Knowledge and Behavior of Health Workers on Antibiotic Stewardship at Private Hospital in Pontianak

https://doi.org/10.22146/jmpf.92481

Lidya Hafidzah Putri(1), Hariyanto IH(2), Mardhia Mardhia(3*), Delima Fajar Liana(4), Mahyarudin Mahyarudin(5)

(1) Study Program of Pharmacy, Faculty of Medicine, Universitas Tanjungpura, West Calimantan
(2) Study Program of Pharmacy, Faculty of Medicine, Universitas Tanjungpura, West Calimantan
(3) Department of Microbiology, Faculty of Medicine, Universitas Tanjungpura, West Calimantan
(4) Department of Microbiology, Faculty of Medicine, Universitas Tanjungpura, West Calimantan
(5) Department of Microbiology, Faculty of Medicine, Universitas Tanjungpura, West Calimantan
(*) Corresponding Author

Abstract


Background: One of the causes of increasing antimicrobial resistance is health workers' lack of knowledge about antibiotics, thus causing irrational behavior in antibiotic stewardship.

Objectives: This study aimed to analyze the knowledge and behavior among health workers about antibiotic stewardship and their relationship at a private hospital in Pontianak.

Methods: This study was a descriptive observational study with a cross-sectional design. Data were collected using consecutive sampling of health workers involved in antibiotic prescribing using a validated and reliable questionnaire. The data were analyzed using Spearman Rank correlation to determine the relationship between knowledge level and behavior.

Results: 39 respondents participated, including nine general doctors, 17 specialists, and 13 pharmacists. Most health workers were 26–35 years old (43.59%) and had worked for 1–5 years (48.72%). All respondents had a good knowledge (100%) of the knowledge topic of the etiology, control, and effect of antibiotic resistance. However, only 76.92% of respondents had good behavior, and the rest had moderate behavior (23.08%) on the behavioral topics in the performance of antimicrobial resistance control programs, controlling antibiotic prescribing, performance preventing the spread of resistant microbes, and good antibiotic prescribing practice. The knowledge had a significant relationship towards behavior (p<0.05) with a correlation coefficient (r)=0.568.

Conclusion: Most health workers in a private hospital had good knowledge and behavior about antibiotic stewardship, and there was a moderately strong and positive relationship between them.


