Skip to main content
Top
Published in: BMC Public Health 1/2009

Open Access 01-12-2009 | Research article

Portuguese students' knowledge of antibiotics: a cross-sectional study of secondary school and university students in Braga

Authors: Maria Manuel Azevedo, Céline Pinheiro, John Yaphe, Fátima Baltazar

Published in: BMC Public Health | Issue 1/2009

Login to get access

Abstract

Background

Recent surveys show that the knowledge of the general public about the correct use of antibiotics is limited. This contributes to the problem of inappropriate antibiotic use, leading to a progressive loss of bacterial sensitivity to these drugs and the spreading of resistant strains of bacteria.

Methods

In this cross-sectional study, a questionnaire about antibiotic use was given to a sample of students in the 9th and 12th grades of secondary school and in the first year of university in the north of Portugal.

Results

349 students returned completed questionnaires. Deficits were found in the students' knowledge of antibiotics and their correct use. Only 4% of 9th grade students were aware that antibiotics are used to treat bacteria only, while 14% of 12th grade students and 29% of first-year university students were aware of this. Fewer students were aware that antibiotics are used to treat tuberculosis. There were deficiencies in the knowledge of timing and duration of therapy. However close to 70% of these students are aware that inappropriate use of antibiotics can contribute to resistance to these drugs.

