Pharmacists' practice in providing pharmaceutical services of treating paediatric diarrhoea in pharmacies: A qualitative study
DOI:
https://doi.org/10.46542/pe.2024.249.98104Keywords:
Paediatric diarrhoea, Pharmaceutical service, Pharmacist, PharmacyAbstract
Background: Diarrhoea is a significant cause of morbidity and mortality in developing countries. Pharmacists in pharmacies are essential in managing the treatment of diarrhoea in children and its prevention, particularly in preventing dehydration in children with diarrhoea.
Objective: This study aims to explore the practice of pharmacists in providing pharmaceutical services related to treating diarrhoea in children in pharmacies.
Method: The research was conducted using a qualitative, non-experimental method through in-depth interviews. Interviews were conducted face-to-face. Informants were recruited until data saturation, and ten pharmacist informants were obtained. Data validity was assessed through credibility testing with member checking, transferability testing with a detailed description, dependability testing, and confirmability testing through peer debriefing. Interview results were analysed descriptively using an inductive reasoning process.
Result: In practice, not all pharmacists obtain complete drug information, make recommendations for appropriate treatment of paediatric diarrhoea, and provide complete drug information. The inhibiting factors for the implementation of pharmaceutical services related to paediatric diarrhoea therapy in the pharmacy is the lack of up-to-date knowledge among pharmacists and the limited human resources in the pharmacy.
Conclusion: Pharmacists have a role in preventing and treating diarrhoea in children because they are health professionals who can be found in pharmacies and whom the public can consult about treating diarrhoea in their children.
References
Abbas, J., Chandra Pandey, D., Verma, A., & Kumar, V. (2018). Management of acute diarrhea in children: Is the treatment guidelines is really implemented? International Journal of Research in Medical Sciences, 6(2), 539. https://doi.org/10.18203/2320-6012.ijrms20180294
Abegaz, T. M., Belachew, S. A., Abebe, T. B., Gebresilassie, B. M., Teni, F. S., & Woldie, H. G. (2016). Management of children’s acute diarrhea by community pharmacies in five towns of Ethiopia: Simulated client case study. Therapeutics and Clinical Risk Management, 12, 515–526. https://doi.org/10.2147/TCRM.S98474
Akande-Sholabi, W., & Akinyemi, O. O. (2023). Self-medication with over-the-counter drugs among consumers: A cross-sectional survey in a Southwestern State in Nigeria. British Medical Jo Open, 13(5), 1–8. https://doi.org/10.1136/bmjopen-2023-072059
Albekairy, A. M. (2014). Pharmacists’ perceived barriers to patient counselling. Journal of Applied Pharmaceutical Science, 4(1), 70–73. https://doi.org/10.7324/JAPS.2014.40112
Brandt, K. G., de Castro Antunes, M. M., & da Silva, G. A. P. (2015). Acute diarrhoea: Evidence-based management. Jornal de Pediatria, 91(6), S36–S43. https://doi.org/10.1016/j.jped.2015.06.002
Da Rocha, C. E., Bispo, M. L., Dos Santos, A. C. O., Mesquita, A. R., Brito, G. C., & De Lyra, D. P. (2015). Assessment of community pharmacists’ counselling practices with simulated patients who have minor illness: A pilot study. Simulation in Healthcare, 10(4), 227–238. https://doi.org/10.1097/SIH.0000000000000100
Erku, D. A., & Aberra, S. Y. (2018). Non-prescribed sale of antibiotics for acute childhood diarrhoea and upper respiratory tract infection in community pharmacies: A 2 phase mixed-methods study. Antimicrobial Resistance and Infection Control, 7(1), 1–7. https://doi.org/10.1186/s13756-018-0389-y
Foroughinia, F., & Zarei, P. (2016). Evaluation of knowledge, attitude, and practice of community pharmacists toward administration of over-the-counter drugs for the treatment of diarrhoea in children: A pretest-posttest survey. Journal of Research in Pharmacy Practice, 5(3), 200. https://doi.org/10.4103/2279-042x.185735
Haddad, M., Aldossary, S. A., Alotaibi, M. M., Alenazi, A. O., Alqahtani, A., Emeka, P. M., Alojian, N. I., Taha, A., Almohaini, M., & Alsalman, A. (2023). The role of pharmacists in patient counselling for OTC medication: A cross-sectional study. Latin American Journal of Pharmacy, 42(3), 703–709.
