Glycemic control in the infectious diseases ward; role of clinical pharmacist interventions

  • Shadi Farsaei Faculty of Pharmacy, Isfahan University of Medical Sciences, Isfahan, Iran
  • Iman Karimzadeh Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran
  • Sepideh Elyasi Faculty of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran
  • Shima Hatamkhani Faculty of Pharmacy, Urmia University of Medical Sciences, Urmia, Iran
  • Hossein Khalili Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran
Keywords: Clinical pharmacy interventions, glycemic control, infectious diseases ward

Abstract

Introduction: Hyperglycemia is one of the most frequent metabolic complications in hospitalized patients. Increased risk of infection following hyperglycemia has been reported in hospitalized patients and infections may also cause insulin resistance which complicates the control of blood glucose level. In this study the impact of the clinical pharmacist interventions on the glycemic control in patients admitted to infectious diseases ward has been evaluated.

Methodology: We conducted a prospective, pre-post interventional study among patients with hyperglycemia. The clinical pharmacist-led multidisciplinary team managed the glycemic profile of patients according to an established insulin protocol commonly used in internal wards. Clinical pharmacists reviewed patients’ medical charts for proper insulin administration, evaluated nurses’ technique for insulin injection and blood glucose measurement, and educated patients about symptoms of hypoglycemia and the importance of adherence to different aspects of their glycemic management.

Results: The percentage of controlled random blood sugar increased from 13.8% in the pre-intervention to 22.3% in the post-intervention group (p value < 0.01). On the other hand, the percentage of controlled fasting blood sugars in the post-intervention group was non-significantly higher than in the pre-intervention group.

Conclusion: Pharmacists and additional health care providers from other departments such as nursing and dietary departments need to be devoted to glycemic control service. Collaborative practice agreement between physicians is necessary to promote this service and help to increase the use of such services in different settings for diabetes control.

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Published
2014-04-15
How to Cite
1.
Farsaei S, Karimzadeh I, Elyasi S, Hatamkhani S, Khalili H (2014) Glycemic control in the infectious diseases ward; role of clinical pharmacist interventions. J Infect Dev Ctries 8:480-489. doi: 10.3855/jidc.3357
Section
Original Articles