3.3 Influence of the grade and nature of medical institutions on the knowledge level of antimicrobial drug
It was found in this survey that pharmacists from medical institutions of different grades and different nature had different knowledge level of antimicrobial drug. Pharmacists from tertiary hospitals had relatively higher knowledge level of antimicrobial drug,which may partially explain unnecessary use of antibiotics in rural China in earlier studies[15].According to the survey, hospitals at different grades showed uneven talent distribution. The highly-educated pharmacists mainly concentrated in tertiary hospitals[16]. It was also shown the similar results in this survey. They focused on continuing education and training of pharmacists in Tertiary hospitals , so as to make the pharmacists have access to the latest theoretical knowledge and knowledge of rational drug use.
However, there were almost no highly-educated talents in community hospitals, and they also had few opportunities for continuing education. Due to the knowledge structure and work nature of TCM hospitals, they had a poor knowledge of application of antibacterial drug [17]. It was particularly urgent to carry out education and training on knowledge updating of antibacterial drug in small and medium-sized hospitals [18].
This article conducted a questionnaire survey of 462 pharmacists, including the basic situation of the survey subjects, basic knowledge and use of antibacterial drug management. Analysis shows that hospital type, level, pharmacist’s educational background, professional title, and working years will affect the pharmacist’s knowledge of antibacterial drugs. The results suggest that pharmacists have insufficient knowledge about the rational application of antibacterial drugs and need to strengthen antibacterial drug management regulations and drugs Training in use. Through a large number of investigations, specific results have been obtained. This is helpful for pharmacists to use antibacterial drugs rationally and is beneficial for patients to restore their health. Through this research, it is very helpful to directly predict the level of pharmacists in the future, so as to conduct reasonable training and reduce medical accidents.
Bacterial resistance and rational use of antimicrobial drug are the problems to be solved urgently by medical institutions and they would be also the major concerns in the society. If pharmacists want to play a role in promoting the rational application of antimicrobial drug, and to improve themselves in the opportunity of pharmacist transformation, it is imperative to improve the knowledge of antimicrobial drug. The survey is conducted on the network platform. While maximizing the efficiency of information acquisition, there are still disadvantages, such as answer interference, under-representation for the entire population of the samples (such as the uneven distribution of the pharmacist numbers in hospital at all levels), which will lead to certain restrictions to the extrapolation of the conclusion. More efficient investigation method could be developed in the future based on the internet technology, so as to provide important support for the later research.
Competing interests
The authors declare that they have no competing interests.
Acknowledgments
The study was also supported by the fund of Shanxi Children’s Hospital (201949). We also thank all those who helped perform the investigation.
Ethics approval and consent to participate
This study was approved by Ethics Committee of Shanxi Children’s Hospital.