ArticleBMJ open2022
What the public in England know about antibiotic use and resistance in 2020: a face-to-face questionnaire survey.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Effectiveness of educational interventions in improving antimicrobial dispensing by community pharmacists: a systematic review.BMC medical education · 2025Pooled it
- Trial
- The effects of communicating illness diagnostic and treatment information and C-reactive protein test results on people's antibiotic expectations.British journal of health psychology · 2025Trial
- The role of household size and living with children in antibiotic use and antibiotic-related behaviours and beliefs: results from a general population survey in Poland.JAC-antimicrobial resistance · 2026Article
- Antimicrobial Use in Dromedary Camels: Off-Label Practices, Welfare Implications, and Antimicrobial Resistance Within a One Health Framework-A Narrative Review.Veterinary sciences · 2026Review
- The association between prenatal and early-life antibiotic use and obesity at 4-5 years in the Born in Bradford birth cohort.BMC public health · 2026Article
- Antibiotic knowledge among ethnic minority groups in high-income countries: A mixed-methods systematic review.Public health in practice (Oxford, England) · 2026Review
- A survey of parental health-seeking behaviour, knowledge, and expectations around ear infection symptoms in children.BJGP open · 2026Article
- Public knowledge and attitudes towards antibiotic use across England - pre- and post-pandemic.BMC public health · 2025Article
- Social determinants of health and knowledge, attitude and practice studies on antimicrobial resistance-an evidence review and future direction.JAC-antimicrobial resistance · 2025Article
- The prevalence and risk of mortality associated with antimicrobial resistance within nosocomial settings-a global systematic review and meta-analysis of over 20,000 patients.EClinicalMedicine · 2025Article
- Importance of diversity and representation in science: benefits towards strengthening our response to global challenges.npj antimicrobials and resistance · 2025Article
- Implementation of a National Antimicrobial Stewardship Training Programme for General Practice: A Case Study.Antibiotics (Basel, Switzerland) · 2025Article
- Enhancing the general public knowledge of antimicrobial resistance (AMR) in Africa: a video-based Brief Educational Resource Review.JAC-antimicrobial resistance · 2025Article
- Article
- Study on knowledge, attitudes and behavioral practices of antimicrobial usage and resistance in animals and humans in Bahir Dar City, Northwest Ethiopia.BMC public health · 2024Article
- Infection Inspection: using the power of citizen science for image-based prediction of antibiotic resistance in Escherichia coli treated with ciprofloxacin.Scientific reports · 2024Article
- Patient and public understanding of antimicrobial resistance: a systematic review and meta-ethnography.JAC-antimicrobial resistance · 2024Review
- Pharmacists' perspectives on recommending herbal medicines for acute infections: a qualitative study.BJGP open · 2024Article
- Knowledge and Attitudes of Patients About the Rational Use of Antibiotics.Infectious diseases & clinical microbiology · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo describe public attitudes and knowledge around antibiotic activity, resistance and use.
designFace-to-face household 18 question survey using computer-assisted data collection undertaken by Ipsos Market and Opinion Research International.
settingRandomly selected households across England, January-February 2020.
participants2022 adults (aged 15+,) including 521 black, Asian and minority ethnic (BAME) participants, and 406 aged 15-25 years olds.
main outcome measuresResponses to questions about antibiotic activity, resistance and expectations for antibiotics and trust in healthcare professionals. Analyses were weighted to obtain estimates representative of the population with multivariable analysis undertaken for questions with five or more significant univariate variables.
results84% stated they would be pleased if their general practitioner (GP) said they did not need antibiotics. Trust in GPs to make antibiotic decisions remains high (89%) and has increased for nurses (76%) and pharmacists (71%). Only 21% would challenge an antibiotic decision; this was significantly greater in BAME participants (OR 2.5; 95% CI 1.89 to 3.35). 70% reported receiving advice when prescribed antibiotics. Belief in benefits of antibiotics for ear infections was very high (68%). Similar to 2017, 81% agreed that antibiotics work for bacterial, 28% cold and influenza viruses. 84% agreed antibiotic resistant bacteria (ARB) are increasing, only 50% agreed healthy people can carry ARB and 39% agreed there was nothing they personally could do about ARB. Social grade DE and BAME participants, and those with less education had significantly less understanding about antibiotics and resistance.
conclusionsAs trust in healthcare practitioners is high, we need to continue antibiotic education and other interventions at GP surgeries and community pharmacies but highlight that most ear infections are not benefitted by antibiotics. Targeted interventions are needed for socioeconomic DE, BAME groups and previous antibiotic users. We need to explore if increasing perceived personal responsibility for preventing ARB reduces antibiotic use.
Indexed as
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What OpenQuestion holds
Registered trials
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.