Conclusion

This study has observed a lack of general knowledge on correct antibiotic use in Portugal, as has been found in other countries. Since this may be due to a lack of formal education on this subject, we believe that a teaching unit on infectious diseases should be included in the 9th and 12th grades, in all curricular areas, with emphasis on bacterial and viral pathogens and correct antibiotic use. In addition, education on the correct use of medications may need to begin at much earlier ages.
Appendix
Available only for authorised users
Literature
1.
go back to reference Chambers HF: General principles of antimicrobial therapy. Goodman & Gilman's The Pharmacological Basis of Therapeutics. Edited by: Brunton L, Parker K, Blumenthal D, Buxton I. 2006, New York, USA, Mc Graw Hill, 1095-110. 11 Chambers HF: General principles of antimicrobial therapy. Goodman & Gilman's The Pharmacological Basis of Therapeutics. Edited by: Brunton L, Parker K, Blumenthal D, Buxton I. 2006, New York, USA, Mc Graw Hill, 1095-110. 11
4.
go back to reference Maragakis LL, Perencevich EN, Cosgrove SE: Clinical and economic burden of antimicrobial resistance. Expert Rev Anti Infect Ther. 2008, 6: 751-63. 10.1586/14787210.6.5.751.CrossRefPubMed Maragakis LL, Perencevich EN, Cosgrove SE: Clinical and economic burden of antimicrobial resistance. Expert Rev Anti Infect Ther. 2008, 6: 751-63. 10.1586/14787210.6.5.751.CrossRefPubMed
5.
go back to reference Radyowijati A, Haak H: Determinants of antimicrobial use in the developing world. Child Health Special Report. 2002, Washington, DC: USAID Bureau of Global Health, 4 (1): Radyowijati A, Haak H: Determinants of antimicrobial use in the developing world. Child Health Special Report. 2002, Washington, DC: USAID Bureau of Global Health, 4 (1):
6.
go back to reference Grigoryan L, Burgerhof JG, Haaijer-Ruskamp FM, Degener JE, Deschepper R, Monnet DL, Di Matteo A, Scicluna EA, Bara AC, Lundborg CS, Birkin J, SAR group: Is self-medication with antibiotics in Europe driven by prescribed use?. J Antimicrob Chemother. 2007, 59: 152-6. 10.1093/jac/dkl457.CrossRefPubMed Grigoryan L, Burgerhof JG, Haaijer-Ruskamp FM, Degener JE, Deschepper R, Monnet DL, Di Matteo A, Scicluna EA, Bara AC, Lundborg CS, Birkin J, SAR group: Is self-medication with antibiotics in Europe driven by prescribed use?. J Antimicrob Chemother. 2007, 59: 152-6. 10.1093/jac/dkl457.CrossRefPubMed
8.
go back to reference Davey P, Pagliari C, Hayes A: The patient's role in the spread and control of bacterial resistance to antibiotics. European Society of Clinical Microbiology and Infectious Diseases. 2002, CMI 8 (suppl 2): 43-68. Davey P, Pagliari C, Hayes A: The patient's role in the spread and control of bacterial resistance to antibiotics. European Society of Clinical Microbiology and Infectious Diseases. 2002, CMI 8 (suppl 2): 43-68.
9.
go back to reference Pechere JC: Patient's interviews and misuse of antibiotics. Clin Infect Dis. 2001, 33 (Suppl 3): S170-3. 10.1086/321844.CrossRefPubMed Pechere JC: Patient's interviews and misuse of antibiotics. Clin Infect Dis. 2001, 33 (Suppl 3): S170-3. 10.1086/321844.CrossRefPubMed
10.
go back to reference Haltinger KA, Hayden GF, Weber T, Evans BA, Possner AB: Antibiotic-seeking behaviour in college students: what do they really expect?. J Am Coll Health. 2001, 50: 9-13.CrossRef Haltinger KA, Hayden GF, Weber T, Evans BA, Possner AB: Antibiotic-seeking behaviour in college students: what do they really expect?. J Am Coll Health. 2001, 50: 9-13.CrossRef
11.
go back to reference Mangione-Smith R, McGlynn EA, Elliot MN, McDonald L, Franz CE, Kravitz RL: Parent expectations for antibiotics, physician-parent communication, and satisfaction. Arch Pediatr Adolescen Med. 2001, 155: 800-6.CrossRef Mangione-Smith R, McGlynn EA, Elliot MN, McDonald L, Franz CE, Kravitz RL: Parent expectations for antibiotics, physician-parent communication, and satisfaction. Arch Pediatr Adolescen Med. 2001, 155: 800-6.CrossRef
12.
go back to reference Cals JWL, Boumans D, Lardinois RJM, Gonzales R, Hopstaken RM, Butler CC, Dinant G-J: Public beliefs on antibiotics and respiratory tract infections: an internet-based questionnaire study. Br J Gen Pract. 2007, 57: 942-47. 10.3399/096016407782605027.CrossRefPubMedPubMedCentral Cals JWL, Boumans D, Lardinois RJM, Gonzales R, Hopstaken RM, Butler CC, Dinant G-J: Public beliefs on antibiotics and respiratory tract infections: an internet-based questionnaire study. Br J Gen Pract. 2007, 57: 942-47. 10.3399/096016407782605027.CrossRefPubMedPubMedCentral
13.
go back to reference Cebotarenco N, Bush PJ: Reducing Antibiotics for Colds and Flu: A Student Taught Program. Health Educ Res. 2008, 23: 146-157. 10.1093/her/cym008.CrossRefPubMed Cebotarenco N, Bush PJ: Reducing Antibiotics for Colds and Flu: A Student Taught Program. Health Educ Res. 2008, 23: 146-157. 10.1093/her/cym008.CrossRefPubMed
14.
go back to reference McKee MD, Mills L, Mainous AGIII: Antibiotic use for the treatment of upper respiratory infections in a diverse community. J Fam Pract. 1999, 48: 993-6.PubMed McKee MD, Mills L, Mainous AGIII: Antibiotic use for the treatment of upper respiratory infections in a diverse community. J Fam Pract. 1999, 48: 993-6.PubMed
