Background and Objective: Rational use of antibiotics is a global concern and the quality of the knowledge of the health care provider is a key influencing factor. This study was conducted to evaluate the impact of Antibiotic Smart Use (ASU) program, organized by the Thailand Ministry of Public Health, on the antibiotic dispensing knowledge of nurse practitioners working at health promoting hospitals (HPHs) in Khon Kaen province, Thailand.
Methods : Questionnaires with scenarios for treatment of upper respiratory diseases, acute diarrhea in children and open wound with bleeding were sent to 294 nurse practitioners at Khon Kaen HPHs. The dispensing of antibiotics was appropriate if antibiotics was dispensed for the open would with bleeding scenario but not for the other scenarios. The appropriate dispensing between the dispensers who attended the ASU workshop and the non-ASU attendances were compared using Fishers Exact Test and p< 0.05 was defined as the significance level.
Results : A total of 95 (32.31%) questionnaires were returned and data could be retrieved from 92 completed questionnaires (31.29%). Of the 92 respondents, 75 returned the appropriate dispensing response for all three scenarios (81.52%). Ten inappropriate responses were returned for upper respiratory disease(10.87%), one for acute diarrhea in children (1.09%) and six for open would with bleeding (6.52%). Attendance at the ASU workshop was associated with providing the appropriate treatment responses (60 ± 88.24%) VS 15 ± 62.5%), p < 0.05).
Conclusions : Most of nurse practitioners at KhonKaen HPHs have sufficient knowledge in dispensing antibiotics for treatment of upper respiratory diseases, acute diarrhea in children and open wound with bleeding. Attendance at an Antibiotic Smart Use (ASU) workshop could improve the appropriate dispensing.