Assessment of knowledge, attitude and practice of Lebanese pharmacists in providing patient counseling on urinary tract infection and its treatment
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Keywords
Attitudes, Counseling, Knowledge, Pharmacist, Practice, Urinary Tract Infection
Abstract
Background: Urinary tract infection (UTI) is the second most common type of infections, accounting for about 7 million annual visits to health-care providers. Pharmacists have an important role in counseling patients about this disease. Objectives: The study explored the Lebanese pharmacists’ knowledge, attitudes and counseling practices (KAP) around UTI. The aim was to provide a better understanding on the pharmacist role in this context, and improve the patient care process and the health of the public. Methods: A cross-sectional knowledge attitudes practice study was conducted and enrolled pharmacists who were practicing in the community setting. The questionnaire collected data about the sociodemographic characteristics, pharmacist’s knowledge about UTIs, their attitudes and practice in providing patient counseling. Results: A sample of 450 pharmacists was reached, the majority (>90%) of which had good knowledge about UTIs. Moreover, greater than 90% of pharmacists believe that UTIs are serious, and that being unhygienic is one of its causes (93.6%). The majority reported educating patients about the most common causes (90.4%), risk factors (88.4%) and preventive measures (95.1%) of UTIs. A mean score of 8.44 was reported for the knowledge score and multivariable linear regression has shown that female pharmacists have higher knowledge score than males. A significant association between having a PhD degree and believing that men are more prone to UTI. Furthermore, the province of the pharmacists’ practice, being in Beirut, was positively and significantly correlated with better practice. Conclusions: Lebanese pharmacists are well knowledgeable about UTIs and showed good attitude and practice in this field. This study provides insight for discussion with policy makers to upgrade legislation to enable pharmacists to legally prescribe antibiotics for uncomplicated UTIs, similar to other countries, to improve the patient care process and minimize the burden of the disease.
References
2. Snapshot. Accessed January 14, 2021. https://www.pharmacytimes.com/publications/issue/2009/2009-06/ CounselingUTIs-0609
3. An introduction to the epidemiology and burden of urinary tract infections - Martha Medina, Edgardo Castillo-Pino, 2019. Accessed November 2, 2021. https://journals.sagepub.com/doi/10.1177/1756287219832172
4. Urinary Tract Infections - General - Infectious Disease and Antimicrobial Agents. Accessed November 2, 2021. http://www. antimicrobe.org/e4e.asp
5. François M, Hanslik T, Dervaux B, et al. The economic burden of urinary tract infections in women visiting general practices in France: a cross-sectional survey. BMC Health Serv Res. 2016;16(1):365. https://doi.org/10.1186/s12913-016-1620-2
6. CDC. Suffering from a urinary tract infection? Centers for Disease Control and Prevention. Published October 6, 2021. Accessed November 2, 2021. https://www.cdc.gov/antibiotic-use/uti.html
7. Voided Midstream Urine Culture and Acute Cystitis in Premenopausal Women | NEJM. Accessed January 14, 2021. https:// www.nejm.org/doi/full/10.1056/nejmoa1302186
8. Schnipper JL, Kirwin JL, Cotugno MC, et al. Role of Pharmacist Counseling in Preventing Adverse Drug Events After Hospitalization. Arch Intern Med. 2006;166(5):565. https://doi.org/10.1001/archinte.166.5.565
9. Darwich N, Samaha A, Nuqaidan HA, et al. Surveillance of Multidrug-Resistant Uropathogenic Escherichia Coli In Hospitalized Patients And Community Settings In The South Of Lebanon. BAU J - Health Wellbeing. 2020;3(1).
10. Lebanon Sinking into One of the Most Severe Global Crises Episodes, amidst Deliberate Inaction. World Bank. Accessed November 2, 2021. https://www.worldbank.org/en/news/press-release/2021/05/01/lebanon-sinking-into-one-of-the-mostsevere- global-crises-episodes
11. Alameddine M, Karroum KB, Hijazi MA. Upscaling the pharmacy profession in Lebanon: workforce distribution and key improvement opportunities. Hum Resour Health. 2019;17(1):47. https://doi.org/10.1186/s12960-019-0386-0
12. Khalife H, Khalife I, Abdel-sater F, et al. Epidemiology and profiles of antibiotic resistance of bacteria isolated from urinary tract infections in lebanon. World J Pharm Pharm Sci. 2018;7647:120-128. https://doi.org/10.20959/wjpps20181-10787
13. Zeenny RM, Ramia E, Akiki Y, et al. Assessing knowledge, attitude, practice, and preparedness of hospital pharmacists in Lebanon towards COVID-19 pandemic: A cross-sectional study. J Pharm Policy Pract. 2020;13(1):54. https://doi.org/10.1186/ s40545-020-00266-8
14. Beahm NP, Smyth DJ, Tsuyuki RT. Outcomes of Urinary Tract Infection Management by Pharmacists (RxOUTMAP): A study of pharmacist prescribing and care in patients with uncomplicated urinary tract infections in the community. Can Pharm J Rev Pharm Can. 2018;151(5):305-314. https://doi.org/10.1177/1715163518781175
15. Goutham Y, Manjuladevi K. Assessment of knowledge, attitude, and practice of pharmacist in providing patient counseling on urinary tract infection and its treatment. Drug Invent Today. 2018;10(3):4.
