title: Knowledge of antibiotics and antibiotic resistance in patients followed by family physicians.
abstract: OBJECTIVE
  We aimed to evaluate factors associated with knowledge of antibiotics and drug resistance.
  
  
  METHODS
  A questionnaire was handed out by 14 family physicians to their patients between December 20, 2014 and April 20, 2015 in Rethel (North-East of France). We conducted a cross-sectional study using a logistical regression model to assess factors associated with antibiotic knowledge. Three criteria were used to assess that knowledge.
  
  
  RESULTS
  Overall, 293 questionnaires were analysed; 48% of patients had received antibiotics in the previous 12 months. Only 44% and 26% gave a correct answer for the statements "Antibiotics are effective against bacteria and ineffective against viruses" and "Antibiotic resistance decreases if the antibiotic use decreases", respectively. Characteristics such as female sex, age>30 years, high level of education, high professional categories, and having received antibiotic information by the media were associated with high level of knowledge about antibiotics and/or antibiotic resistance. In contrast, having received antibiotic information from family physicians was not associated with good knowledge.
  
  
  CONCLUSIONS
  Although media awareness campaigns had an independent impact on a higher public knowledge of antibiotics, the overall public knowledge remains low. It would be necessary to strengthen antibiotic campaigns with clearer information on the relation between the excessive use of antibiotics and the increased risk of antibiotic resistance. Family physicians should be more involved to improve antibiotic knowledge among target groups such as men, young patients, and people from a poor social and cultural background.
authors.affiliation: Unité des maladies infectieuses et tropicales, hôpital Robert-Debré, université de Reims Champagne-Ardenne, CHU de Reims, 51092 Reims, France.
authors.forename: A
authors.initials: A
authors.lastname: Robert
authors.affiliation: Unité des maladies infectieuses et tropicales, hôpital Robert-Debré, université de Reims Champagne-Ardenne, CHU de Reims, 51092 Reims, France; EA-4684/SFR CAP-SANTE, faculté de médecine, université de Reims Champagne-Ardenne, 51095 Reims, France.
authors.forename: Y
authors.initials: Y
authors.lastname: Nguyen
authors.affiliation: Laboratoire de bactériologie-virologie-hygiène, CHU de Reims, 51092 Reims, France; UFR médecine SFR CAP Santé, EA 4687, université de Reims Champagne-Ardenne, 51095 Reims, France.
authors.forename: O
authors.initials: O
authors.lastname: Bajolet
authors.affiliation: Cabinet de médecine générale, 08190 Asfeld, France.
authors.forename: B
authors.initials: B
authors.lastname: Vuillemin
authors.affiliation: UFR médecine Reims, département de médecine générale, université de Reims Champagne-Ardenne, 51095 Reims, France.
authors.forename: B
authors.initials: B
authors.lastname: Defoin
authors.affiliation: Laboratoire de bactériologie-virologie-hygiène, CHU de Reims, 51092 Reims, France; UFR médecine SFR CAP Santé, EA 4687, université de Reims Champagne-Ardenne, 51095 Reims, France.
authors.forename: V
authors.initials: V
authors.lastname: Vernet-Garnier
authors.affiliation: EA 3797, faculté de médecine, université de Reims Champagne-Ardenne, 51095 Reims, France; Unité d'aide méthodologique, pôle recherche et innovations, hôpital Robert-Debré, CHU de Reims, 51092 Reims, France.
authors.forename: M
authors.initials: M
authors.lastname: Drame
authors.affiliation: Unité des maladies infectieuses et tropicales, hôpital Robert-Debré, université de Reims Champagne-Ardenne, CHU de Reims, 51092 Reims, France; EA-4684/SFR CAP-SANTE, faculté de médecine, université de Reims Champagne-Ardenne, 51095 Reims, France. Electronic address: fbanisadr@chu-reims.fr.
authors.forename: F
authors.initials: F
authors.lastname: Bani-Sadr
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003430:Cross-Sectional Studies; D024881:Drug Resistance, Bacterial; D005194:Family Practice; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D057566:Self Report
chemical_list: D000900:Anti-Bacterial Agents
keywords: Antibiotic resistance; Antibiotics; Antibiotiques; Family physician; Médecine générale; Résistance bactérienne