Evidence map›Paper›PMID 34943655›Full record

ArticleAntibiotics (Basel, Switzerland)2021

Hospital Pharmacists and Antimicrobial Stewardship: A Qualitative Analysis.

Lok Hang Wong, Evonne Tay, Shi Thong Heng, Huiling Guo, Andrea Lay Hoon Kwa, Tat Ming Ng, Shimin Jasmine Chung, Jyoti Somani, David Chien Boon Lye, Angela Chow

Open access · goldAbstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Lok Hang WongDepartment of Clinical Epidemiology, Office of Clinical Epidemiology, Analytics, and Knowledge, Tan Tock Seng Hospital, Singapore 308433, Singapore.
Evonne TayDepartment of Clinical Epidemiology, Office of Clinical Epidemiology, Analytics, and Knowledge, Tan Tock Seng Hospital, Singapore 308433, Singapore.ORCID 0000-0002-6235-466X
Shi Thong HengDepartment of Pharmacy, Tan Tock Seng Hospital, Singapore 308433, Singapore.
Huiling GuoDepartment of Clinical Epidemiology, Office of Clinical Epidemiology, Analytics, and Knowledge, Tan Tock Seng Hospital, Singapore 308433, Singapore.ORCID 0000-0002-8730-6349
Andrea Lay Hoon KwaDepartment of Pharmacy, Singapore General Hospital, Singapore 169608, Singapore.
Tat Ming NgDepartment of Pharmacy, Tan Tock Seng Hospital, Singapore 308433, Singapore.
Shimin Jasmine ChungDepartment of Infectious Diseases, Singapore General Hospital, Singapore 169608, Singapore.
Jyoti SomaniDivision of Infectious Diseases, National University Hospital, Singapore 119074, Singapore.
David Chien Boon LyeInfectious Disease Research and Training Office, National Centre for Infectious Diseases, Singapore 308443, Singapore.
Angela ChowDepartment of Clinical Epidemiology, Office of Clinical Epidemiology, Analytics, and Knowledge, Tan Tock Seng Hospital, Singapore 308433, Singapore.ORCID 0000-0002-4063-736X
Tan Tock Seng Hospital · SGNational University of Singapore · SGNanyang Technological University · SGNational University Hospital · SGSingapore General Hospital · SG

Funding

National Medical Research Council NMRC/HSRG/0083/2017
6 · The paper itself

Abstract

Antimicrobial stewardship programmes (ASPs) in hospitals are predominantly led by specific ASP physicians and pharmacists. Limited studies have been conducted to appreciate non-ASP-trained hospital pharmacists' perspectives on their roles in antimicrobial stewardship. Focus group discussions (FGDs) were conducted with 74 pharmacists, purposively sampled from the 3 largest acute-care public hospitals in Singapore, to explore facilitators and barriers faced by them in antimicrobial stewardship. Applied thematic analysis was conducted and codes were categorised using the social-ecological model (SEM). At the intrapersonal level, pharmacists identified themselves as reviewers for drug safety before dispensing, confining to a restricted advisory role due to lack of clinical knowledge, experience, and empowerment to contribute actively to physicians' prescribing decisions. At the interpersonal level, pharmacists expressed difficulties conveying their opinions and recommendations on antibiotic therapy to physicians despite frequent communications, but they assumed critical roles as educators for patients and their caregivers on proper antibiotic use. At the organisational level, in-house antibiotic guidelines supported pharmacists' antibiotic interventions and recommendations. At the community level, pharmacists were motivated to improve low public awareness and knowledge on antibiotic use and antimicrobial resistance. These findings provide important insights into the gaps to be addressed in order to harness the untapped potential of hospital pharmacists and fully engage them in antimicrobial stewardship.

Indexed as

antibiotic prescribingantimicrobial resistanceantimicrobial stewardshipchallengeshospital pharmacistshospitals

Identifiers

PMID34943655
PMCPMC8698014
OpenAlexW3215544847

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.