16. Epi InfoTM | CDC. Published September 16, 2021. Accessed November 25, 2021. https://www.cdc.gov/epiinfo/index.html
17. Complicated Urinary Tract Infections Article. Accessed November 14, 2021. https://www.statpearls.com/ArticleLibrary/ viewarticle/30858
18. Vyas S, Sharma P, Srivastava K, et al. Role of Behavioural Risk Factors in Symptoms Related to UTI Among Nursing Students. J Clin Diagn Res JCDR. Published online 2015. https://doi.org/10.7860/JCDR/2015/10995.6547
19. Lean K, Nawaz RF, Jawad S, et al. Reducing urinary tract infections in care homes by improving hydration. BMJ Open Qual. 2019;8(3):e000563. https://doi.org/10.1136/bmjoq-2018-000563
20. Katie L, Nawaz RF, Jawad S, et al. Reducing Urinary Tract Infections through hydration. 2019;8(3):e000563. https://doi. org/10.1136/bmjoq-2018-000563
21. Bazzaz BSF, Fork SD, Ahmadi R, et al. Deep insights into urinary tract infections and effective natural remedies. Afr J Urol. 2021;27(1):6. https://doi.org/10.1186/s12301-020-00111-z 22. Orenstein R, Wong ES. Urinary Tract Infections in Adults. Am Fam Physician. 1999;59(5):1225.
23. Pharmacist Attitudes Towards Using Clinical Decision Support in Community Pharmacies to Promote Antibiotic Stewardship in the Treatment of Uncomplicated UTI - PMC. Accessed March 23, 2022.
24. The assessment and management of urinary tract infections in adults: Guidelines for pharmacists - Nathan P. Beahm, Lindsay E. Nicolle, Alistair Bursey, Daniel J. Smyth, Ross T. Tsuyuki, 2017. Accessed November 14, 2021. https://journals.sagepub.com/ doi/abs/10.1177/1715163517723036
25. Raymond B. Five rules for resistance management in the antibiotic apocalypse, a road map for integrated microbial management. Evol Appl. 2019;12(6):1079-1091. https://doi.org/10.1111/eva.12808
26. Yaacoub SG, Lahoud NA, Francis NJ, et al. Antibiotic Prescribing Rate in Lebanese Community Pharmacies: A Nationwide Patient-Simulated Study of Acute Bacterial Rhinosinusitis. J Epidemiol Glob Health. 2019;9(1):44-49. https://doi.org/10.2991/ jegh.k.190305.001
27. Pharmacists Expanded Scope_Minor Ailments document update May2015 EN.pdf. Accessed November 14, 2021. https:// nbcp.in1touch.org/document/1698/Pharmacists%20Expanded%20Scope_Minor%20Ailments%20document%20update%20 May2015%20EN.pdf
28. Irosoft architecture de gestion de l’information législative-legal information management system. -. Accessed November 14, 2021. http://legisquebec.gouv.qc.ca/fr/ShowDoc/cr/M-9
29. Muhammad K, Saqlain M, Muhammad G, et al. Knowledge, Attitude and Practices (KAPs) of Community Pharmacists Regarding COVID-19: A Cross-Sectional Survey in 2 Provinces of Pakistan. Disaster Med Public Health Prep. 2021;1-9. https:// doi.org/10.1017/dmp.2021.54
30. Verma RK, Chong WW, Taha NA, et al. Impact of an Educational Training Program on the Knowledge, Attitude and Perceived Barriers of Community Pharmacists Towards Obesity and Overweight Management in Malaysia. Front Public Health. 2021;9:1297. https://doi.org/10.3389/fpubh.2021.720939
31. The role of community pharmacists in patient counseling and health education: a survey of their knowledge and level of involvement in relation to type 2 diabetes mellitus | Semantic Scholar. Accessed November 14, 2021. https://www.semanticscholar.org/ paper/The-role-of-community-pharmacists-in-patient-and-a-Erku-Belachew/b14259f53be1e0fc9b13d2875a348bf559ffd6af
32. Recurrent Urinary Tract Infections| The University of Kansas Health System. Accessed November 14, 2021. https://www. kansashealthsystem.com/care/conditions/recurrent-urinary-tract-infections
33. Peiffer-Smadja N, Allison R, Jones LF, et al. Preventing and Managing Urinary Tract Infections: Enhancing the Role of Community Pharmacists-A Mixed Methods Study. Antibiotics. 2020;9(9):583. https://doi.org/10.3390/antibiotics9090583
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