The detection of influenza virus at the community pharmacy to improve the management of local residents with influenza or influenza-like disease
Abstract Background As of 2014, community pharmacies in Japan are approved by the Ministry of Health, Labour and Welfare to measure lipid panel, HbA1c, glucose, ALT, AST and γ-GTP, but not to screen for influenza virus. We provided influenza virus screening tests at a community pharmacy to triage pe...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2017-08-01
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| Series: | Journal of Pharmaceutical Health Care and Sciences |
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| Online Access: | http://link.springer.com/article/10.1186/s40780-017-0091-x |
| _version_ | 1818571214962032640 |
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| author | Akio Kawachi Yusuke Sakamoto Shunya Mouri Mitsuaki Fukumori Riku Kawano Takaya Murakami Junichiro Sonoda Keiko Narumi Yoshihiro Shimodozono Kenji Etoh Susumu Chiyotanda Takashi Furuie Keizo Sato Masao Fukumori Toshiro Motoya |
| author_facet | Akio Kawachi Yusuke Sakamoto Shunya Mouri Mitsuaki Fukumori Riku Kawano Takaya Murakami Junichiro Sonoda Keiko Narumi Yoshihiro Shimodozono Kenji Etoh Susumu Chiyotanda Takashi Furuie Keizo Sato Masao Fukumori Toshiro Motoya |
| author_sort | Akio Kawachi |
| collection | DOAJ |
| description | Abstract Background As of 2014, community pharmacies in Japan are approved by the Ministry of Health, Labour and Welfare to measure lipid panel, HbA1c, glucose, ALT, AST and γ-GTP, but not to screen for influenza virus. We provided influenza virus screening tests at a community pharmacy to triage people with symptoms suggestive of influenza. Participants were given appropriate advice on how to prevent the spread of and safeguard against influenza. We subsequently evaluated the effects of community pharmacy-based influenza virus screening and prevention measures. Methods Local residents with symptoms suggestive of influenza participated in this study. Influenza virus screening tests using nasal samples were provided to the pharmacy, and we assessed samples for the presence of influenza virus. The study consisted of a preliminary interview, informed consent, and screening test on Day 1, and mail-in survey on Day 14. Results A total 52 local residents participated in the study. The number of participants and influenza virus positive results followed the same trend as the influenza epidemic in the study area. Influenza virus was found in 28.8% of samples. There was no significant difference between the appearance ratios of subjective symptoms among influenza-positive and influenza-negative groups. The percentages of participants who were first screened at the pharmacy, and those who were first screened at a clinic and then tested again at the pharmacy, were 71.2% (37/52) and 28.8% (15/52), respectively. In the latter group, 14 of 15 were negative by screening at the clinic, and one was diagnosed with influenza without testing. Subsequently, 46.8% (7/15) of participants tested positive for influenza by pharmacy-based screening. According to the mail-in survey, all influenza-positive (100%, 7/7) and 35.3% (6/17) of influenza-negative participants visited the clinic after being tested at the community pharmacy; test results between the community pharmacy and clinic were consistent. A total 64.7% (11/17) of symptomatic participants who tested negative recovered spontaneously at home. Conclusions Implementation of influenza virus screening followed by provision of appropriate advice for both influenza-positive and influenza-negative participants at the community pharmacy showed a significant effect on improving the health of the local community. |
| first_indexed | 2024-12-14T13:52:52Z |
| format | Article |
| id | doaj.art-df5dc58494d34cedb14ccac2f3995fc4 |
| institution | Directory Open Access Journal |
| issn | 2055-0294 |
| language | English |
| last_indexed | 2024-12-14T13:52:52Z |
| publishDate | 2017-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Pharmaceutical Health Care and Sciences |
