Herawati Fauna, Jaelani Abdul Kadir, Wijono Heru, Rahem Abdul, Yulia Rika, Andrajati Retnosari, Soemantri Diantha
Department of Clinical and Community Pharmacy, Faculty of Pharmacy, Universitas Surabaya, Surabaya, 60293, Indonesia.
Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Indonesia, Depok, 16424, Indonesia.
Heliyon. 2021 Jun 24;7(6):e07377. doi: 10.1016/j.heliyon.2021.e07377. eCollection 2021 Jun.
Collaborative practice in healthcare has been recommended to improve the quality of antimicrobial stewardship interventions, a behavioral change in antimicrobial use. Insufficient knowledge regarding antibiotic resistance, the fear of complications from infections, and how providers perceive antibiotic use and resistance are likely to influence prescribing behavior. This study's objective was to identify the knowledge and belief healthcare professionals' differences about antibiotic stewardship.
This cross-sectional survey study of three hospitals in the East Java province, Indonesia utilized a 43-item questionnaire to assess antimicrobial stewardship knowledge and belief. There were 12 knowledge questions (total possible score: 12) and 31 belief questions (total possible score: 155). The Kuder Richardson 20 (KR-20) and Cronbach alpha values of the questionnaire were 0.54 and 0.92, respectively.
Out of the 257 respondents, 19% (48/257) had a low scores of knowledge, and 39% (101/257) had low scores on belief about antibiotic stewardship (101/257). Most midwives had a low scores on knowledge (25/61) and low scores on belief (46/61). Respondents with high scores on belief were 17% (10/59) physicians, 15% (4/27) pharmacists, 8% (5/65) nurses, and 3% (2/61) midwives.
Among healthcare professionals, knowledge and belief differences concerning antibiotic stewardship vary widely. These differences will affect their capability, behavior, and contribution to the healthcare team collaboration and performance. Further studies are needed to evaluate the correlation between the level of inter-professional collaboration and the quality of the antibiotic stewardship implementation.
医疗保健中的协作实践已被推荐用于提高抗菌药物管理干预措施的质量，抗菌药物使用是一种行为改变。对抗生素耐药性的认识不足、对感染并发症的恐惧以及医疗服务提供者对抗生素使用和耐药性的看法可能会影响处方行为。本研究的目的是确定医疗保健专业人员在抗生素管理方面的知识和信念差异。
这项对印度尼西亚东爪哇省三家医院的横断面调查研究使用了一份包含43个条目的问卷来评估抗菌药物管理知识和信念。有12个知识问题（总可能得分：12分）和31个信念问题（总可能得分：155分）。该问卷的库德-理查森20（KR-20）值和克朗巴赫α值分别为0.54和0.92。
在257名受访者中，19%（48/257）的知识得分较低，39%（101/257）的抗生素管理信念得分较低。大多数助产士知识得分较低（25/61）且信念得分较低（46/61）。信念得分高的受访者中医生占17%（10/59），药剂师占15%（4/27），护士占8%（5/65），助产士占3%（2/61）。
在医疗保健专业人员中，关于抗生素管理的知识和信念差异很大。这些差异将影响他们的能力、行为以及对医疗团队协作和绩效的贡献。需要进一步研究来评估跨专业协作水平与抗生素管理实施质量之间的相关性。
