The study of permanent problems of pharmacist's protocol realization concerning wet cough

Cough is a typical symptom of common cold and a frequent reason for visiting the pharmacies and purchasing over-the-counter (OTC) medicines. Dispensing drugs for the symptomatic relief of cough is carried out in accordance with the current pharmacist’s protocol, which describes the algorithm of phar...

Full description

Bibliographic Details
Main Authors: O. Yu. Horodnycha, Kh. I. Makukh, A. B. Zimenkovsky
Format: Article
Language:Ukrainian
Published: The State Expert Center of the Ministry of Health of Ukraine 2021-02-01
Series:Фармацевтичний журнал
Subjects:
Online Access:https://pharmj.org.ua/index.php/journal/article/view/1184/1038
id doaj-fc058d409e3a4a9e97525f70337124e3
record_format Article
spelling doaj-fc058d409e3a4a9e97525f70337124e32021-03-05T09:22:35ZukrThe State Expert Center of the Ministry of Health of UkraineФармацевтичний журнал0367-30572617-96282021-02-011809010.32352/0367-3057.1.21.09The study of permanent problems of pharmacist's protocol realization concerning wet coughO. Yu. Horodnycha0https://orcid.org/0000-0002-6373-1447Kh. I. Makukh1https://orcid.org/0000-0002-6796-7342A. B. Zimenkovsky2https://orcid.org/0000-0002-9649-293XDanylo Halytsky Lviv National Medical UniversityDanylo Halytsky Lviv National Medical UniversityDanylo Halytsky Lviv National Medical UniversityCough is a typical symptom of common cold and a frequent reason for visiting the pharmacies and purchasing over-the-counter (OTC) medicines. Dispensing drugs for the symptomatic relief of cough is carried out in accordance with the current pharmacist’s protocol, which describes the algorithm of pharmaceutical care. Aim of the study – to determine the permanent problems of pharmacist’s protocol realization concerning wet cough by questionnaire survey of pharmacy workers. The study was carried out by 2 steps: step 1 – in 2015 (May–December), step 2 – in 2020 (January–October). One developed questionnaire was used for both steps of the research process. 168 of pharmacy employees took part in step 1, and 144 – in step 2. Methods: systemic approach, questionnaire survey, analytical, statistical and comparative. It was found that 75,6% of pharmaceutical workers in 2015 and 97,2% in 2020 (p < 0,05) asked pharmacy customers about «threatening» symptoms in patients with cough. If any «threatening» symptom was identified, 73,2% of respondents in 2015 compared with 96,4% in 2020 referred patients to a doctor (p < 0,05), 18,9% vs 29,3% of respondents recommended and dispensed antibiotics (p < 0,05), 13,4% vs 19,3% – antiviral drugs (p > 0,05), 18,1% vs 65,7% – analgesics-antipyretics/non-steroidal anti-inflammatory drugs (p < 0,05), 3,1% vs 37,1% – vitamin and mineral complexes (p < 0,05). Acetylcysteine (76,2% of respondents in 2015 vs 89,6% in 2020, p < 0,05) and ambroxol (59,5% of respondents in 2015 vs 84,7% in 2020, p < 0,05) were the most frequently recommended and dispensed medicines from pharmacies for symptomatic pharmacotherapy of wet cough. At the same time, 11,3% of respondents in 2015 vs 8.3% in 2020 (p > 0.05) still dispensed antitussive drugs which are contraindicated in this case. In 2015 priority was given to syrups (85,1%) and tablets for oral administration (62,5%), but in 2020 – sachets (80,6%) and tablets for oral administration (79,9%). However, 8,3% of pharmacy workers in 2015 vs 15,2% in 2020 never interviewed pharmacy customers regarding co-morbidity in patients (p > 0.05). Quality and safety of drugs were the most important motivating factors in OTC-drugs choice at both steps of the study. In 2020 their influence on the choice of OTC-drugs increased significantly (p < 0.05). According to the results of the questionnaire survey, 5 main permanent problems associated with the pharmacist’s protocol realization concerning wet cough have been identified, the solution of which will improve the quality of pharmaceutical care in pharmacies.https://pharmj.org.ua/index.php/journal/article/view/1184/1038wet coughpharmaceutical careover-the-counter (otc) medicinespharmacist’s protocolsquestionnaire surve
collection DOAJ
language Ukrainian
format Article
sources DOAJ
author O. Yu. Horodnycha
Kh. I. Makukh
A. B. Zimenkovsky
spellingShingle O. Yu. Horodnycha
Kh. I. Makukh
A. B. Zimenkovsky
The study of permanent problems of pharmacist's protocol realization concerning wet cough
