Antimicrobial overuse in India

A symptom of broader societal issues including resource limitations and financial pressures

Dados Bibliográficos

ID15540633
AutoresJennifer Broom (0000-0003-3513-3412, The University of Queensland, autor correspondente), Alex Broom (0000-0003-1258-1140, The University of Sydney), K Kenny (0000-0001-9088-5671, The University of Sydney), Mahati Chittem (0000-0002-8978-3544, Indian Institute of Technology Hyderabad)
Ano2020
Volume16
Fascículo7
Páginas1079-1087
Data de publicação2020-11-08
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoGlobal Public Health (JOURNAL)
Identificadores do periódicoISSN: 1744-1692 • E-ISSN: 1744-1706
EditoraTaylor & Francis (PUBLISHER • GB)
DOI10.1080/17441692.2020.1839930
PMID33161832
OpenAlexW3102934848
IdiomaEN
Citações recebidas7
Referências citadas32

India and the global community are facing a critical crisis of antimicrobial resistance (AMR), significantly contributed to by on-going and increasing antimicrobial misuse. Information as to what drives misuse of antimicrobials within India is essential to inform strategies to address the crisis. This papers aims to identify perceived influences on antimicrobial use in Hyderabad, India. We conducted semi-structured qualitative interviews conducted with thirty participants (15 doctors, 15 pharmacists) around their experiences of antimicrobials in Hyderabad, India. Thematic analysis was performed and four themes identified around (1) Perceptions of the problem of resistance and antimicrobial use; (2) Social pressures to prescribe/dispense; (3) Financial pressures driving antimicrobial over-use; and (4) Lack of regulation around training and qualifications. We conclude that antimicrobial use within India is embedded with, and occurs as a result of, complex social and economic factors including issues of resource limitation, structural/governance limitations and social relationships. Strategies to address misuse without acknowledging and addressing the critical driving forces of use will be unlikely to induce significant change

Antibiotic resistance · Antimicrobial · Antimicrobial stewardship · Business · Corporate governance · Economic growth · Economics · Political science · Public relations · Qualitative research · Resistance (ecology · Resource (disambiguation · Social science · Sociology · Thematic analysis · Antibiotic Use and Resistance · Global Maternal and Child Health · Medicine · Pharmaceutical Practices and Patient Outcomes · Finance