The Impact of Intervention on Pharmacists’ Counselling on Patients’ Knowledge and Opinion of Antibacterial Usage

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Adeola Adebisi Michael
Omole Moses Kayode
Itiola Oludele Adelanwa


The knowledge and opinion of patients on antibacterial usage depends on pharmacist’s counselling. In Nigeria, study assessing patients’ perception of pharmacists’ antibacterial counselling is scarce. This study assessed the knowledge and opinion of patients on antibacterial usage as a result of pharmacists’ counselling pre and post intervention. The study was a cross sectional study among 409 outpatients with antibacterial prescriptions in 17-government-owned secondary healthcare facilities in Ogun State of Nigeria between July 2017 and May 2018. The knowledge and the opinion of the patients were determined via structured questionnaire and deficiency was addressed via intervention training for the pharmacists. Re-assessment was carried out after a month.

Four hundred and nine patients participated at each of the two phases of the study.  The mean age at the baseline survey, was 43.9 ± 14.9 and the age range was 19 - 87 years while at the post intervention survey, the mean age was 44.1 ± 15.7 and the age range was from 18 to 91 years. The patients that were probed on drugs they had at hand or at home increased from 20 (4.9%) to 263 (64.3%) between the two phases. Seventeen, (4.2%) and 171 (41.8) claimed to receive counselling on necessity of completing the course of therapy at the two phases respectively. The survey confirmed that 284 (69.4%) and 319 (77.9%) at the two phases respectively were of the view that counselling on drugs is best done by pharmacists. Two hundred and fifty six (62.7%) and 262 (64.1%) patients rated the counselling they received as ≥ 70% at the two phases respectively. There was significant improvement in the knowledge and opinion of patients on antibacterial usage due to pharmacists’ counselling post intervention p < .05. Constant training on antibacterial counselling should therefore be encouraged among pharmacists.

Antibacterials, patients, counselling, intervention, knowledge, opinion

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How to Cite
Michael, A. A., Kayode, O. M., & Adelanwa, I. O. (2020). The Impact of Intervention on Pharmacists’ Counselling on Patients’ Knowledge and Opinion of Antibacterial Usage. Journal of Advances in Medical and Pharmaceutical Sciences, 22(4), 1-15.
Original Research Article


Huttner A, Harbarth S, Carlet J. Antimicrobial resistance: A global view from the World healthcare-Associated Infections Forum. Antimicrobial Resistance and Infection Control. 2013;2(1):31.

Mansour O, Al-Kayali R. Community pharmacistsꞌ role in controlling bacterial resistance in Aleppo, Syria. Research. 2017;16(4):1612–1620.

Nambiar L. The search for essential drugs. MURJ Features. 2003;8:21-22.

Brahma D, Marak M, Wahlang J. Rational use of drugs and irrational combinations. The international Journal of Pharmacology. 2012;10:1-5.

Abdesalam M. Assessment of antibiotics prescription in hospitalized patients at Elobeid hospital. Sudan Journal of Medical Science. 2010;4(3):1-7.

World Health Organization. Antimicrobial Resistance Global Report on Surveillance. Geneva; 2014.
[Accessed 15 July 2017]

Naglaa A, El Sherbiny EH, Mohamed M. Assessment of knowledge, attitude and behaviour towards antibiotic use in primary health care patients in Fayoum Governorate, Egypt. Alexandria Journal of Medicine. 2018;54:535-540.

Raymond L. Guide to understanding antibiotics prescribed in your Doctor’s Office. 2009;1-6.

Ayalew E, Seid Y, Agalu A. Knowledge, attitude and practice of patient medication counselling among drug dispensers in Mekele town. Northern Ethiopia. Inter-national Research Journal of Pharmacy. 2014;4(2):28-34.

