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Patients using antifungals following laryngectomy: A qualitative study of community pharmacists in the North of England

Lookup NU author(s): Dr Adam Todd, Professor Andy Husband, Anne Hurren

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Abstract

Objective To explore community pharmacists' understanding and opinions in relation to the prevention of fungal colonisation of voice prostheses amongst laryngectomy patients. Method Semi-structured interviews were conducted on a purposive sample of 12 community pharmacists from the North of England. Interviews were undertaken until data saturation was reached and responses were transcribed verbatim and analysed using a thematic approach. Key findings Six themes emerged from the data analysis. These were: terminology confusion about laryngectomy, stoma and voice prostheses; smoking as a risk factor for the development of laryngeal cancer; using nystatin to prevent biofilm formation; counselling information related to nystatin; prescription intervention and additional education in relation to laryngectomy. The theme of counselling information related to nystatin use and additional education was a key finding: our data show that when dispensing nystatin to patients with a voice prosthesis, community pharmacists would either give no advice related to medication use or would give incorrect advice that may lead to premature prosthesis failure amongst this patient group. Conclusion This study highlights that community pharmacists lack understanding in relation to laryngectomy and are unaware of the off-label doses and administration methods of the drugs (specifically nystatin) used to prevent fungal colonisation on voice prostheses. Additional information sources in the form of an educational leaflet, possibly obtained through the local department of speech and language therapy, would be perceived as a valuable resource to support community pharmacists who are required to manage these patients in the community. © 2013 Royal Pharmaceutical Society.


Publication metadata

Author(s): Todd A, Husband AK, Hurren A, Kler S, Ling J

Publication type: Article

Publication status: Published

Journal: International Journal of Pharmacy Practice

Year: 2014

Volume: 22

Issue: 3

Pages: 193-199

Print publication date: 01/06/2013

Online publication date: 13/09/2013

Acceptance date: 24/07/2013

ISSN (print): 0961-7671

ISSN (electronic): 2042-7174

Publisher: John Wiley & Sons Ltd

URL: https://doi.org/10.1111/ijpp.12071

DOI: 10.1111/ijpp.12071

PubMed id: 24028528


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