Sir, With great interest, we read the recent leading article by Lecky and McNulty, describing an overview of some initiatives aimed at limiting the extent of inappropriate antibiotic use in children. In the case of e-Bug, educating parents through children is novel and interesting. Even though children and their parents increased their awareness of hygiene, the spread of infection, vaccination uptake and prudent antibiotic use, this ‘antibiotic awareness’ programme could be unsuccessful if prescribers have inadequate knowledge about antibiotics. For education through e-Bug to be highly effective, there is an additional point according to our recent report, as follows. Prudent antibiotic use depends on educating clinicians about their everyday treatment decisions. It is noteworthy that while only specialists in oncology can prescribe and administer anticancer drugs, any clinician can prescribe antibiotics, irrespective of their level of training. To optimize antimicrobial prescribing, the prescribers should have appropriate knowledge of general medicine, microbial virulence, immunological and genetic host factors and pharmacokinetic and pharmacodynamic properties of drugs as well as basic knowledge of epidemiology. When prescribing antibiotics, clinicians face a dilemma not encountered with other drugs. On the one hand, they need to provide optimal therapy for their patients, which may result in overuse of broadspectrum antibiotics. On the other hand, they have a responsibility to future patients and to public health in sustaining the efficiency of antibiotics and minimizing antibiotic resistance. Achieving this balance may pose a significant challenge. There have been reports that 50% of antibiotic prescriptions, both in the community and in hospitals, can be considered inappropriate (inadequate dosing and/or wrong duration). As most antibiotics are used in primary care, education on antibiotic prescribing in primary care is important. Some reports demonstrate that, notwithstanding the advice to decrease antibiotic prescribing in primary healthcare, misuse or overuse of antibiotics continues. In France, only 21% of the surveyed primary care physicians followed the guidelines in prescribing antibiotic treatment for urinary tract infection. About 50% of primary care prescriptions for nephritis were wrong and 70% of asymptomatic bacteriuria was treated with antibiotics. Similar results were reported from Greece, where only 55% of community physicians restricted antibiotic use for sore throat and only 26% utilized a strep test to guide antibiotic use. Eighty-nine percent of the surveyed physicians prescribed antibiotics for chronic obstructive pulmonary disease exacerbations and only 17% of them followed the widely accepted Anthonisen criteria. Lack of knowledge in microbial virulence and antibiotics may significantly affect the quality of prescribing. Physicians with inadequate knowledge may prefer prescribing maximal broadspectrum treatment. Therefore, educating physicians is certainly required. Recent reports emphasize that undergraduate training courses would be successful if the students are imparted with adequate knowledge and trained in developing the right attitude and behaviour. As is the practice in some countries, including the UK, education on prudent antibiotic prescribing should be included as a component of the undergraduate curriculum. Teaching postgraduate students, particularly those who will prescribe in community settings, requires internship/foundation training or close collaboration between local healthcare providers and academics. Antibiotic treatment guideline teachers must be trained regarding the available educational strategies as well as current information on antimicrobial stewardship. As has been the practice in some countries, nurses, clinical pharmacists and midwives may also be allowed to prescribe some antibiotics in special clinical situations; all healthcare professionals who have to deal with patients must be educated about prudent antibiotic treatment and the management of patients demanding an overuse of antibiotics. Antibiotic management requires effective teamwork between all healthcare professionals. If patients receive inconsistent messages from healthcare professionals when taking antibiotics, all efforts of prudent antibiotic prescribing may become unsuccessful. Therefore, all healthcare professionals must receive continual education on prudent antibiotic prescribing, the benefits and limitations of antibiotics, and antibiotic resistance. In conclusion, it is necessary to educate prescribers as well as school-aged children. If e-Bug resources can be extended for prescribers (or undergraduate and postgraduate students who will be prescribers) by close collaboration between healthcare providers and academics, education through e-Bug should be very successful.