Elsevier

Preventive Medicine

Volume 34, Issue 3, March 2002, Pages 346-352
Preventive Medicine

Regular Article
Antibiotic Use and Upper Respiratory Infections: A Survey of Knowledge, Attitudes, and Experience in Wisconsin and Minnesota

https://doi.org/10.1006/pmed.2001.0992Get rights and content

Abstract

Background. Public attitudes and expectations contribute to inappropriate antibiotic prescribing and antibiotic resistance. This study assessed knowledge, attitudes, and experiences regarding antibiotic use for respiratory infection or illness.

Methods. Random-digit-dialing telephone surveys of adults and parents of children <5 years old were conducted in Wisconsin and Minnesota during 1999.

Results. The survey was completed by 405 adults and 275 parents of children <5 years old. The median age was 32 years for parents and 50 years for adults. Seven percent of parents and 17% of adults believed that antibiotics are never or almost never necessary for bronchitis. More than 70% in each group believed that antibiotics are needed for green or yellow nasal drainage, and nearly half of respondents believed that they knew whether an antibiotic was needed before seeing a physician. Exposure to multiple information sources on antibiotic resistance in the past 6 months was independently associated with a knowledge score greater than or equal to the median for nine questions.

Conclusions. The general public has misconceptions regarding indications for antibiotic use, and this may contribute to inappropriate prescribing. Providing multiple and varied antibiotic-related informational messages may increase knowledge of appropriate antibiotic prescribing and decrease patient demand for antibiotics.

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      We summarize the identified factors in the Supplementary Material Table S7.1–S7.18. Self-medication with antibiotics for therapeutic purposes was reported in 48 studies from 40 countries and territories, with a prevalence from 3.1% (19 European countries) [32] to 82.0% (Qatar) [33] among adults and 3.3% (the US) [34] to 62% (mainland China) [35] among children. Seven studies identified knowledge as a factor for self-medication with antibiotics [36–42], usually assessed by a combined score with mixed results [36,37,39,41,42].

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    Funding for this study was provided by a cooperative agreement with the U.S. Centers for Disease Control and Prevention, Atlanta, Georgia (U50/CCU513299-01).

    2

    To whom correspondence and reprint requests should be addressed at Epidemiology Research Center (ML2), Marshfield Medical Research Foundation, 1000 North Oak Avenue, Marshfield, WI 54449. Fax: (715) 389-3880. E-mail: [email protected].

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