2020
DOI: 10.3389/fphar.2020.00978
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Practice Guidelines for Clinical Pharmacists in Middle to Low Income Countries

Abstract: The profession of pharmacy is maturing as a clinical profession in South Africa and has experienced significant development over the past 10 years. The development of clinical pharmacy in Southern Africa started in the late 1980s. The Director-General of Health and Welfare requested an expansion of the pharmacist's role in Southern Africa, in 1988, when he challenged pharmacists to be "more than just dispensers." South Africa experience human resource challenges in terms of healthcare service delivery and the … Show more

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Cited by 17 publications
(24 citation statements)
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“…Expansion of the clinical pharmacy service would allow many of the antimicrobial stewardship and safety errors identified in this study to be detected and corrected, but remains a challenge due to resource constraints in LMICs. 24 Making therapeutic drug monitoring for colistin available locally will help to overcome current challenges with dosing and raise awareness of issues around monitoring. Consideration should also be given to a switch to polymyxin B, which has the benefits of being administered in active form and not requiring renal dose adjustments, making it more prescriber-friendly.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Expansion of the clinical pharmacy service would allow many of the antimicrobial stewardship and safety errors identified in this study to be detected and corrected, but remains a challenge due to resource constraints in LMICs. 24 Making therapeutic drug monitoring for colistin available locally will help to overcome current challenges with dosing and raise awareness of issues around monitoring. Consideration should also be given to a switch to polymyxin B, which has the benefits of being administered in active form and not requiring renal dose adjustments, making it more prescriber-friendly.…”
Section: Discussionmentioning
confidence: 99%
“…Clinical pharmacy is a developing profession in South Africa and posts in the public sector for ward-based pharmacists are limited. 24 The workload of procurement, preparation and dispensing of medication from the pharmacy does not allow adequate deployment of pharmacists from the pharmacy to the ward to provide a patient-orientated service at our institution. We have a clinical pharmacology service consisting of medically trained consultants and trainee registrars, but consultations are limited to challenging therapeutic cases and not routine review of all prescriptions.…”
Section: Methodsmentioning
confidence: 99%
“…As clinical pharmacy services become ingrained in healthcare systems, their practice settings are also becoming more structured. Generally, clinical pharmacists could serve at the individual level, mainly in primary, secondary, or tertiary healthcare settings( Bronkhorst et al, 2020 ). At the individual level, they could serve as pharmacotherapy experts in numerous specialties such as drug information, nutrition support, emergency medicine, critical care, internal medicine, infectious diseases, surgery, oncology, hematology, cardiology, nephrology, organ transplant, pediatrics, and medication safety ( Bronkhorst et al, 2020 ).…”
Section: Clinical Pharmacy Practicementioning
confidence: 99%
“…Poor working conditions and remuneration have forced many CPs from LMICs to migrate to HICs in search of a better working environment and pay. 60,61…”
Section: Shortage Of Clinical Pharmacistsmentioning
confidence: 99%