| spelling | doaj.art-df5dc58494d34cedb14ccac2f3995fc42022-12-21T22:58:59ZengBMCJournal of Pharmaceutical Health Care and Sciences2055-02942017-08-01311710.1186/s40780-017-0091-xThe detection of influenza virus at the community pharmacy to improve the management of local residents with influenza or influenza-like diseaseAkio Kawachi0Yusuke Sakamoto1Shunya Mouri2Mitsuaki Fukumori3Riku Kawano4Takaya Murakami5Junichiro Sonoda6Keiko Narumi7Yoshihiro Shimodozono8Kenji Etoh9Susumu Chiyotanda10Takashi Furuie11Keizo Sato12Masao Fukumori13Toshiro Motoya14Graduate School of Pharmaceutical Sciences, Kyushu University of Health and WelfareGraduate School of Pharmaceutical Sciences, Kyushu University of Health and WelfareTomitaka PharmacyTomitaka PharmacyTomitaka PharmacyHavas Worldwide Japan K.KGraduate School of Pharmaceutical Sciences, Kyushu University of Health and WelfareGraduate School of Pharmaceutical Sciences, Kyushu University of Health and WelfareGraduate School of Pharmaceutical Sciences, Kyushu University of Health and WelfareHyuga-city and Higashi-usuki County Pharmaceutical AssociationChiyoda HospitalHyuga-city Healthcare CenterGraduate School of Pharmaceutical Sciences, Kyushu University of Health and WelfareTomitaka PharmacyGraduate School of Pharmaceutical Sciences, Kyushu University of Health and WelfareAbstract Background As of 2014, community pharmacies in Japan are approved by the Ministry of Health, Labour and Welfare to measure lipid panel, HbA1c, glucose, ALT, AST and γ-GTP, but not to screen for influenza virus. We provided influenza virus screening tests at a community pharmacy to triage people with symptoms suggestive of influenza. Participants were given appropriate advice on how to prevent the spread of and safeguard against influenza. We subsequently evaluated the effects of community pharmacy-based influenza virus screening and prevention measures. Methods Local residents with symptoms suggestive of influenza participated in this study. Influenza virus screening tests using nasal samples were provided to the pharmacy, and we assessed samples for the presence of influenza virus. The study consisted of a preliminary interview, informed consent, and screening test on Day 1, and mail-in survey on Day 14. Results A total 52 local residents participated in the study. The number of participants and influenza virus positive results followed the same trend as the influenza epidemic in the study area. Influenza virus was found in 28.8% of samples. There was no significant difference between the appearance ratios of subjective symptoms among influenza-positive and influenza-negative groups. The percentages of participants who were first screened at the pharmacy, and those who were first screened at a clinic and then tested again at the pharmacy, were 71.2% (37/52) and 28.8% (15/52), respectively. In the latter group, 14 of 15 were negative by screening at the clinic, and one was diagnosed with influenza without testing. Subsequently, 46.8% (7/15) of participants tested positive for influenza by pharmacy-based screening. According to the mail-in survey, all influenza-positive (100%, 7/7) and 35.3% (6/17) of influenza-negative participants visited the clinic after being tested at the community pharmacy; test results between the community pharmacy and clinic were consistent. A total 64.7% (11/17) of symptomatic participants who tested negative recovered spontaneously at home. Conclusions Implementation of influenza virus screening followed by provision of appropriate advice for both influenza-positive and influenza-negative participants at the community pharmacy showed a significant effect on improving the health of the local community.http://link.springer.com/article/10.1186/s40780-017-0091-xPoint-of-care testingInfluenzaPharmacistCommunity pharmacy |
| spellingShingle | Akio Kawachi Yusuke Sakamoto Shunya Mouri Mitsuaki Fukumori Riku Kawano Takaya Murakami Junichiro Sonoda Keiko Narumi Yoshihiro Shimodozono Kenji Etoh Susumu Chiyotanda Takashi Furuie Keizo Sato Masao Fukumori Toshiro Motoya The detection of influenza virus at the community pharmacy to improve the management of local residents with influenza or influenza-like disease Journal of Pharmaceutical Health Care and Sciences Point-of-care testing Influenza Pharmacist Community pharmacy |
| title | The detection of influenza virus at the community pharmacy to improve the management of local residents with influenza or influenza-like disease |
| title_full | The detection of influenza virus at the community pharmacy to improve the management of local residents with influenza or influenza-like disease |
| title_fullStr | The detection of influenza virus at the community pharmacy to improve the management of local residents with influenza or influenza-like disease |
| title_full_unstemmed | The detection of influenza virus at the community pharmacy to improve the management of local residents with influenza or influenza-like disease |
| title_short | The detection of influenza virus at the community pharmacy to improve the management of local residents with influenza or influenza-like disease |
| title_sort | detection of influenza virus at the community pharmacy to improve the management of local residents with influenza or influenza like disease |
| topic | Point-of-care testing Influenza Pharmacist Community pharmacy |
| url | http://link.springer.com/article/10.1186/s40780-017-0091-x |
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