Choudhury P, Zulawati A, Lailatul MI, Ong KS, Shahnaz B. Effectiveness of pharmacists’ Intervention in improving patients’ knowledge and attitude towards antibiotic usage in Klinik Kesihatan Seremban, Malaysia: International Journal of Advancement in Life Sciences Research. 2018;1(1):34-42.
DOI: 10.31632/ijals:2018v01i01.005

Sakeena MH, Bennett AB, Mclachlan AJ. Enhancing pharmacists’ role in developing countries to overcome the challenge of antimicrobial resistance: A narrative review. Antimicrobial Resistance and Infection Control. 2018;7:63.
Available: s13756-018-0351-z

Popovich NG. Ambulatory patient care. Geanaro A.R. editor Remington: The science and practice of pharmacy, Mack publishing company Pennsylvania, 19th ed. 1995;2:1965-1719.

Beardsley RS. Review of literature: Oral patient counselling by: Pharmacists proceeding of the national symposium on oral counselling by pharmacists about prescription medicine. 1997;19-21.

Horwood J, Gabriel C, Hay AD. Ingram J. Primary care clinician antibiotic prescribing decisions in consultations for children with RTIs: A qualitative interview study. British Journal of General Practice. 2016; 66(614):207-213,e207-e213.
DOI: 10.3399/bjgp 16X683821

Zahreddine L, Hallit S, Shakaroun S, Al-Hajje A, Awada S, Lahoud N. Knowledge of pharmacists and patients towards antibiotic use in paediatrics: A cross-sectional study in Lebanon. Pharmacy Practice. 2018;3:1194.

Chang J, Ye D, Lv B. Sales of antibiotics without prescription at community pharmacies in urban china: A multicentre cross-sectional survey. Journal of Anti-microb Chemother. 2017;72:1235-1242.

Yalda S, Hassan T, Kheirollah G, Naser H, Mohammadreza J. Role of pharmacist counselling in pharmacotherapy quality improvement; J Res Pharm Pract. 2016; 5(2):132–137.

Naomi F, Sue B, Ashiru O. Pharmacists have a critical role in the conservation of effective antibiotics. The Pharmaceutical Journal. 2011;1-5. pharmacist-have-a-criti... 1-5

Raosoft Sample size calculator by Raosoft Inc; 2017.

Mohsen T. Making sense of Cronbach’s alpha. International Journal of Medical Education. 2011;2:53-55.
[Editorial IISSN: 2042-6372]
DOI: 10.5116/ijme.4dfb.8dfd533-55
Available:http://creativecommons. org/licenses/by/3.0

Jimmy J, Beena J, Al-Gahliya M, Saif A, Ghalya A. A study assessing public knowledge, beliefs and behaviour of antibiotic use in an Omani population. Oman Medical Journal. 2013;28(5):324-330.
DOI: 10.5001/omj.2013.95

PEIPB. Patient counselling: Guidelines on counselling approved by Prince Edward Island Pharmacy Board. 2005;1-7.

Andre M, Vernby A, Berg J, Lundborg C. A survey of public knowledge and awareness related to antibiotic use and resistance in Sweden. Journal of Antimicrobial Chemo-therapy. 2010;65(6):1292-1296.

Hanna K, Nirakoren D, Oran B. Assessment of patient knowledge about their long term therapy. European Journal of Nursing. 2004;5(4):311-316.

Mason T, Trochez C, Thomas R, Baber ML. Knowledge and awareness of the general public and perception of pharmacists about antibiotic resistance. BMC public health. 2018;18(1):5614-5617.

Chris O. EMDEX Anti-infective drugs. Drug formulary for Nigeria’s Health Professionals. 2017;335-558.

Gualano MR, Scaioli G, Gil R, Masucci S, Bert F, Siliquini R. Antibiotic use: A cross-sectional survey assessing the knowledge, attitudes and practices amongst Students of a School of Medicine in Italy. Plos One 2015;10(4):e0122476.


Asogwa I, Offor S, Mbagwu H, Orji C. Knowledge, attitude and practice towards antibiotic use among non-medical university students in Uyo, Nigeria. Journal of Advances in Medical and Pharmaceutical Sciences. 2017;1(15):1-11.