ogun state of Nigeria. Consecutive sampling was used to administer a pre-tested questionnaire-guided interview to 409 patients determined by Raosoft sample size calculator.

Descriptive statistics such as frequency, percentage and mean + SD was used to summarize the data. Chi-square was used to investigate association between socio-demographic characteristics and patients' response.

Results: One hundred and fifty-four (37.7%) of the patients were males, 248 (60.6%) were not aware of presence of antibacterial drug(s) in their regimen, 247 (60.4%) were not able to identify the antibacterials while 353 (86.3%) and 390 (95.4%) claimed not be counselled on the use of the antibacterials in relation to meals and side effects respectively. Onlyl00 (24.4%) had a score > 70% implying good knowledge. Two hundred and eighty four (69.4%) believed that pharmacists should be responsible for antibacterial counselling and 226 (55.3%) rated the pharmacists' counseling as being good (70-100%).

Conclusion: Patients' knowledge of antibacterial usage was poor despite their good opinion about counselling by pharmacists. Most of the patients were not aware and unable to identify antibacterial drugs in their regimen. It is important that pharmacists take the issue of patients-centered approach in antibacterial counselling very serious. Training of pharmacists on antibacterial counselling is hereby recommended

Author Biography

Oludele Adelanwa Itiola, Department of Pharmaceutics,

University of Ibadan, Ibadan Oyo State, Nigeria

References

Huttner A, Harbarth S, Carlet J. (2013) Antimicrobial resistance: a global view from the World healthcare-Associated Infections Forum. Antimicrobial resistance and infection control 2013; 2(1): 31.

Mansour O, Al K R. (2017) Community Pharmacists Role in Controlling Bacterial Resistance in Aleppo, Syria. Research . 16 (4): 1612— 1620.

Fathi I, Sameh O, Abu-Ollo M. (2015). Knowledge, Attitude and Beliefs Regarding Antimicrobial Therapy and Resistance among Physicians in Alexandria University Teaching Hospitals and the Associated Prescription Habits. Microbe. Drug Resist. mdr.00 (00): 1-5.

Zahreddine L, HallitS, Shakaroun S, Al-Hajje A, Awada S and Lahoud N(2018). Knowledge of pharmacists and patients towards antibiotic use in paediatrics: a cross-sectional study in Lebanon. Pharmacy practice 16(3):1194-1204

WHO 1993. How to investigate drug use in health facilities: selected drug use indicators.

WHO 2014: Antimicrobial Resistance Global Report on Surveillance. Geneva; Available from: http://www.who.int/drugresistance/documents/surveillancereport/en. [Last accessed on 30 Aug 2017]

Gualano MR, Scaioli G, Gili R, Masucci S, Bert F and Siliquini R (2015). Antibiotic Use: A Cross-Sectional Survey Assessing the Knowledge, Attitudes and Practices amongst Students of a School of Medicine in Italy. 10(24): 2-10.

Atif M, Azeem M, Sarwar MR, Shahid S, Javaid S, Ikram H. (2016). WHO/INRUD prescribing indicators and prescribing trends of antibiotics in the Accident and Emergency Department of Bahawal Victoria Hospita1, Pakistan. SpringerPlus. 5(1):1928. doi: 10.1186/s40064-016-3615-1

Amaha ND, Dawit GW, Nuru A & Eyasu HT (2019). Antimicrobial Resistance & Infection Control volume 8, Article number: 163

Ahmadi F, Zarei E.(2017). Prescribing patterns of rural family physicians: a study in Kermanshah P rovin c e, Iran. B MC P ub li c Health. 17(1):908

Asogwa IE, Offor SJ, and Herbert O (2017). Knowledge, attitude and practice towards antibiotic use among non-medical university students in Uyo, Nigeria. Journal of advances in medical and pharmaceutica1 sciences 15 (1): 1-11

Sakeena, MH. Bennett, AB. Mclachlan AJ. (2018) Enhancing pharmacists role in developing countries to overcome the challenge of antimicrobial resistance: a narrative review. Antimicrobial resistance and infection control 7: 63 https://doi. org/10.1186 s13756- 018-0351-z

Naglaa A, El-Sherbiny EH, Mohamed M (2018). Assessment of knowled, attitude and behaviour

towards antibiotic use in primary health care patients in Fayoum Governorate, Egypt. Alexandria

Journal of Medicine 54: 535-540

Krivoy N and Hadad S (2007). Antibiotics and Cost Patterns in a General Intensive Care Unit. P. Jarm Pract. 5 (2): 67 — 73

Fernado D, Silvio F, Barberato- Filho L, Cruz L and Maria I (2010). Level of patient information on antibiotic use. Brazilian journal of pharmaceutical sciences 46 (3): 1984-8250.

