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Knowledge, attitudes and behaviors on antimicrobial resistance among general public across 14 member states in the WHO European region

Results from a cross-sectional survey

Bibliographic Data

ID22075692
AuthorsSauman Singh Phulgenda (0000-0003-2892-3053, University of Oxford), Sauman Singh-Phulgenda, Pantelis Antoniou (0000-0003-3602-6993, World Health Organization Regional Office for Europe), Danilo Lo Fo Wong (0009-0009-6547-3881, World Health Organization Regional Office for Europe), Kotoji Iwamoto (World Health Organization Regional Office for Europe), Ketevan Kandelaki (0009-0000-7551-2199, World Health Organization Regional Office for Europe, corresponding author)
Year2023
Volume11
Pages1274818-1274818
Publication date2023-11-23
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.1274818
PMID38074764
OpenAlexW4388939863
LanguageEN
Citations received4
References cited24

Background: Antimicrobial resistance (AMR) is a major global public health threat requiring urgent action. Pan-European data on knowledge, attitudes and behaviors among the general public regarding antibiotic use and AMR is limited. Methods: A multicentric, cross-sectional survey of the general public was conducted in the capital cities of 14 Member States of the WHO European Region. A validated questionnaire from the AMR Eurobarometer survey was used to collect data on antibiotic use and knowledge, access to antibiotics, and understanding of policy responses through face-to-face exit interviews. Results: Out of 8,221 respondents from 14 Member States, 50% took antibiotics in the past 12 months and the majority (53%) obtained their most recent course from a medical practitioner. The most reported reasons for taking antibiotics orally in the past 12 months were cold (24%), sore throat (21%), cough (18%), and flu (16%). Overall, 84% of participants showed a lack of knowledge about appropriate antibiotic use. However, only 37% of respondents reported receiving any information in the past year about the importance of avoiding unnecessary antibiotic use. Doctors were the most cited (50%) and most trusted (80%) source of information. Among respondents who experienced COVID-19, 28% took antibiotics with a prescription, while 8% took antibiotics without a prescription. Conclusion: This study highlights the urgent need for targeted awareness campaigns and educational initiatives to address knowledge gaps and promote responsible antibiotic use. The findings emphasize the role of the general population in combating AMR. The data serve as baseline information for future evaluations and interventions in the Region

Antibiotic resistance · Antibiotics · Business · Cross-sectional study · Environmental health · Eurobarometer · European union · Family medicine · Medical prescription · Population · Public health · Sore throat · Antibiotic Resistance in Bacteria · Antibiotic Use and Resistance · Medicine · Nursing · Pharmaceutical and Antibiotic Environmental Impacts

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    Open Access•Fangyue Chen, Lakshya Soni et al.•Frontiers in Public Health•2026

  • Risk communication about antimicrobial resistance

    Open Access•Eva M Krockow, Melanie A Jones et al.•Journal of Risk Research•2024

  • A qualitative study on factors influencing health workers’ uptake of a pilot surgical antibiotic prophylaxis stewardship programme in selected Georgian hospitals

    Open Access•Sideeka Narayan, Sahil Khan Warsi et al.•PLOS Global Public Health•2025

  • Global burden of bacterial antimicrobial resistance in 2019

    Open Access•Christopher J L Murray, Kevin S Ikuta et al.•The Lancet•2022

  • Access to effective antimicrobials

    Open Access•Ramanan Laxminarayan, Precious Matsoso et al.•The Lancet•2016

Citations per year2
Citation span2024 - 2026 (3)
Highly citedNo

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