Abstract
The inappropriate use or misuse of antibiotics, particularly by outpatients, increases antibiotic resistance. A lack of public knowledge about “Responsible use of antibiotics” and “How to obtain antibiotics” is a major cause of this. This study aimed to assess the effectiveness of an educational video about antibiotics and antibiotic use to increase outpatients’ knowledge shown in two public hospitals in East Java, Indonesia. A quasi-experimental research setting was used with a one-group pre-test—post-test design, carried out from November 2018 to January 2019. The study population consisted of outpatients to whom antibiotics were prescribed. Participants were selected using a purposive sampling technique; 98 outpatients at MZ General Hospital in the S regency and 96 at SG General Hospital in the L regency were included. A questionnaire was used to measure the respondents’ knowledge, and consisted of five domains, i.e., the definition of infections and antibiotics, obtaining the antibiotics, directions for use, storage instructions, and antibiotic resistance. The knowledge test score was the total score of the Guttman scale (a dichotomous “yes” or “no” answer). To determine the significance of the difference in knowledge before and after providing the educational video and in the knowledge score between hospitals, the (paired) Student’s t-test was applied. The educational videos significantly improved outpatients’ knowledge, which increased by 41% in MZ General Hospital, and by 42% in SG General Hospital. It was concluded that an educational video provides a useful method to improve the knowledge of the outpatients regarding antibiotics.
Highlights
WHO reported that microbial resistance to antibiotics is a global health problem [1]
It is stated in their WHO report on surveillance of antibiotic consumption that the incidence of antibiotic resistance has increased rapidly in Asia, with the highest incidence in Southeast
This study shows that an educational video increases the patients’ knowledge about the responsible use of antibiotics, and about procedures for obtaining antibiotics correctly
Summary
WHO reported that microbial resistance to antibiotics is a global health problem [1]. It is stated in their WHO report on surveillance of antibiotic consumption that the incidence of antibiotic resistance has increased rapidly in Asia, with the highest incidence in Southeast. Overprescribing [4], and the use of monotherapy broad-spectrum antibiotics [5,6]. The reasons for antibiotic overprescribing and the use of monotherapy broad-spectrum antibiotics are the massive antibiotics revenue [9,10], the lack of supervision in antibiotic distribution by the regulatory authorities [11], physician-related factors, and patient-related factors [12]. Basic health research (Riset Kesehatan Dasar) from the Ministry of Health of the Republic of Indonesia [13]
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