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Community Pharmacists' Knowledge in Managing Minor Ailments: A Focus on Childhood Gastroenteritis in Saudi Arabia
Haifa A Fadil1, Hani M J Khojah1, Fahad Alzahrani1
1Department of Pharmacy Practice, College of Pharmacy, Taibah University, Madinah 41477, Saudi Arabia.
Insights
Community pharmacists demonstrated low knowledge in managing childhood diarrhea, with only 43% recommending oral rehydration solution. This highlights a need for improved training in pediatric minor ailment management.
Area of Science:
- Pharmacy Practice
- Pediatric Health
- Infectious Diseases
Background:
- Community pharmacists are key points of contact for pediatric health advice, especially for common illnesses like diarrhea.
- Diarrheal diseases cause approximately two million deaths annually in children under five globally, particularly in developing nations.
Purpose of the Study:
- To evaluate the competency of community pharmacists in assessing and managing simple viral diarrhea in children.
- To identify knowledge gaps in pediatric diarrhea management among community pharmacists.
Main Methods:
- Simulated clients visited 100 community pharmacies presenting a scenario of childhood diarrhea.
- Standardized forms were used post-visit to assess pharmacist's diagnostic and prescribing skills.
Main Results:
- Only 43% of pharmacists recommended oral rehydration solution; antibiotic recommendations were made by 24%.
- Inquiry about key symptoms like fever (29%) and stool characteristics (2-6%) was suboptimal.
- The average pharmacist knowledge score was 9.06 out of 17, indicating significant knowledge deficits.
Conclusions:
- Community pharmacists exhibit a low level of knowledge regarding the management of simple viral diarrhea in children.
- Findings suggest a potential broader issue with pharmacist knowledge in managing pediatric minor ailments.
- Enhanced training programs are necessary to improve pharmacist's skills in pediatric care.
Abstract:
Background: Community pharmacists are frequently approached by patients seeking health advice for minor ailments, particularly for common childhood diseases like diarrhea. Globally, approximately two million children under five years of age die each year due to diarrhea, which remains a significant health concern, especially in developing countries. Objectives: The purpose of this study was to assess the skills of community pharmacists in addressing and prescribing for simple viral diarrhea in children. Methods: A hundred community pharmacies were visited by simulated clients following a standard scenario of inquiring about simple childhood diarrhea. Subsequently, they filled out a standardized form after each visit to assess the skills of the community pharmacists. Results: It was found that 98% of the pharmacists were males. Approximately 80% of them inquired about the child's age, while only 29% asked about the presence of fever. Around 2-6% of them only asked about the stool nature, child's feeding behavior, and family symptoms. Around 10% of them suggested a potential bacterial origin, and 24% recommended the use of antibiotics. Only 43% of the community pharmacists suggested the use of oral rehydration solution, while 15-56% recommended using antidiarrheals, anti-emetics, and spasmolytics. The mean knowledge score of the pharmacists was 9.06 out of 17. Conclusions: The results indicated a relatively low level of knowledge about managing simple viral childhood diarrhea, which may reflect a similar level of knowledge about dealing with minor ailments in general.
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