Evidence map›Paper›PMID 18252068›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2007

Public beliefs on antibiotics and respiratory tract infections: an internet-based questionnaire study.

Jochen W L Cals, Dennis Boumans, Robert J M Lardinois, Ralph Gonzales, Rogier M Hopstaken, Christopher C Butler, Geert-Jan Dinant

Open access · greenAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 5 pooled it
10.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

77 citing papers in PubMed, 5 syntheses or guidelines pooled it, 152 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Systemic corticosteroids for acute sinusitis.The Cochrane database of systematic reviews · 2014
    Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Article
  13. Article
  14. Article
  15. Observational
  16. Review
  17. Antibiotic awareness: exploring knowledge among culturally and linguistically diverse patients.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025
    Article
  18. Article
  19. Article
  20. Article

17 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Jochen W L CalsSchool of Primary Care and Public Health (CAPHRI), Department of General Practice, Maastricht University, Maastricht, the Netherlands. j.cals@hag.unimaas.nl
Dennis Boumans
Robert J M Lardinois
Ralph Gonzales
Rogier M Hopstaken
Christopher C Butler
Geert-Jan Dinant
Maastricht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient expectations are among the strongest predictors of clinicians' antibiotic prescribing decisions. Although public knowledge, beliefs, and experiences of antibiotics contribute to these expectations, little is known about these public views.

aimTo gain insight into public knowledge, beliefs, and experiences of antibiotics and respiratory tract infections. DESIGN OF STUDY: Cross-sectional, internet-based questionnaire study.

settingMembers of the general public aged 16 years and over in the Netherlands.

methodsPublic knowledge, beliefs, and experiences of antibiotics and respiratory tract infections, as well as predictors of accurate knowledge of antibiotic effectiveness, were measured using 20 questions with sub-items. The questionnaire was given to a Dutch community-based nationwide internet panel of 15 673 individuals. Of these, 1248 eligible responders were invited to participate; 935 responders (75%) completed the questionnaire.

resultsOf the participants, 44.6% accurately identified antibiotics as being effective against bacteria and not viruses. Acute bronchitis was considered to require treatment with antibiotics by nearly 60% of responders. The perceived need for antibiotics for respiratory tract infection-related symptoms ranged from 6.5% for cough with transparent phlegm, to 46.2% for a cough lasting for more than 2 weeks.

conclusionPublic misconceptions on the effectiveness of, and indications for, antibiotics exist. Nearly half of all responders (47.8%) incorrectly identified antibiotics as being effective in treating viral infections. Doctors should be aware that unnecessary prescribing could facilitate misconceptions regarding antibiotics and respiratory tract infections. Expectations of receiving antibiotics were higher for the disease label 'acute bronchitis' than for any of the separate or combined symptoms prominently present in respiratory tract infection. Public beliefs and expectations should be taken into account when developing interventions targeting the public, patients, and physicians to reduce unnecessary prescribing of antibiotics for respiratory tract infections.

Indexed as

Attitude to HealthInternetAdolescentAdultAnti-Bacterial AgentsCross-Sectional StudiesEducational StatusFamily PracticeFemaleHealth SurveysHumansMaleMiddle AgedNetherlandsPractice Patterns, Physicians'Public OpinionAnti-Bacterial Agents

Identifiers

PMID18252068
PMCPMC2084132
OpenAlexW2162336052

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.