Evidence map›Paper›PMID 37107155›Full record

ArticleAntibiotics (Basel, Switzerland)2023

The National Implementation of a Community Pharmacy Antimicrobial Stewardship Intervention (PAMSI) through the English Pharmacy Quality Scheme 2020 to 2022.

Catherine V Hayes, Sejal Parekh, Donna M Lecky, Jill Loader, Carry Triggs-Hodge, Diane Ashiru-Oredope

Open access · goldAbstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.3field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 18 citations in OpenAlex.

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  12. Community pharmacists as antimicrobial resistance stewards: a narrative review on their contributions and challenges in low- and middle-income countries.Journal of pharmacy & pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Societe canadienne des sciences pharmaceutiques · 2024
    Review
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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

6 authors at 2 institutions in 1 country.

Catherine V HayesHCAI, Fungal, AMR, AMU & Sepsis Division, UK Health Security Agency, London SW1P 3HX, UK.ORCID 0000-0001-6411-1023
Sejal ParekhPrimary Care Strategy and NHS Contracts Group, Primary, Community and Personalised Care Directorate, NHS England, London SE1 8UG, UK.ORCID 0000-0002-3135-7710
Donna M LeckyHCAI, Fungal, AMR, AMU & Sepsis Division, UK Health Security Agency, London SW1P 3HX, UK.ORCID 0000-0002-1223-9356
Jill LoaderPrimary Care Strategy and NHS Contracts Group, Primary, Community and Personalised Care Directorate, NHS England, London SE1 8UG, UK.ORCID 0000-0003-4423-336X
Carry Triggs-HodgeHCAI, Fungal, AMR, AMU & Sepsis Division, UK Health Security Agency, London SW1P 3HX, UK.
Diane Ashiru-OredopeHCAI, Fungal, AMR, AMU & Sepsis Division, UK Health Security Agency, London SW1P 3HX, UK.ORCID 0000-0001-9579-2028
UK Health Security Agency · GBNHS England

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since 2020, England's Pharmacy Quality Scheme (PQS) has incentivised increased antimicrobial stewardship (AMS) activities in community pharmacy. In 2020/21, this included the requirement for staff to complete an AMS e-Learning module, pledge to be an Antibiotic Guardian and develop an AMS Action plan. To build and embed these initiatives, in 2021/22, the PQS required the use of the TARGET Antibiotic Checklist (an AMS tool for use when patients present with a prescription for antibiotics to support conducting and recording of a series of safety and appropriateness checks against each prescribed antibiotic). This paper describes the implementation of the national PQS criteria from 2020 to 2022, and details community pharmacies' AMS activities and barriers to implementation of the 2021/22 criteria. A total of 8374 community pharmacies submitted data collected using the TARGET Antibiotic Checklist for 213,105 prescriptions; 44% surpassed the required number for the PQS. Pharmacy teams reported checking the following: duration, dose, and appropriateness of antibiotics; patient allergies and medicine interactions (94-95%); antibiotic prescribing guideline adherence (89%); and the patient's previous use of antibiotics (81%). The prescriber was contacted for 1.3% of TARGET Antibiotic Checklists (2741), and the most common reasons for such contacts were related to dose, duration, and possible patient allergy. A total of 105 pharmacy staff responded to a follow-up questionnaire, which suggested that some AMS principles had been embedded into daily practice; however, the necessary time commitment was a barrier. The PQS was able to incentivise mass AMS activities at pace over consecutive years for England's community pharmacies simultaneously. Future research should monitor the continuation of activities and the wider impacts on primary care.

Indexed as

antimicrobial resistanceantimicrobialsbehaviouralcommunity healthcarecommunity pharmaciste-Learningincentiveinfectionspharmacy techniciansprimary carequestionnaire

Identifiers

PMID37107155
PMCPMC10135021
OpenAlexW4366691714

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.