Keywords


Antibiotic Resistance; Behavior; Doctor, Knowledge; Pharmacist



References

  1. Yunita M, Sukmawati S. Edukasi Bahaya Resistensi Bakteri Akibat Penggunaan Antibiotik yang Tidak Rasional Kepada Masyarakat Desa Air Salobar. Indonesia Berdaya. 2021;2(1):1-6. doi:10.47679/ib.202173
  2. World Health Organization. Global Antimicrobial Resistance and Use Surveillance System (GLASS) Report 2021. World Health Organization; 2021.
  3. Republik Indonesia. Undang-Undang Republik Indonesia Nomor 36 Tahun 2014 Tentang Tenaga Kesehatan.; 2014.
  4. Kementerian Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia Nomor 72 Tahun 2016 Tentang Standar Pelayanan Kefarmasian Di Rumah Sakit. Kementerian Kesehatan Republik Indonesia; 2016.
  5. Kementerian Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia Nomor 28 Tahun 2021 Tentang Pedoman Penggunaan Antibiotik. Kementerian Kesehatan Republik Indonesia; 2021.
  6. Kementerian Kesehatan Republik Indonesia. Panduan Penatagunaan Antibiotik Di RS. Kementerian Kesehatan Republik Indonesia; 2021.
  7. Ashiru-Oredope D, Hopkins S, Vasandani S, et al. Healthcare workers’ knowledge, attitudes and behaviours with respect to antibiotics, antibiotic use and antibiotic resistance across 30 EU/EEA countries in 2019. Eurosurveillance. 2021;26(12). doi:10.2807/1560-7917.ES.2021.26.12.1900633
  8. Adhitama W, Puspitasari I, Laksanawati IS. Evaluasi Luaran Klinis Terapi Antibiotika pada Pasien Anak Rawat Inap dengan Infeksi Saluran Kemih di RSUP Dr. Sardjito Yogyakarta. Majalah Farmaseutik. 2021;17(2):166. doi:10.22146/farmaseutik.v17i2.48803
  9. Yusuf NFW. Gambaran Pengetahuan Bidan Dalam Pemberian Antibiotik Di Puskesmas Pembantu Desa Rossoan Kecamatan Enrekang Kabupaten Enrekang. Skripsi. Universitas Islam Negeri Alauddin; 2018.
  10. Salcedo S, Mora L, Fernandez DA, et al. Knowledge, Attitudes, and Behavior Regarding Antibiotics, Antibiotic Use, and Antibiotic Resistance in Students and Health Care Professionals of the District of Barranquilla (Colombia): A Cross-Sectional Survey. Heliyon. 2022;8(11):e11378. doi:10.1016/j.heliyon.2022.e11378
  11. Tegagn GT, Yadesa TM, Ahmed Y. Knowledge, Attitudes and Practices of Healthcare Professionals towards Antimicrobial Stewardship and Their Predictors in Fitche Hospital. J Bioanal Biomed. 2017;09(02). doi:10.4172/1948-593X.1000159
  12. Limato R, Nelwan EJ, Mudia M, et al. Perceptions, Views and Practices Regarding Antibiotic Prescribing and Stewardship among Hospital Physicians in Jakarta, Indonesia: A Questionnaire-Based Survey. BMJ Open. 2022;12(5):e054768. doi:10.1136/bmjopen-2021-054768
  13. Alamin ASA, Kheder SI. Knowledge, Attitudes and Practices of Prescribers towards Antimicrobial Stewardship at Hospitals in Khartoum State - Sudan. Journal of Medical Informatics and Decision Making. 2020;1(3):12-25. doi:10.14302/issn.2641-5526.jmid-20-3494
  14. Kementerian Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia Nomor 8 Tahun 2015 Tentang Program Pengendalian Resistensi Antimikroba Di Rumah Sakit. Kementerian Kesehatan Republik Indonesia; 2015.
  15. Al-Omari A, Al Mutair A, Alhumaid S, et al. The Impact of Antimicrobial Stewardship Program Implementation at Four Tertiary Private Hospitals: Results of a Five-Years Pre-Post Analysis. Antimicrob Resist Infect Control. 2020;9(1):95. doi:10.1186/s13756-020-00751-4
  16. Herawati F, Jaelani AK, Wijono H, et al. Antibiotic Stewardship Knowledge and Belief Differences Among Healthcare Professionals in Hospitals: A Survey Study. Heliyon. 2021;7(6):e07377. doi:10.1016/j.heliyon.2021.e07377
  17. Lim AH, Ab Rahman N, Nasarudin SNS, et al. A Comparison Between Antibiotic Utilisation in Public and Private Community Healthcare in Malaysia. BMC Public Health. 2024;24(1):79. doi:10.1186/s12889-023-17579-3
  18. Imas M. Metodologi Penelitian Kesehatan. Kementerian Kesehatan Republik Indonesia; 2018.
  19. Dyah P.A NR, Arsandy ER. Sistem Informasi Geografis Tempat Praktek Dokter Spesialis di Provinsi D.I. Yogyakarta Berbasis Web. Informatika Mulawarman : Jurnal Ilmiah Ilmu Komputer. 2016;10(1):65. doi:10.30872/jim.v10i1.22
