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dc.contributor.authorMcCullough, AR
dc.contributor.authorParekh, S
dc.contributor.authorRathbone, J
dc.contributor.authorDel Mar, CB
dc.contributor.authorHoffmann, TC
dc.date.accessioned2019-02-24T23:08:49Z
dc.date.available2019-02-24T23:08:49Z
dc.date.issued2016
dc.identifier.issn0305-7453
dc.identifier.doi10.1093/jac/dkv310
dc.identifier.urihttp://hdl.handle.net/10072/100086
dc.description.abstractObjectives: The objective of this study was to systematically review quantitative and qualitative studies on the public’s knowledge and beliefs about antibiotic resistance. Methods: We searched four databases to July 2014, with no language or study design restrictions. Two reviewers independently extracted data. We calculated the median (IQR) of the proportion of participants who agreed with each statement and synthesized qualitative data by identifying emergent themes. Results: Of 3537 articles screened, 54 studies (41 quantitative, 3 mixed methods and 10 qualitative) were included (55225 participants). Most studied adults (50; 93% studies) and were conducted in Europe (23; 43%), Asia (14; 26%) or North America (12; 22%). Some participants [median 70% (IQR 50%–84%); n¼8 studies] had heard of antibiotic resistance, but most [median 88% (IQR 86%–89%); n¼2 studies] believed it referred to changes in the human body. Many believed excessive antibiotic use [median 70% (IQR 59%–77%); n¼11 studies] and not completing antibiotic courses [median 62% (IQR 47%–77%); n¼8 studies] caused resistance. Most participants nominated reducing antibiotic use [median 74% (IQR 72%–85%); n¼4 studies] and discussing antibiotic resistance with their clinician (84%, n¼1 study) as strategies to reduce resistance. Qualitative data supported these findings and additionally identified that: participants believed they were at low risk from antibiotic resistance participants; largely attributed its development to the actions of others; and strategies to minimize resistance should be primarily aimed at clinicians. Conclusions: The public have an incomplete understanding of antibiotic resistance and misperceptions about it and its causes and do not believe they contribute to its development. These data can be used to inform interventions to change the public’s beliefs about how they can contribute to tackling this global issue.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherOxford University Press
dc.relation.ispartofpagefrom27
dc.relation.ispartofpageto33
dc.relation.ispartofissue1
dc.relation.ispartofjournalJournal of Antimicrobial Chemotherapy
dc.relation.ispartofvolume71
dc.subject.fieldofresearchPharmacology and Pharmaceutical Sciences not elsewhere classified
dc.subject.fieldofresearchMicrobiology
dc.subject.fieldofresearchMedical Microbiology
dc.subject.fieldofresearchPharmacology and Pharmaceutical Sciences
dc.subject.fieldofresearchcode111599
dc.subject.fieldofresearchcode0605
dc.subject.fieldofresearchcode1108
dc.subject.fieldofresearchcode1115
dc.titleA systematic review of the public’s knowledge and beliefs about antibiotic resistance
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorParekh, Sanjoti K.
gro.griffith.authorRathbone, John


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