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Global Pharmaceutical and Medical Research Conference (GPMRC) 2017
14-15 April - Sheraton Dubai Creek, UAE
5- An Interventional Study to Modify the Practice, Knowledge, Awareness, and Attitude among University Students Regarding the Use of Antibiotics without Doctorâs Prescription in UAE
Khalid Awad Al-Kubaisi, Mark De SteCroix, Don Vinson, and Mirza R Baig
Use of non-prescription drugs (NPD) among university students is a serious public health issue. A previous study has reported that generally, a sizeable proportion of consumers do not read the drug information leaflet (DIL) before using NPD. However, few studies have identified the risk associated with not reading drug information leaflet before using NPD. There are no extensive studies, which measured the prevalence and identified the risk associated with not reading DIL among university students. Therefore, we attempted to fill the gap in the literature.
A cross-sectional survey-based study was conducted from January to April 2014, among 2875 students in three randomly selected UAE universities. A structured and validated questionnaire was used to collect the responses of the students. SPSS version 20 was used to analyze the data. Results More than half (1348; 57%) of participants reported using of oral NPD. Of 1348 participants reported using oral NPD, one quarter (1348; 22.2%) of Oral NPD was classified as incautious oral NPD usage as they did not read the DIL while using the medication for the first time. This study has identified 10 risk factors for incautious oral NPD use. Participants with age group of 21 years and older (OR=0.554, 95% CI: 0.373-0.823) (p<0.001), female (OR=0.339, 95% CI:0.236-0.486) (p<0.001), and students from medical schools (OR=0.619, 95% CI: 0.435-0.882, p value=0.008) had lower odds of being incautious users compared to lower age group, males and students from non-medical schools. Furthermore, participants with a polypharmacy behaviour had higher odds of being incautious Oral NPD user than monopharmacy users (OR=1.400, 95% CI: 1.030-1.02) (p<0.001).
There are few incautious Oral NPD use among university students, but it is a serious issue when it comes to medical students. There is a need for raising awareness among all medical students to motivate them to be cautious users because they are going to be the future healthcare providers. Further studies are required to explore other risk factors.
6- Student-Led Discharge Counseling Program of High-Risk Medications in a Teaching Hospital in Saudi Arabia: A Pilot Study
AlSunaidi A, AlJahly S, Sales I, AlJawady M, AlMalaq H, AlKofaidi H, AlAyoubi F, and Bawazeer G
Discharge counseling by pharmacists can reduce adverse medication events during the transition of care as well as reduce emergency department visits and readmission. The literature showed that pharmacy students in advanced pharmacy practice experience (APPE) can deliver effective medication-related activities.
An open-label, randomized control trial on patients (>18 years) discharged on a high-risk medication (warfarin and/or insulin). Patients were allocated to study arms using simple computer-generated scheme and sequentially numbered, opaque, sealed envelopes. The usual care arm received education from a diabetic or health educator or nothing. The intervention arm received: student-delivered structured counseling, medication reconciliation and a follow-up call at 72-hr post-discharge. The primary outcome was the rate of unplanned health-care utilization at 30-day. Also, feasibility of integrating APPE students in the transition of care activities was explored. Result At the time of this preliminary analysis, 75 patients were randomized; 42 in the intervention arm and 33 in the usual care arm.
showed no difference in the primary outcome at 30-day between intervention (19.05%) and usual care (18.18%), p=0.924. There was no difference in mean time (in days) to first unplanned healthcare utilization (intervention 19.88[9.19]); (usual care 13.5[8.73]), p=0.214. Moreover, there was no difference in time-to-first clinic visit post-discharge (p=0.651) between the two arms. Students identified 19 additional drug-related problems during reconciliation. Only 16% and 53% of patients in usual care received any kind of education upon discharge on warfarin and/or insulin, respectively. Patients in the intervention arm reported high satisfaction with the service provided (mean 3.94[0.11]).
Integrating APPE students in the transition of care activities provided an excellent opportunity to lessen pharmacist’s workload while maintaining patient care services, providing learning opportunities for students and improving patient satisfaction.
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