  20. Pratama AN, Nasia AA, Purbaningrum DA, Skripsa TH. Perbedaan Pengetahuan Dokter Gigi Umum dan Spesialis terhadap Pengendalian Infeksi COVID-19. Jurnal Kedokteran Gigi Universitas Padjadjaran. 2022;34(2):86. doi:10.24198/jkg.v34i2.34202
  21. Sefah IA, Chetty S, Yamoah P, et al. A Multicenter Cross-Sectional Survey of Knowledge, Attitude, and Practices of Healthcare Professionals towards Antimicrobial Stewardship in Ghana: Findings and Implications. Antibiotics. 2023;12(10):1497. doi:10.3390/antibiotics12101497
  22. Sofia R, Magfirah S. Hubungan Karakteristik Dan Tingkat Pengetahuan Dengan Perilaku Pencegahan Covid-19 Pada Masyarakat Desa Paya Bujok Blang Pase Kota Langsa. Vol 6.; 2021.
  23. Al-Emam DS, El-Badawy MM, El-Masry R. Pattern of Use, Knowledge, Attitude and Practice of Healthcare Workers about Antibioticsin Egyptian Primary Healthcare Facilities. Archives of Community and Family Medicine. 2020;3(2):80-93. doi:10.22259/2638-4787.0302012
  24. Barchitta M, Sabbatucci M, Furiozzi F, et al. Knowledge, Attitudes and Behaviors on Antibiotic Use and Resistance Among Healthcare Workers in Italy, 2019: Investigation by a Clustering Method. Antimicrob Resist Infect Control. 2021;10(1):134. doi:10.1186/s13756-021-01002-w
  25. Devine P, O’Kane M, Bucholc M. Trends, Variation, and Factors Influencing Antibiotic Prescribing: A Longitudinal Study in Primary Care Using a Multilevel Modelling Approach. Antibiotics. 2021;11(1):17. doi:10.3390/antibiotics11010017
  26. Mandelli S, Ardoino I, Nobili A, Fortino I, Franchi C. General Practitioner-Related Factors Associated with Antibiotic Prescription in Community-Dwelling Adult Population. Pharmacoepidemiology. 2023;2(2):148-156. doi:10.3390/pharma2020014
  27. Xu R, Mu T, Jian W, Xu C, Shi J. Knowledge, Attitude, and Prescription Practice on Antimicrobials Use Among Physicians: A Cross-Sectional Study in Eastern China. INQUIRY: The Journal of Health Care Organization, Provision, and Financing. 2021;58:004695802110599. doi:10.1177/00469580211059984
  28. Induniasih, Ratna W. Promosi Kesehatan : Pendidikan Kesehatan Dan Keperawatan. Pustaka Baru; 2017.
  29. Soegijanto S. Kumpulan Makalah Penyakit Tropis Dan Infeksi Di Indonesia Jilid 7. Airlangga University Press; 2016.
  30. Nugraheni AY, Putri MS, Saputro AY. Evaluasi Ketepatan Antibiotik pada Pasien Sepsis. Pharmacon: Jurnal Farmasi Indonesia. 2021;18(2):194-207. doi:10.23917/pharmacon.v18i2.16635
  31. Majumder MAA, Rahman S, Cohall D, et al. Antimicrobial Stewardship: Fighting Antimicrobial Resistance and Protecting Global Public Health. Infect Drug Resist. 2020;Volume 13:4713-4738. doi:10.2147/IDR.S290835
  32. Darwish RM, AlMasri M, Ammar K, AlMasri R, Al- Najar H, Al-Masri MM. Assessing Pharmacists and Other Healthcare Providers’ Knowledge of Hand Sanitization During COVID-19 Pandemic in Jordan: A Comparative Study. PLoS One. 2023;18(4):e0283328. doi:10.1371/journal.pone.0283328
  33. Carlsson F, Jacobsson G, Lampi E. Antibiotic Prescription: Knowledge Among Physicians and Nurses in Western Sweden. Health Policy (New York). 2023;130:104733. doi:10.1016/j.healthpol.2023.104733
  34. Bai Y, Wang S, Yin X, Bai J, Gong Y, Lu Z. Factors Associated with Doctors’ Knowledge on Antibiotic Use in China. Sci Rep. 2016;6(1):23429. doi:10.1038/srep23429
  35. Sun Q, Dyar OJ, Zhao L, et al. Overuse of Antibiotics for the Common Cold – Attitudes and Behaviors Among Doctors in Rural Areas of Shandong Province, China. BMC Pharmacol Toxicol. 2015;16(1):6. doi:10.1186/s40360-015-0009-x
  36. Lekok W, Irwanto Natadidjaja R, Dharmayanti A. Regulasi Antimikroba Sistem Prospektif (Raspro): Sistem Tata Guna Antibiotik Untuk Kendali Mutu dan Kendali Biaya di Rumah Sakit Sebagai Upaya Menurunkan Beban BPJS Kesehatan. Media Bisnis. 2021;12(1):83-88. doi:10.34208/mb.v12i1.906
  37. Atif M, Ihsan B, Malik I, et al. Antibiotic Stewardship Program in Pakistan: A Multicenter Qualitative Study Exploring Medical Doctors’ Knowledge, Perception and Practices. BMC Infect Dis. 2021;21(1):374. doi:10.1186/s12879-021-06043-5
  38. Dukhovny D, Buus-Frank ME, Edwards EM, et al. A Collaborative Multicenter QI Initiative to Improve Antibiotic Stewardship in Newborns. Pediatrics. 2019;144(6). doi:10.1542/peds.2019-0589



DOI: https://doi.org/10.22146/jmpf.92481

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