Hussain, A., & Ibrahim, M. I. M. (2012). Management of diarrhoea cases by community pharmacies in 3 cities of Pakistan. Eastern Mediterranean Health Journal, 18(6), 635–640. https://doi.org/10.26719/2012.18.6.635
Ibrahim, I. R., Palaian, S., & Ibrahim, M. I. M. (2018). Assessment of diarrhoea treatment and counselling in community pharmacies in Baghdad, Iraq: A simulated patient study. Pharmacy Practice, 16(4). https://doi.org/10.18549/PharmPract.2018.04.1313
Ilardo, M. L., & Speciale, A. (2020). The community pharmacist: Perceived barriers and patient-centered care communication. International Journal of Environmental Research and Public Health, 17(2). https://doi.org/10.3390/ijerph17020536
Malik, U. R., Chang, J., Hashmi, F., Atif, N., Basir, H., Hayat, K., Khan, F. U., Kabba, J. A., Lambojon, K., & Fang, Y. (2021). A simulated client exploration of nonprescription dispensing of antibiotics at drugstores for paediatric acute diarrhoea and upper respiratory infection in Lahore, Pakistan. Infection and Drug Resistance, 14, 1129–1140. https://doi.org/10.2147/IDR.S301812
Mengistu, G., Gietnet, K., Amare, F., Sisay, M., Hagos, B., & Misganaw, D. (2019). Self-reported and actual involvement of community pharmacy professionals in the management of childhood diarrhoea: A cross-sectional and simulated patient study at two towns of Eastern Ethiopia. Clinical Medicine Insights: Paediatrics, 13, 117955651985538. https://doi.org/10.1177/1179556519855380
Moorthi, C., Paul, R., & Senthilkumar, C. (2011). Knowledge of community pharmacist in the management of diarrhoea in adults. Der Pharmacia Lettre, 3(1), 364–370.
Munos, M. K., Fischer Walker, C. L., & Black, R. E. (2010). The effect of oral rehydration solution and recommended home fluids on diarrhoea mortality. International Journal of Epidemiology, 39(SUPPL. 1). https://doi.org/10.1093/ije/dyq025
Ningsih, L. F., Setiadi, A. P., Rahem, A., Brata, C., Wibowo, Y. I., Setiawan, E., & Halim, S. V. (2021). What do pharmacists recommend for the management of acute diarrhea in children? A survey in the eastern area of Surabaya City. Journal of Management and Pharmacy Practice, 11(1), 39. https://doi.org/10.22146/jmpf.59719
Ogbo, P. U., Aina, B. A., & Aderemi-Williams, R. I. (2014). Management of acute diarrhoea in children by community pharmacists in Lagos, Nigeria. Pharmacy Practice (Internet), 12(1), 00–00. https://doi.org/10.4321/s1886-36552014000100002
Pham, D. M., Byrkit, M., Van Pham, H., Pham, T., & Nguyen, C. T. (2013). Improving pharmacy staff knowledge and practice on childhood diarrhoea management in Vietnam: Are educational interventions effective? PLoS ONE, 8(10). https://doi.org/10.1371/journal.pone.0074882
Radlović, N., Leković, Z., Vuletić, B., & Radlović, V. (2015). Acute diarrhoea in children. Srp Arh Celok Lek, 143(11–12), 755–762.
Rasheed, M. K., Hasan, S. S., Altowayan, W. M., Farooqui, M., & Ud-Din Babar, Z. (2023). Community pharmacist’s preparedness to provide patient-centred care in Saudi Arabia. Saudi Pharmaceutical Journal, 31(6), 801–807. https://doi.org/10.1016/j.jsps.2023.04.014
Riaz, N., Muntaha, S. T., Qibtia, M., & Sohail, S. (2019). Use of zinc and oral rehydration solution in home management of diarrhea: Knowledge of mothers of attending a tertiary care hospital. Journal of Islamabad Medical & Dental College, 8(3), 135–140. https://doi.org/10.35787/jimdc.v8i3.419
Sancar, M., Tezcan, E., Okuyan, B., & Izzettin, F. V. (2015). Assessment of the attitude of community pharmacists and pharmacy technicians towards diarrhea: A simulated patient study in Turkey. Tropical Journal of Pharmaceutical Research, 14(8), 1509–1515. https://doi.org/10.4314/tjpr.v14i8.26
Sanii, Y., Torkamandi, H., Gholami, K., Hadavand, N., & Javadi, M. (2016). Role of pharmacist counselling in pharmacotherapy quality improvement. Journal of Research in Pharmacy Practice, 5(2), 132. https://doi.org/10.4103/2279-042x.179580
World Health Organisation. (2020). Diarrhoeal Disease. World Health Organisation website. https://www.who.int/ news-room/fact-sheets/detail/diarrhoeal-disease