3.1 Knowledge level of rational use of antibacterial drug of the pharmacist
Knowledge level of rational use of antibacterial drug of the pharmacist knowledge is a significant factor that influences the rational use of antibiotics[8].The results of this survey reflected that the current knowledge level of antimicrobial drug of pharmacists desperately needed to be improved. Our findings regarding poor knowledge about antibiotics are similar to findings from other studies conducted in different countries [9-12].According to the results, the CAR of usage indications for antimicrobial drug, prophylactic medication and drug combination, the dosage adjustment of antimicrobial drug for patients with liver and renal insufficiency, the selection of antimicrobial drug for common diseases of the pharmacists, was relatively low, especially for the clinical medication, the knowledge of which was extremely lack. For example, the CAR for the combined use of antimicrobial drug, and the CAR for the use of antimicrobial drug and the prophylactic use of antimicrobial drug. It indicated that the respondents generally lacked knowledge about the clinical use of antimicrobial drug. Analyzing the causes: the positions of pharmacists in hospitals included drug dispensing, hospital preparations, clinical pharmacy, pharmaceutical research and so on, and their work nature was quite different [13], and they mastered different pharmaceutical knowledge. Pharmacists also did not focus on the study of clinical use in their work practice.
The CAR for the theme for 2011 World Health Day, “No action today, No cure tomorrow”, was slightly high, and the reason of which was that the theme for World Health Day was advertised in different ways and there was higher awareness rate in pharmacists. We can see the importance of advertisement. Pharmacists in hospital had changed their work mode from drug-centered to patient-centered model of pharmacy service, which needed to improve the professional level of pharmacists. It was suggested to increase the frequency of training and assessment in the medical institutions, and train the pharmacists at different positions and levels according to their requirements [14]. Meanwhile, the pharmacists should actively take part in the study. For the contents, the medical institutions should emphasise on the training of clinical use of antimicrobial drug.