Antibiotic Use before, during, and after Seeking Care for Acute Febrile Illness at a Hospital Outpatient Department: A Cross-Sectional Study from Rural India.

AWaRe India access acute febrile illness antibiotic resistance antibiotic use antibiotics excess fever low- and middle-income countries rural population

Journal

Antibiotics (Basel, Switzerland)
ISSN: 2079-6382
Titre abrégé: Antibiotics (Basel)
Pays: Switzerland
ID NLM: 101637404

Informations de publication

Date de publication:
25 Apr 2022
Historique:
received: 31 03 2022
revised: 14 04 2022
accepted: 21 04 2022
entrez: 28 5 2022
pubmed: 29 5 2022
medline: 29 5 2022
Statut: epublish

Résumé

Antibiotic resistance is a naturally occurring phenomenon, but the misuse and overuse of antibiotics is accelerating the process. This study aimed to quantify and compare antibiotic use before, during, and after seeking outpatient care for acute febrile illness in Ujjain, India. Data were collected through interviews with patients/patient attendants. The prevalence and choice of antibiotics is described by the WHO AWaRe categories and Anatomical Therapeutic Chemical classes, comparing between age groups. Units of measurement include courses, encounters, and Defined Daily Doses (DDDs). The antibiotic prescription during the outpatient visit was also described in relation to the patients' presumptive diagnosis. Of 1000 included patients, 31.1% (

Identifiants

pubmed: 35625218
pii: antibiotics11050574
doi: 10.3390/antibiotics11050574
pmc: PMC9138085
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : Swedish Society of Medicine
ID : SLS-776141
Organisme : InDevelops u-landsfond
ID : N/A
Organisme : Uppsala University
ID : N/A
Organisme : Rönnows Foundation travel scholarships
ID : N/A

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Auteurs

Bronwen Holloway (B)

Department of Women's and Children's Health, Uppsala University, 751 85 Uppsala, Sweden.

Harshitha Chandrasekar (H)

Department of Women's and Children's Health, Uppsala University, 751 85 Uppsala, Sweden.

Manju Purohit (M)

Department of Pathology, Ruxmaniben Deepchand Gardi Medical College, Ujjain 456006, India.
Department of Global Public Health, Health Systems and Policy, Karolinska Institute, 171 77 Stockholm, Sweden.

Ashish Sharma (A)

Department of Medicine, Ruxmaniben Deepchand Gardi Medical College, Ujjain 456006, India.

Aditya Mathur (A)

Department of Paediatrics, Ruxmaniben Deepchand Gardi Medical College, Ujjain 456006, India.

Ashish Kc (A)

Department of Women's and Children's Health, Uppsala University, 751 85 Uppsala, Sweden.

Leticia Fernandez-Carballo (L)

Foundation for Innovative New Diagnostics, 1202 Geneva, Switzerland.

Sabine Dittrich (S)

Foundation for Innovative New Diagnostics, 1202 Geneva, Switzerland.

Helena Hildenwall (H)

Department of Global Public Health, Health Systems and Policy, Karolinska Institute, 171 77 Stockholm, Sweden.
Astrid Lindgren Children's Hospital, Karolinska University Hospital, 171 64 Solna, Sweden.
Department of Clinical Science, Intervention and Technology, Karolinska Institute, 141 52 Huddinge, Sweden.

Anna Bergström (A)

Department of Women's and Children's Health, Uppsala University, 751 85 Uppsala, Sweden.

Classifications MeSH