Yalda S, Hassan T, Kheirollah G Naser H and Mohammadreza J (2016). Role of pharmacist counselling in pharmacotherapy quality improvement; J Res Pharm Pract.5(2): 132—137.

Horwood J, Gabriel C, Hay AD. Ingram J. (2016). Primary care clinician antibiotic prescribing

decisions in consultations for children with RTIs: a qualitative interview study. British Journal

of General Practice 2016; 66(614): 207-213 e207-e213 doi:10.3399/bjgp 16X683821

Choudhur y P, Zulawati A, Lailatul M, Ong KS and Shahnaz B (2018). Effectiveness of pharmacists' intervention in improving patients' knowledge and attitude towards antibiotic usage in Klinik Kesihatan Seremban, Malaysia: International journal of advancement in life sciences research 1 (1): 34-42

Naomi F, Sue B, Ashiru O (2011). Pharmacists have a critical role in the conservation of

effective antibiotics. The Pharmaceutical Journall3 (10):1-5

Dorothy MC, Kimberly TO and Jason C G (2011). The Pharmacists' role in preventing antibiotics

resistance. U S Pharm 36 (7): 42 - 49.

Mason T, Trochez C, Thomas R and Baber M (2018). Knowledge and awareness of the general public and perception of pharmacists about antibiotic resistance. BMC public health 18(1) 5614- 5617 https://dot.org/10.1186/s12889—018-5614-3

Raosoft (2017). Sample size calculator by Raosoft Inc. Available a http//www.raosoft.com/samplesiz e.html.

Mohsen T (2011). Making sense of Cronbach's alpha. International Journal of Medical Education: 2: 53-55.

Jimmy J, Beena J, Al-Gahliya M, Al-Sabahi S, and Ghalya A (2013). A study assessing public

knowledge, beliefs and behaviour of antibiotic use in an Omani population. Oman Medical Journal; 28 (5): 324-330

Andre M, Vernby A, Berg J and Lundborg C. (2010). A survey of public knowledge and awareness

related to antibiotic use and resistance in Sweden. Journal of Antimicrobial Chemotherapy 65 (6):

-1296

Hanna K, Nirakoren D and Oran B (2004). Assessment of patient knowledge about their long term therapy. European journal of nursing 5(4): 311-316

Mohamed Z, Samy F, Alaa M, Hamdy F, Yasser S, Moataz E (2018). Egyptian community pharmacists' attitudes and practices towards antibiotic dispensing and antibiotic resistance: a cross-sectional survey in Greater Cairo. Current Medical Research and Opinion. Doi: 10.80/03007995.2018.1544119.

. Chris, O. (2016/2017). EMDEX. Drug formulary for Nigeria's Health Professionals. Anti-infective drugs 335-558

Ayalew E, Seid Y and Agalu A (2014). Knowledge, attitude and practice of patient medication counselling among drug dispensers in Mekele town. Northern Ethiopia. International Research Journal of Pharmacy. Pharmacol. 4(2):28-34

Roque F, Soares S, Breitenfeld L. Lopez-Duran A, Figueiras A, and Herdeiro MT (2013). Attitudes of community pharmacists to antibiotic dispensing and microbial resistance: a qualitative study in Portugal. Int J Clin Pharm 35 (3) 417-24

Downloads

Published

2020-03-01

How to Cite

Michael Adeola, A. ., Kayode Omole, M. ., Adelanwa Itiola, O. ., & Segun Sowande, J. . (2020). Knowledge and Opinion of Patients on Pharmacists’ Counselling of Antibacterial Usage in Ogun State Nigeria. The Nigerian Journal of Pharmacy, 54(1). Retrieved from https://psnnjp.org/index.php/home/article/view/72