The study aims were to investigate knowledge and attitudes towards antibiotics and antibiotic resistance (ABR), and to assess the extent of practices regarding antibiotic consumption and Internet use among university students in Southern Italy. Data were collected through an anonymous online questionnaire from 1 April to 14 April 2021. The eligibility criteria for the study were: (i) age between 18 and 30 years and (ii) registered as an undergraduate student at the university. Among the 1051 sampled students, only 7.4% gave the correct answer to all 7 knowledge statements about antibiotics and ABR. The main determinants of knowledge were being younger and attending to medical or life sciences majors. Almost two-thirds took an antibiotic in the previous 12 months and 24.6% reported having self-medicated with antibiotics. More than half of the sample used the Internet to seek information about antibiotics and/or ABR, and it was the strongest predictor of self-medication with antibiotics. The study findings highlighted gaps in knowledge, considerable antibiotic consumption, sometimes without prescription, together with an extensive Internet use to seek health-related information. To facilitate the health-promoting use of the Internet in conjunction with health care providers, we could make young adults aware of the rational use of antibiotics.

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互联网：抗生素耐药性的朋友还是敌人？意大利大学生横断面研究结果

该研究旨在调查对抗生素和抗生素耐药性 (ABR) 的知识和态度，并评估意大利南部大学生在抗生素消费和互联网使用方面的实践程度。数据是通过 2021 年 4 月 1 日至 4 月 14 日的匿名在线问卷收集的。研究的合格标准是：（i）年龄在 18 至 30 岁之间，以及（ii）在大学注册为本科生。在抽样的1051名学生中，只有7.4%的学生对抗生素和ABR的所有7个知识陈述都给出了正确答案。知识的主要决定因素是更年轻并就读于医学或生命科学专业。近三分之二的人在过去 12 个月内服用过抗生素，24.6% 的人报告称自己服用过抗生素。超过一半的样本使用互联网来寻找有关抗生素和/或 ABR 的信息，这是使用抗生素自我用药的最强预测因子。研究结果突出了知识差距、大量抗生素消费，有时没有处方，以及广泛使用互联网来寻找与健康相关的信息。为了与医疗保健提供者一起促进互联网的健康使用，我们可以让年轻人了解抗生素的合理使用。以及广泛使用互联网来寻找与健康相关的信息。为了与医疗保健提供者一起促进互联网的健康使用，我们可以让年轻人了解抗生素的合理使用。以及广泛使用互联网来寻找与健康相关的信息。为了与医疗保健提供者一起促进互联网的健康使用，我们可以让年轻人了解抗生素的合理使用。