Community pharmacists-led interventions in tuberculosis care: A systematic review |
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| Affiliation: | 1. School of Pharmacy, Monash University Malaysia, Jalan Lagoon Selatan, 47500, Subang Jaya, Selangor, Malaysia;2. Asian Centre for Evidence Synthesis in Population, Implementation and Clinical Outcomes (PICO), Health and Well-being Cluster, Global Asia in the 21st Century (GA21) Platform, Monash University Malaysia, Jalan Lagoon Selatan, 47500, Subang Jaya, Selangor, Malaysia;3. Gerontechnology Laboratory, Global Asia in the 21st Century (GA21) Platform, Monash University Malaysia, Jalan Lagoon Selatan, 47500, Subang Jaya, Selangor, Malaysia;4. School of Pharmacy, Taylor''s University Lakeside Campus, Jalan Taylors, 47500, Subang Jaya, Selangor, Malaysia;1. University of Maryland, School of Pharmacy, 20 N. Pine St., Baltimore, MD, 21201, USA;2. University of Hawaii, Hilo, The Daniel K. Inouye College of Pharmacy, 200 W. Kawili St., Hilo, HI, 96720, USA;1. Clinical and Administrative Pharmacy, University of Georgia, Athens, GA, USA;3. Department of Quantitative Health Science, Mayo Clinic College of Medicine and Sciences, Scottsdale, AZ, USA;4. College of Pharmacy, University of Georgia, Athens, GA, USA;1. Department of Sociology and Anthropology, University of Mississippi, United States;2. Department of Pharmacy Administration, University of Mississippi, United States;3. Department of Pharmacy Practice, University of Mississippi, United States;4. Department of Biology and Department of Chemistry, University of Mississippi, United States;5. University of Mississippi School of Pharmacy, Dept of Pharmacy Administration, United States |
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| Abstract: | ![]()
BackgroundA multidisciplinary approach is required to tackle the tuberculosis (TB) epidemic, which is one of the most pressing public health concerns worldwide. However, community pharmacists are underutilized in TB programs.ObjectiveTo identify community pharmacists-led interventions in TB management with their corresponding impacts in TB case detection and treatment outcomes.MethodsA systematic search was performed in six electronic databases and health organization websites, from database inception to August 2, 2022. Studies which described TB screening, referral and/or treatment monitoring by community pharmacists with their corresponding outcomes were screened and reviewed independently by two reviewers. The studies were checked for the risk of bias using Cochrane risk of bias tools. All data of included studies were analysed qualitatively and presented narratively.ResultsThe search yielded 8,121 studies and five reports for initial screening. Sixteen studies and two case study reports were included in this review. Community pharmacists were involved throughout the TB care cascade, contributing their services in TB screening, referrals and in directly observed treatment-short course (DOTS) program. These interventions showed improvements in the effective control and prevention of further spread of TB, which improves individual, community and population level outcomes.ConclusionsThe inclusion of community pharmacists into TB program can improve the continuity of care, bridging the gaps in TB case detection and treatment monitoring. Adequate training and support are essential, to further empower the role of community pharmacists in TB control and prevention, in building a TB-free world. |
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| Keywords: | Community pharmacists Tuberculosis Referral Screening Directly observed treatment Systematic review |
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