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GERMAP 2012 \u2013Bericht ueber den Antibiotikaverbrauch und die Verbreitung von Antibiotikaresistenzen in der Human- und Veterinaermedizin in Deutschland. Antiinfectives Intell Rheinb. 2014;"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"2723","DOI":"10.1093\/jac\/dkw223","article-title":"Antimicrobial resistance surveillance in urinary tract infections in primary care","volume":"71","author":"TL Chin","year":"2016","journal-title":"J Antimicrob Chemother"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1080\/00365540110080034","article-title":"Antibiotic Prescription Rates Vary Markedly Between 13 European Countries","volume":"34","author":"S M\u00f6lstad","year":"2002","journal-title":"Scand J Infect Dis"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1016\/S0140-6736(05)70799-6","article-title":"Outpatient antibiotic use in Europe and association with resistance: a cross-national database study","volume":"365","author":"H Goossens","year":"2005","journal-title":"The Lancet"},{"key":"ref9","first-page":"454","article-title":"Outpatient Antibiotic Prescription","volume":"113","author":"J B\u00e4tzing-Feigenbaum","year":"2016","journal-title":"Dtsch Arzteblatt Int"},{"key":"ref10","article-title":"Entwicklung des Antibiotikaverbrauchs in der ambulanten vertrags\u00e4rztlichen Versorgung","author":"J B\u00e4tzing-Feigenbaum","year":"2015","journal-title":"Entwicklung des Antibiotikaverbrauchs in der ambulanten vertrags\u00e4rztlichen Versorgung"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1136\/bmj.315.7107.520","article-title":"Prescribing behaviour in clinical practice: patients\u2019 expectations and doctors\u2019 perceptions of patients\u2019 expectations\u2014a questionnaire study","volume":"315","author":"J Cockburn","year":"1997","journal-title":"BMJ"},{"key":"ref12","first-page":"914","article-title":"Antibiotic prescribing in patients with self-reported sore throat","volume":"72","author":"N Mehta","year":"2017","journal-title":"J Antimicrob Chemother"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"1162","DOI":"10.1007\/s00103-016-2417-5","article-title":"Antibiotikaeinnahme und Resistenzentwicklung\u2013Wissen, Erfahrungen und Einnahmeverhalten innerhalb der deutschen Allgemeinbev\u00f6lkerung","volume":"59","author":"S Schneider","year":"2016","journal-title":"Bundesgesundheitsblatt\u2014Gesundheitsforschung\u2014Gesundheitsschutz"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1002\/pds.3716","article-title":"General population\u2019s knowledge and attitudes about antibiotics: a systematic review and meta-analysis","volume":"24","author":"MR Gualano","year":"2015","journal-title":"Pharmacoepidemiol Drug Saf"},{"key":"ref15","article-title":"Germs Are Germs, and Why Not Take a Risk? Patients\u2019 Expectations for Prescribing Antibiotics in an Inner-City Emergency Department","author":"DA Broniatowski","year":"2014","journal-title":"Med Decis Making"},{"key":"ref16","article-title":"What do we know so far: the role of health knowledge within theories of health literacy","author":"P Gellert","year":"2015","journal-title":"Eur Health Psychol"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1093\/heapro\/15.3.259","article-title":"Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century","volume":"15","author":"D Nutbeam","year":"2000","journal-title":"Health Promot Int"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"97","DOI":"10.7326\/0003-4819-155-2-201107190-00005","article-title":"Low health literacy and health outcomes: an updated systematic review","volume":"155","author":"ND Berkman","year":"2011","journal-title":"Ann Intern Med"},{"key":"ref19","unstructured":"Healthy People\u2014Healthy People 2010 [Internet]. [cited 8 Nov 2017]. Available: <ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/www.cdc.gov\/nchs\/healthy_people\/hp2010.htm\" xlink:type=\"simple\">https:\/\/www.cdc.gov\/nchs\/healthy_people\/hp2010.htm<\/ext-link>"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"S19","DOI":"10.5993\/AJHB.31.s1.4","article-title":"The Causal Pathways Linking Health Literacy to Health Outcomes","volume":"31","author":"MK Paasche-Orlow","year":"2007","journal-title":"Am J Health Behav"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"878","DOI":"10.1111\/j.1525-1497.2006.00540.x","article-title":"The meaning and the measure of health literacy","volume":"21","author":"DW Baker","year":"2006","journal-title":"J Gen Intern Med"},{"key":"ref22","article-title":"Regional Impact of Population Aging on Changes in Individual Self-perceptions of Aging: Findings From the German Ageing Survey","author":"JK Wolff","journal-title":"The Gerontologist"},{"key":"ref23","unstructured":"World Health Organization. ANTIBIOTIC RESISTANCE: MULTI-COUNTRY PUBLIC AWARENESS SURVEY. 