Evidence map›Paper›PMID 41367673›Full record

ArticleERJ open research2025

Patients' perspectives on antimicrobial resistance in chronic respiratory disease: an AMR-Lung/European Lung Foundation global patient survey.

Efthymia Papadopoulou, Dominic L Sykes, Pieter Goeminne, Ana Machado, Dareen Marghlani, Lisa McNeil, Joyce Norwell, Cátia Paixão, Amelia Shoemark, Jeanette Boyd and 3 more

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In one paragraph

Article in ERJ open research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Efthymia PapadopoulouPulmonology Department, "G. Papanikolaou" General Hospital of Thessaloniki, Exochi, Greece.ORCID https://orcid.org/0000-0002-2415-0842
Dominic L SykesRespiratory Research Group, Hull York Medical School, Hull, UK.ORCID https://orcid.org/0000-0002-0925-7772
Pieter GoeminnePulmonology Department, VITAZ Hospitals Saint-Nicholas, Sint-Niklaas, Belgium.
Ana MachadoComprehensive Health Research Center (CHRC), NOVA Medical School, NOVA University of Lisbon, Lisbon, Portugal.
Dareen MarghlaniDepartment of Infection, Centre of Bacterial Resistance Biology, Imperial College London, London, UK.
Lisa McNeilEuropean Lung Foundation, Aspergillosis Patient Advisory Group, Sheffield, UK.
Joyce NorwellEuropean Lung Foundation, Bronchiectasis Patient Advisory Group, Sheffield, UK.
Cátia PaixãoLab3R - Respiratory Research and Rehabilitation Laboratory, School of Health Sciences, University of Aveiro (ESSUA), Aveiro, Portugal.
Amelia ShoemarkDivision of Respiratory Medicine and Gastroenterology, University of Dundee, Ninewells Hospital and Medical School, Dundee, UK.ORCID https://orcid.org/0000-0001-7360-6060
Jeanette BoydEuropean Lung Foundation, Sheffield, UK.
Miquel EkkelenkampDepartment of Medical Microbiology, University Medical Center Utrecht, Utrecht, The Netherlands.
Stephanie TheeDepartment of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0001-9090-7869
Anand ShahDepartment of Infection, Centre of Bacterial Resistance Biology, Imperial College London, London, UK.ORCID https://orcid.org/0000-0001-5257-520X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Antimicrobial resistance (AMR) represents a significant global health threat, particularly for people with chronic respiratory diseases. However, their experiences, knowledge, priorities and concerns have not been comprehensively assessed. This study aimed to gauge patients' perspectives of AMR burden in chronic respiratory disease. Methods: An anonymous web-based patient survey was developed by the AMR-Lung European Respiratory Society Clinical Research Collaboration and members of the European Lung Foundation patient advisory groups, consisting of 39 questions, translated into 20 languages and held online over a 2-month period. Multivariable logistic regression analyses were used to explore disease-specific burden and factors potentially affecting AMR across different healthcare settings. Results: Among 2012 respondents from 57 countries on all six continents, 30.7% recalled having an AMR-associated infection, while 12.6% perceived their last antimicrobial course as ineffective. 30.5% received long-term prophylactic antimicrobials, with 44.6% of them recalling an AMR-associated infection. 17.6% reported antimicrobial use without medical prescription, while 9.5% perceived prescriptions as delayed. Respondents recognised mostly their healthcare professionals as an information source regarding AMR, but 27% were unaware of AMR prior to the survey. Patients from high-income countries were more likely to be knowledgeable about AMR, to avoid using antimicrobials without prescription and to perceive them as ineffective. Respondents overwhelmingly viewed AMR as a personal (76.4%) and global (79.6%) threat. Conclusions: This global large-scale survey ascertains for the first time the high AMR burden from the perspective of people with chronic respiratory diseases, accentuating the need to promote AMR awareness, judicious antimicrobial use and accessibility to quality healthcare.

Identifiers

PMID41367673
PMCPMC12683545

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Registered trials

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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.