Фармацевтичний журнал
wet cough
pharmaceutical care
over-the-counter (otc) medicines
pharmacist’s protocols
questionnaire surve
author_facet O. Yu. Horodnycha
Kh. I. Makukh
A. B. Zimenkovsky
author_sort O. Yu. Horodnycha
title The study of permanent problems of pharmacist's protocol realization concerning wet cough
title_short The study of permanent problems of pharmacist's protocol realization concerning wet cough
title_full The study of permanent problems of pharmacist's protocol realization concerning wet cough
title_fullStr The study of permanent problems of pharmacist's protocol realization concerning wet cough
title_full_unstemmed The study of permanent problems of pharmacist's protocol realization concerning wet cough
title_sort study of permanent problems of pharmacist's protocol realization concerning wet cough
publisher The State Expert Center of the Ministry of Health of Ukraine
series Фармацевтичний журнал
issn 0367-3057
2617-9628
publishDate 2021-02-01
description Cough is a typical symptom of common cold and a frequent reason for visiting the pharmacies and purchasing over-the-counter (OTC) medicines. Dispensing drugs for the symptomatic relief of cough is carried out in accordance with the current pharmacist’s protocol, which describes the algorithm of pharmaceutical care. Aim of the study – to determine the permanent problems of pharmacist’s protocol realization concerning wet cough by questionnaire survey of pharmacy workers. The study was carried out by 2 steps: step 1 – in 2015 (May–December), step 2 – in 2020 (January–October). One developed questionnaire was used for both steps of the research process. 168 of pharmacy employees took part in step 1, and 144 – in step 2. Methods: systemic approach, questionnaire survey, analytical, statistical and comparative. It was found that 75,6% of pharmaceutical workers in 2015 and 97,2% in 2020 (p < 0,05) asked pharmacy customers about «threatening» symptoms in patients with cough. If any «threatening» symptom was identified, 73,2% of respondents in 2015 compared with 96,4% in 2020 referred patients to a doctor (p < 0,05), 18,9% vs 29,3% of respondents recommended and dispensed antibiotics (p < 0,05), 13,4% vs 19,3% – antiviral drugs (p > 0,05), 18,1% vs 65,7% – analgesics-antipyretics/non-steroidal anti-inflammatory drugs (p < 0,05), 3,1% vs 37,1% – vitamin and mineral complexes (p < 0,05). Acetylcysteine (76,2% of respondents in 2015 vs 89,6% in 2020, p < 0,05) and ambroxol (59,5% of respondents in 2015 vs 84,7% in 2020, p < 0,05) were the most frequently recommended and dispensed medicines from pharmacies for symptomatic pharmacotherapy of wet cough. At the same time, 11,3% of respondents in 2015 vs 8.3% in 2020 (p > 0.05) still dispensed antitussive drugs which are contraindicated in this case. In 2015 priority was given to syrups (85,1%) and tablets for oral administration (62,5%), but in 2020 – sachets (80,6%) and tablets for oral administration (79,9%). However, 8,3% of pharmacy workers in 2015 vs 15,2% in 2020 never interviewed pharmacy customers regarding co-morbidity in patients (p > 0.05). Quality and safety of drugs were the most important motivating factors in OTC-drugs choice at both steps of the study. In 2020 their influence on the choice of OTC-drugs increased significantly (p < 0.05). According to the results of the questionnaire survey, 5 main permanent problems associated with the pharmacist’s protocol realization concerning wet cough have been identified, the solution of which will improve the quality of pharmaceutical care in pharmacies.
topic wet cough
pharmaceutical care
over-the-counter (otc) medicines
pharmacist’s protocols
questionnaire surve
url https://pharmj.org.ua/index.php/journal/article/view/1184/1038
work_keys_str_mv AT oyuhorodnycha thestudyofpermanentproblemsofpharmacistsprotocolrealizationconcerningwetcough
AT khimakukh thestudyofpermanentproblemsofpharmacistsprotocolrealizationconcerningwetcough
AT abzimenkovsky thestudyofpermanentproblemsofpharmacistsprotocolrealizationconcerningwetcough
AT oyuhorodnycha studyofpermanentproblemsofpharmacistsprotocolrealizationconcerningwetcough
AT khimakukh studyofpermanentproblemsofpharmacistsprotocolrealizationconcerningwetcough
AT abzimenkovsky studyofpermanentproblemsofpharmacistsprotocolrealizationconcerningwetcough
_version_ 1724230741440593920