Abstract
Background: Antimicrobial stewardship (AMS) is a key prevention strategy in addressing the global concern of increasing antimicrobial resistance (AMR). Pharmacists are one of the integral members of AMS hospital teams around the world. Toward reducing AMR, a major strategy in China is to improve the capacity and participation of pharmacists in the AMS framework. However, little is known about how hospital pharmacists perceive their position and participation in AMS work, and the barriers to this work in China, especially in the Northwest region. Methods: Region this work describes a cross-sectional, anonymous, online survey study. Hospital pharmacists from five provinces/autonomous regions in northwest China were invited to participate in June and July 2020. Participants completed the survey by using WeChat, a popular social application in China. We purposefully distributed the questionnaire link and QR code to hospital pharmacists through the hospital antimicrobial resistance surveillance network, hospital antimicrobial consumption surveillance network, provincial and city pharmaceutical associations, and hospital pharmacist WeChat groups. Results: Out of 1032 respondents, 93.1% believed that AMS programs promote the judicial prescribing of antimicrobials, 95.5% strongly agreed that AMS could reduce the widespread use of antimicrobials, and 92.3% believed that AMS could improve medical services. Pharmacists were most likely to be involved in AMS through reviewing prescriptions of antimicrobials, intervening in inappropriate prescriptions, and providing feedback on antimicrobial prescriptions and medical orders. Barriers to participating in AMS included workload (59.5% of respondents), ineffective communication between pharmacists and doctors (57.7%), and inadequate knowledge of AMS (47.0%). Differences in responses were found between the five surveyed provinces. A significant association was found between median involvement scores and gender, age, education, level of superiority, experience, and type of hospital (p < 0.05). Conclusion: Pharmacists perceived that AMS programs are important, but that their involvement in related activities is limited in all provinces. Further studies and strategies should consider how to overcome the identified barriers to optimize the participation of pharmacists in AMS programs.
Highlights
Antimicrobial resistance (AMR) is a growing global threat and a serious public health crisis in countries worldwide (World Health Organization, 2019)
A large proportion of hospital pharmacists (n 961, 93.1%) believed that Antimicrobial stewardship (AMS) programs promote the reasonable prescribing of antimicrobials, which will help to control the risk of antimicrobial resistance
92.3% (n 952) of the respondents believed that AMS could improve medical services, and 88.7% (n 915) thought that AMS could reduce the cost of treatment
Summary
Antimicrobial resistance (AMR) is a growing global threat and a serious public health crisis in countries worldwide (World Health Organization, 2019). Antimicrobial stewardship (AMS) is considered an imperative approach for optimizing the use of antimicrobial drugs, especially in clinical settings (Davey et al, 2017). After a national AMS Campaign launched in China from 2011 to 2016, antibiotic consumption and inappropriate drug use in secondary and tertiary hospitals were successfully reduced (Xiao et al, 2020). Antimicrobial stewardship (AMS) is a key prevention strategy in addressing the global concern of increasing antimicrobial resistance (AMR). Toward reducing AMR, a major strategy in China is to improve the capacity and participation of pharmacists in the AMS framework. Little is known about how hospital pharmacists perceive their position and participation in AMS work, and the barriers to this work in China, especially in the Northwest region
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