Antibiotic stewardship knowledge and belief differences among healthcare professionals in hospitals: A survey study

Fauna Herawati, Abdul Kadir Jaelani, Heru Wijono, Abdul Rahem, Setiasih, Rika Yulia, Retnosari Andrajati, Diantha Soemantri

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)


Background: 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. Methods: 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. Results: 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. Conclusion: 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.

Original languageEnglish
Article numbere07377
Issue number6
Publication statusPublished - Jun 2021


  • Antibiotic stewardship
  • Belief
  • Knowledge


Dive into the research topics of 'Antibiotic stewardship knowledge and belief differences among healthcare professionals in hospitals: A survey study'. Together they form a unique fingerprint.

Cite this