J Korean Acad Nurs.  2011 Dec;41(6):742-749. 10.4040/jkan.2011.41.6.742.

Public Knowledge and Attitudes Regarding Antibiotic Use in South Korea

• Kim SS
• Moon S
• Kim EJ

• KMID: 1120106
• DOI: http://doi.org/10.4040/jkan.2011.41.6.742

Abstract

PURPOSE
This study was conducted to examine public level of knowledge and attitudes regarding antibiotic use and potential drug resistance.
METHODS
A cross-sectional face-to-face survey of 1,177 residents aged 18 or over was conducted in Korea. A quota sampling method was used.
RESULTS
Most respondents (70%) did not know that antibiotics are ineffective in treating coughs and colds. Two-thirds of the respondents were unaware of the conditions under which antibiotic resistance occurs, despite understanding the concept of resistance. Lower education level and older age were independently associated with inadequate knowledge. Lower education level, older age, inadequate knowledge and no exposure to the education campaign were independently associated with poor attitude.
CONCLUSION
The results of this study demonstrate that the general public has misunderstandings and a lack of knowledge with regard to antibiotic use, despite a national educational campaign. However, the campaign may have had an effect on the public's attitudes towards antibiotics.

Keyword

Anti-bacterial agents; Education; Knowledge; Attitude

MeSH Terms

Adolescent
Adult
Age Factors
Aged
Anti-Bacterial Agents/*therapeutic use
Bacterial Infections/*drug therapy
Common Cold/drug therapy
Cross-Sectional Studies
Drug Resistance, Bacterial
Female
Health Education
*Health Knowledge, Attitudes, Practice
Humans
Male
Middle Aged
Questionnaires
Republic of Korea
Young Adult

Reference

1. Andre M, Vernby A, Berg J, Lundborg CS. A survey of public knowledge and awareness related to antibiotic use and resistance in Sweden. The Journal of Antimicrobial Chemotherapy. 2010. 65:1292–1296. doi: 10.1093/jac/dkq104.

2. Belongia EA, Naimi TS, Gale CM, Besser RE. Antibiotic use and upper respiratory infections: A survey of knowledge, attitudes and experience in Wisconsin and Minnesota. Preventive Medicine. 2002. 34:346–352. doi: 10.1006/pmed.2001.0992.

3. Get smart: Know when antibiotics work on the farm. Centers for Disease Control and Prevention, (2010, May 20). Retrieved April 13, 2010. from http://www.cdc.gov/narms/get_smart.htm.

4. Curry M, Sung L, Arroll B, Goodyear-Smith F, Kerse N, Norris P. Public views and use of antibiotics for the common cold before and after an education campaign in New Zealand. The New Zealand Medical Journal. 2006. 119(1233):U1957.

5. Dancer SJ. How antibiotics can make us sick: The less obvious adverse effects of antimicrobial chemotherapy. The Lancet Infectious Diseases. 2004. 4:611–619. doi: 10.1016/S1473-3099(04)01145-4.

6. Farrell DJ, Jenkins SG, Brown SD, Patel M, Lavin BS, Klugman KP. Emergence and spread of streptococcus pneumoniae with erm (B) and mef (A) resistance. Emerging Infectious Diseases. 2005. 11:851–858.

7. Finch RG, Metlay JP, Davey PG, Baker LJ. Educational interventions to improve antibiotic use in the community: Report from the International Forum on Antibiotic Resistance (IFAR) colloquium, 2002. The Lancet Infectious Diseases. 2004. 4:44–53. doi: 10.1016/S1473-3099(03)00860-0.

8. Kiang KM, Kieke BA, Como-Sabetti K, Lynfield R, Besser RE, Belongia EA. Clinician knowledge and beliefs after statewide program to promote appropriate antimicrobial drug use. Emerging Infectious Diseases. 2005. 11:904–911.

9. Kim NS, Kim DS, Chang SM, Jung HJ, Kim CG, Oh HS, et al. Analysis and evaluation of antibiotic use. 2006. Seoul: Korea Food and Drug Administration.

10. Kim SO, Kim NS, Ji SM, Woo KS, Song HJ, Kim EJ. Antibiotic use and related awareness of physician, pharmacist and consumer. 2004. Seoul: Korea Food and Drug Administration.

11. Kim W, Park S. Bacterial resistance to antimicrobial agents: An overview from Korea. Yonsei Medical Journal. 1998. 39:488–494.

12. Kwon K, Hwang IG, Kwak HS, Park JS, Kim MG, Lee G, et al. Administration of national antimicrobial resistance experts and public campaign activities. 2006. Cheongwon: The Annual Report of Korea Food and Drug Administration.

13. Levy SB. Antibiotic resistance-the problem intensifies. Advanced Drug Delivery Reviews. 2005. 57:1446–1450. doi: 10.1016/j.addr.2005.04.001.

14. Madle G, Kostkova P, Mani-Saada J, Weinberg J, Wiliams P. Changing public attitudes to antibiotic prescribing: Can the internet help? Informatics in Primary Care. 2004. 12:19–26.

15. Marx JJ, Nedelmann M, Haertle B, Dieterich M, Eicke BM. An educational multimedia campaign has differential effects on public stroke knowledge and care-seeking behavior. Journal of Neurology. 2008. 255:378–384. doi: 10.1007/s00415-008-0673-5.

16. McNulty CA, Boyle P, Nichols T, Clappison P, Davey P. Don't wear me out- the publics knowledge of and attitudes to antibiotics use. The Journal of Antimicrobial Chemotherapy. 2007a. 59:727–738. doi: 10.1093/jac/dkl558.

17. McNulty C, Boyle P, Nichols T, Clappison P, Davey P. The publics attitudes to and compliance with antibiotics. The Journal of Antimicrobial Chemotherapy. 2007b. 60:Supple 1. i63–i68. doi: 10.1093/jac/dkm161.

18. Norris P, Ng LF, Kershaw V, Hanna F, Wong A, Talekar M, et al. Knowledge and reported use of antibiotics amongst immigrant ethnic groups in New Zealand. Journal of Immigrant and Minority Health. 2010. 12:107–112. doi: 10.1007/s10903-008-9224-5.

19. Nunnally JC. Psychometric theory. 1978. New York: McGraw-Hill Book Co..

20. Parimi N, Pereira LM, Prabhakar P. Caregivers' practices, knowledge and beliefs of antibiotics in paediatric upper respiratory tract infections in Trinidad and Tobago: A cross-sectional study. BMC Family Practice. 2004. 5:28. doi: 10.1186/1471-2296-5-28.

21. Vanden Eng J, Marcus R, Hadler J, Hadler JL, Imhoff B, Vugia DJ, et al. Consumer attitudes and use of antibiotics. Emerging Infectious Diseases. 2003. 9:1128–1135. doi:10.3201/eid0909.020591.

22. Woodhead M, Finch R. Public education: A progress report. The Journal of Antimicrobial Chemotherapy. 2007. 60:Supple 1. i53–i55. doi: 10.1093/jac/dkm158.

23. World Health Organization. WHO global strategy for containment of antimicrobial resistance. 2001. Geneva: World Health Organization.

24. Wutzke S, Artist M, Kohoe L, Fletcher M, Mackson J, Weekes L. Evaluation of a national programme to reduce inappropriate use of antibiotics for upper respiratory tract infections: Effects on consumer awareness, beliefs, attitudes and behaviour in Australia. Health Promotion International. 2006. 22:53–64. doi: 10.1093/heapro/dal034.

25. 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. 36:153–157. doi: 10.1007/s15010-007-7214-5.