Sunil Pokharel
Biographic Data
| ID | 9022354 |
|---|---|
| NAME | Sunil Pokharel |
| GIVEN NAMES | Sunil |
| FAMILY NAME | Pokharel |
| SIGNATURE | POKHAREL S |
| AFFILIATIONS | University of Oxford |
| ORCID | 0000-0002-6716-7732 |
| VERIFIED | Yes |
| TOTAL WORKS | 6 |
| TOTAL CITATIONS | 0 |
| WORKS AS AUTHOR | 6 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2020 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 0 |
Over the counter use of topical corticosteroid for skin conditions among patients before attending skin specialist clinic in Nepal
Access to topical corticosteroids (TCs) globally includes over the counter (OTC) sale without proper guidelines, exacerbating treatment-resistant infections and complicating outcome of skin conditions. The main aim of the study was to evaluate the reasons behind OTC use of TCs among patients with skin conditions before attending a skin specialist clinic. This study was conducted from September 2021 to March 2022. The study included in-depth inter…
Interventions to address antimicrobial resistance
Antimicrobial resistance (AMR) is a global health and one health problem. Efforts to mitigate the problem of AMR are challenging to implement due to unresolved ethical tensions. We present an in-depth ethical analysis of tensions that might hinder efforts to address AMR. First, there is a tension between access and excess in the current population: addressing lack of access requires facilitating use of antimicrobials for some populations, while a…
Use of antimicrobials during the Covid-19 pandemic
The COVID-19 pandemic was a major public health threat and the pressure to find curative therapies was tremendous. Particularly in the early critical phase of the pandemic, a lot of empirical treatments, including antimicrobials, were recommended. Drawing on interviews with patients, clinicians and drug dispensers, this article explores the use of antimicrobials for the management of COVID-19 in Nepal. A total of 30 stakeholders (10 clinicians, 1…
Two-test algorithms for infectious disease diagnosis
Diagnostic assays for various infectious diseases, including COVID-19, have been challenged for their utility as standalone point-of-care diagnostic tests due to suboptimal accuracy, complexity, high cost or long turnaround times for results. It is therefore critical to optimise their use to meet the needs of users. We used a simulation approach to estimate diagnostic outcomes, number of tests required and average turnaround time of using two-tes…
Why do people purchase antibiotics over-the-counter? A qualitative study with patients, clinicians and dispensers in central, eastern and western Nepal
INTRODUCTION: Over-the-counter (OTC) use of antibiotics contributes to the burgeoning rise in antimicrobial resistance (AMR). Drawing on qualitative research methods, this article explores the characteristics of OTC sales of antibiotic in Nepal, its drivers and implications for policy. METHODS: Data were collected in and around three tertiary hospitals in eastern, western and central Nepal. Using pre-defined guides, a mix of semi-structured inter…
Antimicrobial resistance and over the counter use of drugs in Nepal
A ntimicrobial resistance (AMR) is an emerging global threat. Antimicrobial resistant infections cause 700 000 deaths every year globally and is estimated to account for 10 million deaths each year by 2050 if no actions taken World Health Organization has warned that the current trend in the emergence and spread of AMR could lead to 'post-antibiotic era' catastrophic consequences In Asia alone, more than 4 million deaths are projected to be due t…
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Antimicrobial resistance and over the counter use of drugs in Nepal
A ntimicrobial resistance (AMR) is an emerging global threat. Antimicrobial resistant infections cause 700 000 deaths every year globally and is estimated to account for 10 million deaths each year by 2050 if no actions taken World Health Organization has warned that the current trend in the emergence and spread of AMR could lead to 'post-antibiotic era' catastrophic consequences In Asia alone, more than 4 million deaths are projected to be due t…
Why do people purchase antibiotics over-the-counter? A qualitative study with patients, clinicians and dispensers in central, eastern and western Nepal
INTRODUCTION: Over-the-counter (OTC) use of antibiotics contributes to the burgeoning rise in antimicrobial resistance (AMR). Drawing on qualitative research methods, this article explores the characteristics of OTC sales of antibiotic in Nepal, its drivers and implications for policy. METHODS: Data were collected in and around three tertiary hospitals in eastern, western and central Nepal. Using pre-defined guides, a mix of semi-structured inter…
Two-test algorithms for infectious disease diagnosis
Diagnostic assays for various infectious diseases, including COVID-19, have been challenged for their utility as standalone point-of-care diagnostic tests due to suboptimal accuracy, complexity, high cost or long turnaround times for results. It is therefore critical to optimise their use to meet the needs of users. We used a simulation approach to estimate diagnostic outcomes, number of tests required and average turnaround time of using two-tes…
Use of antimicrobials during the Covid-19 pandemic
The COVID-19 pandemic was a major public health threat and the pressure to find curative therapies was tremendous. Particularly in the early critical phase of the pandemic, a lot of empirical treatments, including antimicrobials, were recommended. Drawing on interviews with patients, clinicians and drug dispensers, this article explores the use of antimicrobials for the management of COVID-19 in Nepal. A total of 30 stakeholders (10 clinicians, 1…
Interventions to address antimicrobial resistance
Antimicrobial resistance (AMR) is a global health and one health problem. Efforts to mitigate the problem of AMR are challenging to implement due to unresolved ethical tensions. We present an in-depth ethical analysis of tensions that might hinder efforts to address AMR. First, there is a tension between access and excess in the current population: addressing lack of access requires facilitating use of antimicrobials for some populations, while a…
Over the counter use of topical corticosteroid for skin conditions among patients before attending skin specialist clinic in Nepal
Access to topical corticosteroids (TCs) globally includes over the counter (OTC) sale without proper guidelines, exacerbating treatment-resistant infections and complicating outcome of skin conditions. The main aim of the study was to evaluate the reasons behind OTC use of TCs among patients with skin conditions before attending a skin specialist clinic. This study was conducted from September 2021 to March 2022. The study included in-depth inter…
Medicine (6 works) · Antibiotic Use and Resistance (4 works) · Environmental health (4 works) · Qualitative research (3 works) · Sociology (3 works) · Antibiotic Resistance in Bacteria (2 works) · Antibiotics (2 works) · Biology (2 works) · Business (2 works) · Development economics (2 works)