title: Changing public attitudes to antibiotic prescribing: can the internet help?
abstract: BACKGROUND
  Antimicrobial resistance is a global problem with serious implications for modern medicine. Education of the public is essential for reducing patient pressure on GPs and subsequent inappropriate prescribing. Evaluation of educational interventions is necessary to assess their impact on public knowledge and attitudes. The aim of this study was to evaluate the effect of a health information website, part of the National electronic Library of Infection, on user knowledge and attitudes.
  
  
  METHODS
  Questionnaires testing user knowledge and attitudes before and after using the website.
  
  
  RESULTS
  There were significant improvements in knowledge about the use of antibiotics and antibiotic resistance. Expectations that antibiotics should be prescribed were significantly reduced after using the website. Health professionals showed a significantly greater knowledge about antibiotics and were less likely to expect antibiotics to be prescribed for acute otitis media than non-health professionals before using the website. There was no significant difference between the knowledge of these groups after using the website, but non-health professionals continued to have higher expectations of antibiotics being prescribed than health professionals.
  
  
  CONCLUSIONS
  Health information websites can play a significant role in influencing public knowledge and attitudes. Further research is needed to investigate how people learn from these interventions and to determine their long-term impact on public attitudes and subsequent behaviour.
authors.affiliation: City eHealth Research Centre, Institute of Health Sciences, City University, London, UK. g.c.madle@city.ac.uk
authors.forename: Gemma
authors.initials: G
authors.lastname: Madle
authors.forename: Patty
authors.initials: P
authors.lastname: Kostkova
authors.forename: Jane
authors.initials: J
authors.lastname: Mani-Saada
authors.forename: Julius
authors.initials: J
authors.lastname: Weinberg
authors.forename: Peter
authors.initials: P
authors.lastname: Williams
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D011307:Drug Prescriptions; D004351:Drug Resistance; D007722:Health Knowledge, Attitudes, Practice; D006302:Health Services Research; D020407:Internet; D011639:Public Opinion
chemical_list: D000900:Anti-Bacterial Agents