Traitement de la cystite simple en pharmacie d’officine : regards croisés de pharmaciens d’officine et d’étudiants en 6e année de pharmacie dans le contexte de la dispensation sous protocole

Abstract

Introduction: The management of cystitis by community pharmacists based on advanced practices (dispensing antibiotic without a medical prescription) is supposed to meet a public health need. The adoption and successful of these new practices need that those involved in the field take ownership. The aim of this study was to explore the perceptions and attitudes of community pharmacists and pharmacy students towards the management of cystitis in community pharmacies in the current context and perspective of advanced practices.Method: A cross-sectional multicentric study involving community pharmacists and pharmacy students in their sixth-year internship was performed. Three questionnaires (one/month) designed by pharmacists were sent by email. These focused on the attitude of dealing with patients suffering from cystitis, their interest in the advanced practice, the identification of risk factors for complications, and their behavior in real-life situations.Results and discussion: Almost all of the respondents had already dealt with requests for antibiotics for cystitis without medical prescription, and 50% of pharmacists had already agreed to do so. 88.5% of pharmacists wanted to implement the considered advanced practice. 25% of respondents considered that a dialogue with the patient allows to identify risk factors for complications. The time frame in which the request was made had an impact on their choice of dispensing. The differences between pharmacists and students highlighted the impact of experience and recent initial training. This new advanced practice seems to be able to provide solutions for cystitis management without removing all the barriers especially in term of regulation.