15.
go back to reference Berzanskyte A, Valinteliene R, Haaijer-Ruskamp FM, Gurevicius R, Grigoryan L: Self-medication with antibiotics in Lithuania. Int J Occup Med Environ Health. 2006, 19: 246-53.CrossRefPubMed Berzanskyte A, Valinteliene R, Haaijer-Ruskamp FM, Gurevicius R, Grigoryan L: Self-medication with antibiotics in Lithuania. Int J Occup Med Environ Health. 2006, 19: 246-53.CrossRefPubMed
16.
go back to reference Grigoryan L, Burgerhof JG, Degener JE, Deschepper R, Lundborg CS, Monnet DL, Scicluna EA, Birkin J, Haaijer-Ruskamp FM: Self-Medication with Antibiotics and Resistance (SAR) Consortium. Determinants of self-medication with antibiotics in Europe: the impact of beliefs, country wealth and the healthcare system. J Antimicrob Chemother. 2008, 61: 1172-9. 10.1093/jac/dkn054.CrossRefPubMed Grigoryan L, Burgerhof JG, Degener JE, Deschepper R, Lundborg CS, Monnet DL, Scicluna EA, Birkin J, Haaijer-Ruskamp FM: Self-Medication with Antibiotics and Resistance (SAR) Consortium. Determinants of self-medication with antibiotics in Europe: the impact of beliefs, country wealth and the healthcare system. J Antimicrob Chemother. 2008, 61: 1172-9. 10.1093/jac/dkn054.CrossRefPubMed
17.
go back to reference Bauraind I, Lopez-Lozano JM, Beyaert A, Marchal JL, Seys B, Yane F, Hendrickx E, Goossens H, Tulkens PM, Verbist L: Association Between Antibiotic Sales and Public Campaigns for Their Appropriate Use. JAMA. 2004, 292: 2468-70. 10.1001/jama.292.20.2468-b.PubMed Bauraind I, Lopez-Lozano JM, Beyaert A, Marchal JL, Seys B, Yane F, Hendrickx E, Goossens H, Tulkens PM, Verbist L: Association Between Antibiotic Sales and Public Campaigns for Their Appropriate Use. JAMA. 2004, 292: 2468-70. 10.1001/jama.292.20.2468-b.PubMed
18.
go back to reference Mangione-Smith R, McGlynn EA, Elliott MN: The relationship between perceived parental expectations and paediatrician antimicrobial prescribing behaviour. Pediatrics. 1999, 103: 711-8. 10.1542/peds.103.4.711.CrossRefPubMed Mangione-Smith R, McGlynn EA, Elliott MN: The relationship between perceived parental expectations and paediatrician antimicrobial prescribing behaviour. Pediatrics. 1999, 103: 711-8. 10.1542/peds.103.4.711.CrossRefPubMed
19.
go back to reference Palmer DA, Bauchner H: Parents' and Physicians' views on antibiotics. Pediatrics. 1997, 99 (6): E6-10.1542/peds.99.6.e6.CrossRefPubMed Palmer DA, Bauchner H: Parents' and Physicians' views on antibiotics. Pediatrics. 1997, 99 (6): E6-10.1542/peds.99.6.e6.CrossRefPubMed
20.
go back to reference Cebotarenco N: Children's knowledge about antibiotics. Buletinul Institutului National De Farmacie. 1999, 3: 2-14. Cebotarenco N: Children's knowledge about antibiotics. Buletinul Institutului National De Farmacie. 1999, 3: 2-14.
21.
go back to reference Bush PJ: Can kindergartners help decrease inappropriate antibiotic use?. J Sch Health. 2007, 77: 650-CrossRefPubMed Bush PJ: Can kindergartners help decrease inappropriate antibiotic use?. J Sch Health. 2007, 77: 650-CrossRefPubMed
22.
go back to reference Bush PJ, Ozias JM, Walson PD, Ward RM: Ten guiding principles for teaching children and adolescents about medicines. Clin Therap. 1999, 21: 1280-1284. 10.1016/S0149-2918(00)80030-2.CrossRef Bush PJ, Ozias JM, Walson PD, Ward RM: Ten guiding principles for teaching children and adolescents about medicines. Clin Therap. 1999, 21: 1280-1284. 10.1016/S0149-2918(00)80030-2.CrossRef
23.
go back to reference You JHS, Yau B, Choi KC, Chau CTS, Huang OR, Lee SS: Public Knowledge, Attitudes and Behavior on Antibiotic Use: A Telephone Survey in Hong Kong. Infection. 2008, 36: 153-7. 10.1007/s15010-007-7214-5.CrossRefPubMed You JHS, Yau B, Choi KC, Chau CTS, Huang OR, Lee SS: Public Knowledge, Attitudes and Behavior on Antibiotic Use: A Telephone Survey in Hong Kong. Infection. 2008, 36: 153-7. 10.1007/s15010-007-7214-5.CrossRefPubMed
24.
go back to reference Wenzel RP, Edmond MB: Managing antibiotic resistance. N Engl J Med. 2000, 343: 1961-3. 10.1056/NEJM200012283432610.CrossRefPubMed Wenzel RP, Edmond MB: Managing antibiotic resistance. N Engl J Med. 2000, 343: 1961-3. 10.1056/NEJM200012283432610.CrossRefPubMed
25.
go back to reference Wachter DA, Joshi MP, Rimal B: Antibiotic dispensing by drug retailers in Kathmandu, Nepal. Trop Med Int Health. 1998, 4: 782-8. 10.1046/j.1365-3156.1999.00476.x.CrossRef Wachter DA, Joshi MP, Rimal B: Antibiotic dispensing by drug retailers in Kathmandu, Nepal. Trop Med Int Health. 1998, 4: 782-8. 10.1046/j.1365-3156.1999.00476.x.CrossRef
Metadata
Title
Portuguese students' knowledge of antibiotics: a cross-sectional study of secondary school and university students in Braga
Authors
Maria Manuel Azevedo
Céline Pinheiro
John Yaphe
Fátima Baltazar
Publication date
01-12-2009
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2009
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-9-359

Other articles of this Issue 1/2009

BMC Public Health 1/2009 Go to the issue