2015; Available: <ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/www.who.int\/drugresistance\/documents\/baselinesurveynov2015\/en\/\" xlink:type=\"simple\">http:\/\/www.who.int\/drugresistance\/documents\/baselinesurveynov2015\/en\/<\/ext-link>"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1093\/jac\/dkw387","article-title":"Patient and public understanding and knowledge of antimicrobial resistance and stewardship in a UK hospital: should public campaigns change focus?","volume":"72","author":"C Micallef","year":"2017","journal-title":"J Antimicrob Chemother"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"948","DOI":"10.1186\/1471-2458-13-948","article-title":"Measuring health literacy in populations: illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q)","volume":"13","author":"K S\u00f8rensen","year":"2013","journal-title":"BMC Public Health"},{"key":"ref26","first-page":"53","article-title":"Health Literacy in the German Population","volume":"114","author":"D Schaeffer","year":"2017","journal-title":"Dtsch \u00c4rztebl Int"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1055\/s-0034-1396815","article-title":"Gute Praxis Sekund\u00e4rdatenanalyse (GPS): Leitlinien und Empfehlungen","volume":"77","author":"E Swart","year":"2015","journal-title":"Gesundheitswesen"},{"key":"ref28","unstructured":"European Union. Special Eurobarometer 445 \u201cAntimicrobial Resistance.\u201d 2016; Available: <ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/ec.europa.eu\/dgs\/health_food-safety\/amr\/docs\/eb445_amr_generalreport_en.pdf\" xlink:type=\"simple\">http:\/\/ec.europa.eu\/dgs\/health_food-safety\/amr\/docs\/eb445_amr_generalreport_en.pdf<\/ext-link>"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/S1473-3099(09)70305-6","article-title":"Characteristics and outcomes of public campaigns aimed at improving the use of antibiotics in outpatients in high-income countries","volume":"10","author":"B Huttner","year":"2010","journal-title":"Lancet Infect Dis"},{"key":"ref30","unstructured":"Word Health Organization. Evaluation of antibiotic awareness campaigns. 2017; Available: <ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/www.who.int\/selection_medicines\/committees\/expert\/21\/applications\/antibacterials-ccps_rev\/en\/\" xlink:type=\"simple\">http:\/\/www.who.int\/selection_medicines\/committees\/expert\/21\/applications\/antibacterials-ccps_rev\/en\/<\/ext-link>"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"19","DOI":"10.3109\/15360288.2012.751955","article-title":"Pain Awareness and Medication Knowledge: A Health Literacy Evaluation","volume":"27","author":"R Devraj","year":"2013","journal-title":"J Pain Palliat Care Pharmacother"},{"key":"ref32","article-title":"Antibiotic prescribing frequency amongst patients in primary care: a cohort study using electronic health records","author":"L Shallcross","year":"2017","journal-title":"J Antimicrob Chemother"},{"key":"ref33","article-title":"A literacy-sensitive approach to improving antibiotic understanding in a community-based setting","author":"CM David","year":"2017","journal-title":"Int J Pharm Pract"},{"key":"ref34","article-title":"Social learning theory Englewood Cliffs","author":"A Bandura","year":"1977"},{"key":"ref35","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1186\/1741-7015-12-96","article-title":"Outpatient antibiotic prescribing in the United States: 2000 to 2010","volume":"12","author":"GC Lee","year":"2014","journal-title":"BMC Med"},{"key":"ref36","doi-asserted-by":"crossref","first-page":"1053","DOI":"10.1093\/eurpub\/ckv043","article-title":"Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU)","volume":"25","author":"K S\u00f8rensen","year":"2015","journal-title":"Eur J Public Health"},{"key":"ref37","doi-asserted-by":"crossref","first-page":"918","DOI":"10.12788\/jhm.2841","article-title":"Low Health Literacy Is Associated with Increased Transitional Care Needs in Hospitalized Patients","volume":"12","author":"J Boyle","year":"2017","journal-title":"J Hosp Med"},{"key":"ref38","doi-asserted-by":"crossref","first-page":"1033","DOI":"10.1186\/s12889-016-3684-7","article-title":"A randomised controlled trial of three very brief interventions for physical activity in primary care","volume":"16","author":"S Pears","year":"2016","journal-title":"BMC Public Health"},{"key":"ref39","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1177\/154405910708600711","article-title":"Randomized controlled trial of a one-minute intervention changing oral self-care behavior","volume":"86","author":"FF Sniehotta","year":"2007","journal-title":"J Dent Res"},{"key":"ref40","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1001\/jama.2016.0275","article-title":"Effect of behavioral interventions on inappropriate antibiotic prescribing among primary care practices: A randomized clinical trial","volume":"315","author":"D Meeker","year":"2016","journal-title":"JAMA"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/dx.plos.org\/10.1371\/journal.pone.0193336","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,10,24]],"date-time":"2018-10-24T00:51:32Z","timestamp":1540342292000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0193336"}},"subtitle":[],"editor":[{"given":"Carlos M.","family":"Isales","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2018,2,23]]},"references-count":40,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2018,2,23]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0193336","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,23]]}}}