Who is asking? Requests for antimicrobial prescribing advice received by hospital pharmacists

Wise, S; Smith, E; Carlos, L; Coleshill, M; Day, RO; Melocco, T; Carland, JE

Who is asking? Requests for antimicrobial prescribing advice received by hospital pharmacists

Wise, S

Smith, E Carlos, L Coleshill, M Day, RO Melocco, T Carland, JE

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Publisher:: WILEY
Publication Type:: Journal Article
Citation:: Journal of Pharmacy Practice and Research, 2023, 53, (1), pp. 39-43
Issue Date:: 2023-02-01

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Field	Value	Language
dc.contributor.author	Wise, S https://orcid.org/0000-0003-3513-3471
dc.contributor.author	Smith, E
dc.contributor.author	Carlos, L
dc.contributor.author	Coleshill, M
dc.contributor.author	Day, RO
dc.contributor.author	Melocco, T
dc.contributor.author	Carland, JE
dc.date.accessioned	2023-11-01T01:08:00Z
dc.date.available	2023-11-01T01:08:00Z
dc.date.issued	2023-02-01
dc.identifier.citation	Journal of Pharmacy Practice and Research, 2023, 53, (1), pp. 39-43
dc.identifier.issn	1445-937X
dc.identifier.issn	2055-2335
dc.identifier.uri	http://hdl.handle.net/10453/172935
dc.description.abstract	Doctors are perceived as the primary decision makers in antimicrobial therapy, but prescribing decisions are influenced by the multidisciplinary team. Antimicrobial stewardship (AMS) programs formalise interprofessional advice-giving. No studies capture the advice provided by pharmacists. This study aimed to describe the volume and nature of antimicrobial prescribing advice that healthcare professionals seek from hospital pharmacists. A prospective audit of antimicrobial-related advice requests received by pharmacists (n = 18) at an Australian public hospital was undertaken in July 2020. Antimicrobial advice was sought from 11 pharmacists on 300 occasions. Most requests (80%) were received by the AMS pharmacist. A mean (range) of 30 (17–40) requests per day was recorded and the AMS pharmacist received 24 (16–31) requests daily. Most requests came from the intensive care unit (22.1%), pharmacy (21.4%), and infectious diseases (17.1%). The AMS pharmacist was mostly contacted by consultants and pharmacists, and other pharmacists were contacted by registrars and junior medical officers. Despite COVID-19 adaptations, face-to-face interaction was most common. This audit demonstrates the value of an AMS pharmacist, and indicates the importance of face-to-face interactions and the formalisation of pharmacists' role in prescribing decision-making. Pharmacists provided antimicrobial advice daily to other healthcare professionals. Further research is required to provide insights into the barriers and enablers to effective advice-giving interactions.
dc.language	English
dc.publisher	WILEY
dc.relation.ispartof	Journal of Pharmacy Practice and Research
dc.relation.isbasedon	10.1002/jppr.1841
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1115 Pharmacology and Pharmaceutical Sciences
dc.subject.classification	Pharmacology & Pharmacy
dc.subject.classification	3214 Pharmacology and pharmaceutical sciences
dc.title	Who is asking? Requests for antimicrobial prescribing advice received by hospital pharmacists
dc.type	Journal Article
utslib.citation.volume	53
utslib.for	1115 Pharmacology and Pharmaceutical Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHERE - Centre for Health Economics Research and Evaluation
utslib.copyright.status	open_access	*
dc.date.updated	2023-11-01T01:07:59Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	53
utslib.citation.issue	1

Abstract:

Doctors are perceived as the primary decision makers in antimicrobial therapy, but prescribing decisions are influenced by the multidisciplinary team. Antimicrobial stewardship (AMS) programs formalise interprofessional advice-giving. No studies capture the advice provided by pharmacists. This study aimed to describe the volume and nature of antimicrobial prescribing advice that healthcare professionals seek from hospital pharmacists. A prospective audit of antimicrobial-related advice requests received by pharmacists (n = 18) at an Australian public hospital was undertaken in July 2020. Antimicrobial advice was sought from 11 pharmacists on 300 occasions. Most requests (80%) were received by the AMS pharmacist. A mean (range) of 30 (17–40) requests per day was recorded and the AMS pharmacist received 24 (16–31) requests daily. Most requests came from the intensive care unit (22.1%), pharmacy (21.4%), and infectious diseases (17.1%). The AMS pharmacist was mostly contacted by consultants and pharmacists, and other pharmacists were contacted by registrars and junior medical officers. Despite COVID-19 adaptations, face-to-face interaction was most common. This audit demonstrates the value of an AMS pharmacist, and indicates the importance of face-to-face interactions and the formalisation of pharmacists' role in prescribing decision-making. Pharmacists provided antimicrobial advice daily to other healthcare professionals. Further research is required to provide insights into the barriers and enablers to effective advice-giving interactions.

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http://hdl.handle.net/10453/172935