The management of ocular allergy in community pharmacies in the United Kingdom

Paramdeep Bilkhu, James S. Wolffsohn, Deanna Taylor, Emma Gibson, Bhavik Hirani, Shehzad A Naroo

Research output: Contribution to journalArticle

Abstract

Background Ocular allergies frequently present in pharmacy practices. However, research into the actual management of ocular allergy in pharmacies is lacking. Objective To determine and quantify history and symptom questioning of a patient with presumed allergic conjunctivitis and management strategies employed by pharmacy staff in the UK. Method A mystery shopper technique was used to simulate an episode of allergic conjunctivitis in 100 community pharmacies across the UK. Results The mean number of questions asked by pharmacy staff to the patient was 3.5 ± 2.6, with a range of 0-10. The most common question was whether the patient had a history of allergies (45 %).Ninety-one percent advised on treatment, with the remaining 9 % directly referring to the patient's general practitioner (n = 4) or pharmacist(n = 4), but only two to their optometrist. The most common treatment suggested was sodium cromoglycate 2 % (50 %). However, many pharmacies advising treatment did not ask the patient's age (37 %), if they wore contact lenses (43 %), or gave dosage advice (43 %). Only 5 % of pharmacies advised follow up and 14 % suggested visiting a general practitioner and 1 % an optometrist if symptoms did not resolve with treatment. Conclusion There is a need for improved ophthalmological training for pharmacy staff with respect to the management of allergic conjunctivitis. © Springer Science+Business Media Dordrecht 2012.
LanguageEnglish
Pages190-194
Number of pages5
JournalInternational Journal of Clinical Pharmacy
Volume35
Issue number2
Early online date1 Jan 2013
DOIs
Publication statusPublished - Apr 2013

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Allergies
Pharmacies
Hypersensitivity
Allergic Conjunctivitis
Contact lenses
Cromolyn Sodium
General Practitioners
Wear of materials
Contact Lenses
Therapeutics
Pharmacists
History
United Kingdom
Industry
Research

Bibliographical note

The final publication is available at Springer via http://dx.doi.org/10.1007/s11096-012-9742-z

Keywords

  • allergic conjunctivitis
  • community pharmacy
  • counselling
  • mystery shopper
  • ocular allergy
  • United Kingdom

Cite this

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title = "The management of ocular allergy in community pharmacies in the United Kingdom",
abstract = "Background Ocular allergies frequently present in pharmacy practices. However, research into the actual management of ocular allergy in pharmacies is lacking. Objective To determine and quantify history and symptom questioning of a patient with presumed allergic conjunctivitis and management strategies employed by pharmacy staff in the UK. Method A mystery shopper technique was used to simulate an episode of allergic conjunctivitis in 100 community pharmacies across the UK. Results The mean number of questions asked by pharmacy staff to the patient was 3.5 ± 2.6, with a range of 0-10. The most common question was whether the patient had a history of allergies (45 {\%}).Ninety-one percent advised on treatment, with the remaining 9 {\%} directly referring to the patient's general practitioner (n = 4) or pharmacist(n = 4), but only two to their optometrist. The most common treatment suggested was sodium cromoglycate 2 {\%} (50 {\%}). However, many pharmacies advising treatment did not ask the patient's age (37 {\%}), if they wore contact lenses (43 {\%}), or gave dosage advice (43 {\%}). Only 5 {\%} of pharmacies advised follow up and 14 {\%} suggested visiting a general practitioner and 1 {\%} an optometrist if symptoms did not resolve with treatment. Conclusion There is a need for improved ophthalmological training for pharmacy staff with respect to the management of allergic conjunctivitis. {\circledC} Springer Science+Business Media Dordrecht 2012.",
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The management of ocular allergy in community pharmacies in the United Kingdom. / Bilkhu, Paramdeep; Wolffsohn, James S.; Taylor, Deanna; Gibson, Emma; Hirani, Bhavik; Naroo, Shehzad A.

In: International Journal of Clinical Pharmacy, Vol. 35, No. 2, 04.2013, p. 190-194.

Research output: Contribution to journalArticle

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AU - Naroo, Shehzad A

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