Establishing a pharmacist–prescriber partnership in publicly funded primary healthcare clinics to optimise antibiotic prescribing in the Western Cape: An exploratory study

South African Family Practice

 
 
Field Value
 
Title Establishing a pharmacist–prescriber partnership in publicly funded primary healthcare clinics to optimise antibiotic prescribing in the Western Cape: An exploratory study
 
Creator van Hecke, Oliver Coetzee, Renier
 
Subject antimicrobial stewardship; primary care; pharmacy Antimicrobial stewardship; AMS; primary care; pharmacy; antibiotics
Description Background: Promoting evidence-based antibiotic prescribing through successful antimicrobial stewardship (AMS) programmes is critical to preserving the effectiveness of antibiotics for common infections in primary care. This requires a coordinated multidisciplinary effort. Such pharmacist–prescriber partnerships have been effective in high-income countries (HICs). Yet, evidence generated in such countries is not always applicable because of different social determinants of health.Methods: A multidisciplinary workshop was conducted with pharmacists and clinicians (doctors, nurses) on community-based antibiotic stewardship, the purpose of which was to explore how and where such partnerships might work in publicly funded primary care clinics in the greater Cape Metro region.Results: Participants perceived that promoting effective AMS was a priority for South African primary healthcare. However, it was clear that there are many hurdles to overcome working in settings that are relatively resource-poor. Prescribing guidelines needed to be harmonised. Participants felt that staff training on the principles of AMS should be mandatory. Research was urgently needed to better understand their community’s understanding of antibiotic use and AMS, and to champion outreach projects in the community.Conclusion: Important stakeholder perspectives in the community were highlighted to promote a multidisciplinary approach to AMS initiatives in primary care. These will need to be addressed to optimise antibiotic prescribing in the community.
 
Publisher AOSIS
 
Contributor The Africa Oxford Initiative, AfOX travel grant
Date 2020-06-22
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Workshop
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/safp.v62i1.5090
 
Source South African Family Practice; Vol 62, No 1 (2020): Part 2; 4 pages 2078-6204 2078-6190
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://safpj.co.za/index.php/safpj/article/view/5090/6162 https://safpj.co.za/index.php/safpj/article/view/5090/6161 https://safpj.co.za/index.php/safpj/article/view/5090/6163 https://safpj.co.za/index.php/safpj/article/view/5090/6160
 
Coverage Western Cape 2019 Primary care clinicians and community pharmacists
Rights Copyright (c) 2020 Oliver van Hecke, Renier Coetzee https://creativecommons.org/licenses/by/4.0
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