Evaluating Knowledge and Attitudes Toward Antibiotic Use Among Pharmacy Students at Three Universities in Bali
DOI:
https://doi.org/10.30595/pharmacy.v0i0.24037Keywords:
Antimicrobial Resistance, Antibiotics, Attitudes, Knowledge, Pharmacy_students, PracticesAbstract
Antimicrobial resistance poses a significant threat to global health, making the understanding of antibiotic use among healthcare students critical. This study aimed to assess the knowledge, attitudes, and practices regarding antibiotic use among pharmacy students in Bali. A quantitative descriptive approach with a cross-sectional design was employed, involving 105 pharmacy students. Data were collected through a questionnaire distributed via Google Forms and analyzed using SPSS version 15.0. The findings indicated that most of the respondents were aged 19-24 years (96.2%), predominantly female (85.7%), and enrolled in undergraduate programs (77.1%). A substantial proportion (84.8%) obtained antibiotics with a doctor's prescription, while health workers served as the primary source of information for self-treatment (74.3%). Amoxicillin emerged as the most commonly used antibiotic (71.4%), with fever being the most reported complaint (55.2%). The questionnaire results revealed high levels of knowledge (41.9%), a positive attitude towards antibiotic use (94.3%), and good practice (99.0%) among pharmacy students. Statistical analysis showed a significant relationship between knowledge and attitudes toward antibiotic use practices, with r = 0.306 (p = 0.001). Additionally, the correlation between attitudes and practices was stronger, with r = 0.385 (p < 0.000). The study concludes that pharmacy students in Bali exhibit a high level of knowledge and a positive attitude toward antibiotic use, which correlates significantly with their practices. However, the study underscores the need for continuous education on responsible antibiotic use to combat antimicrobial resistance effectively.
References
Anggraini, W. et al. (2020) ‘Pengaruh pemberian edukasi terhadap pasien rawat jalan tentang penggunaan antibiotik di RSUD Kanjuruhan Kabupaten Malang’, Pharmaceutical Journal of Indonesia, 6(1), pp. 57–62. doi: 10.21776/ub.pji.2020.006.01.9.
Cook, M. A. and Wright, G. D. (2022) ‘The past, present, and future of antibiotics’, Science Translational Medicine, 14(657), p. eabo7793. doi: https://doi.org/10.1126/scitranslmed.abo7793.
Dewi, N. L. P. S. et al. (2024) ‘Antimicrobial resistance: Knowledge, attitude, and awareness in the Bali locals community’, Jurnal Farmasi Indonesia, 16(1), pp. 108–113. doi: https://doi.org/10.35617/jfionline.v16i1.161.
Gyssens, I. C. (2020) ‘Antibiotic policy’, in World Journal of Urology, pp. 127–146. doi: 10.1007/s00345-019-03039-4.
Hamdani, S., Nuari, D. A. and Rahayu, T. (2021) ‘Hubungan antara pengetahuan, sikap dan perilaku mahasiswa Universitas Garut pada penggunaan antibiotik’, Jurnal Ilmiah Farmako Bahari, 12(2), p. 132. doi: 10.52434/jfb.v12i2.1222.
Higuita-Gutiérrez, L. F., Roncancio Villamil, G. E. and Jiménez Quiceno, J. N. (2020) ‘Knowledge, attitude, and practice regarding antibiotic use and resistance among medical students in Colombia: a cross-sectional descriptive study’, BMC Public Health, 20(1), pp. 1–12. doi: 10.1186/s12889-020-09971-0.
Hu, X. Y., Logue, M. and Robinson, N. (2020) ‘Antimicrobial resistance is a global problem – a UK perspective’, European Journal of Integrative Medicine, 36(December 2019), p. 101136. doi: 10.1016/j.eujim.2020.101136.
Karuniawati, H. et al. (2021) ‘Assessment of knowledge, attitude, and practice of antibiotic use among the population of Boyolali, Indonesia: A cross-sectional study’, International Journal of Environmental Research and Public Health, 18(16), p. 8258. doi: 10.3390/ijerph18168258.
Lewis, K. (2020) ‘Perspective the science of antibiotic discovery’, Cell, 181(1), pp. 29–45. doi: 10.1016/j.cell.2020.02.056.
Lubwama, M. et al. (2021) ‘Knowledge, attitudes, and perceptions about antibiotic use and antimicrobial resistance among final year undergraduate medical and pharmacy students at three universities in East Africa’, PLoS ONE, 16(5 May), pp. 1–13. doi: 10.1371/journal.pone.0251301.
Menko RI (2024) Rencana aksi nasional pengendalian resistensi antimikroba.
Ocktaviana Saputri, L. et al. (2022) ‘Program pengendalian resistensi antibiotik di tengah pandemi Covid-19 bagi tenaga kesehatan di Indonesia’, Jurnal Abdi Insani, 9(4), pp. 1780–1788. doi: 10.29303/abdiinsani.v9i4.781.
Permenkes RI (2021) ‘Pedoman Penggunaan Antibiotik’, Permenkes RI, pp. 1–97.
Setiabudy, M. et al. (2023) ‘Detection of antibacterial activity in chicken meat, eggs, drinking water, animal feed and sewage waste in Tabanan, Bali’, Journal of Microbiology and Infectious Diseases, 3(1), pp. 16–19. doi: 10.51559/jcmid.v3i1.51.
Sutema, I. A. M. P. et al. (2023) ‘The effect of e-booklet education on treatment behaviour of tuberculosis patients at Denpasar City health centre’, Pharmacy Education, 23(2), pp. 163–167. doi: https://doi.org/10.46542/pe.2023.232.163167.
Vicentini, C. et al. (2022) ‘Antimicrobial stewardship strategies including Point-of-Care Testing (POCT) for pediatric patients with upper-respiratory-tract infections in primary care: A systematic review of economic evaluations’, Antibiotics, 11(1139), pp. 1–13.
WHO (2019) Assessing Non-Prescription and Inappropriate Use of Antibiotics.
Widowati, I. G. A. R. et al. (2021) ‘Self-medication and self-treatment with short-term antibiotics in Asian countries: A literature review’, Pharmacy Education, 21(2), pp. 152–162. doi: 10.46542/pe.2021.212.152162.
Widowati, I. G. A. R. et al. (2023) ‘Penyuluhan penggunaan antibiotik yang bijak di rumah tangga Desa Bengkel, Tabanan’, Wahana Usada, 5(1), pp. 12–19. doi: https://doi.org/10.47859/wuj.v5i1.310.
Wisudanti, D. D., Setyaningrum, W. H. and Efendi, E. (2023) ‘Hubungan pengetahuan terhadap sikap dan perilaku penggunaan antibiotik pada mahasiswa medis dan kesehatan Universitas Jember’, Jember Medical Journal, 2(2), pp. 72–82. doi: 10.19184/jembermedicaljournal.v2i2.477.
Yanti, N. K. S. et al. (2022) ‘Implementation of One Health approach in the initiation of antibiotic wise village in Bali, Indonesia’, in Catalizing One Health Citizens of the Future, pp. 1–7.
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