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Antibiotic use befo...
Antibiotic use before, during and after seeking care for acute febrile illness at a hospital outpatient department : a cross-sectional study from rural India
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- Holloway, Bronwen (författare)
- Uppsala universitet,Global hälsa - implementering och hållbarhet
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- Chandrasekar, Harshitha (författare)
- Uppsala universitet,Global hälsa - implementering och hållbarhet
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- Purohit, Manju (författare)
- R.D. Gardi Medical College; Department of Global Public Health, Health Systems and Policy, Karolinska Institute, Stockholm, Sweden
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- Sharma, Ashish (författare)
- R.D. Gardi Medical College
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- Mathur, Aditya (författare)
- R.D. Gardi Medical College
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- KC, Ashish, 1982- (författare)
- Uppsala universitet,Global hälsa - implementering och hållbarhet
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- Fernandez-Carballo, B. Leticia (författare)
- FIND
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- Dittrich, Sabine (författare)
- FIND
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- Hildenwall, Helena (författare)
- Karolinska Institutet
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- Bergström, Anna, 1983- (författare)
- Uppsala universitet,Global hälsa - implementering och hållbarhet
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(creator_code:org_t)
- 2022-04-25
- 2022
- Engelska.
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Ingår i: Antibiotics. - : MDPI AG. - 2079-6382. ; 11:5
- Relaterad länk:
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https://doi.org/10.3...
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https://uu.diva-port... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.3...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- 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% (n = 311) received one antibiotic course, 8.1% (n = 81) two, 1.3% (n = 13) three, 0.4% (n = 4) four, 0.1% (n = 1) five, and the remaining 59.0% (n = 590) received no antibiotics. The leading contributors to the total antibiotic volume in the DDDs were macrolides (30.3%), combinations of penicillins, including β-lactamase inhibitors (18.8%), tetracyclines (14.8%), fluoroquinolones (14.6%), and third-generation cephalosporins (13.7%). ‘Watch’ antibiotics accounted for 72.3%, 52.7%, and 64.0% of encounters before, during, and after the outpatient visit, respectively. Acute viral illness accounted for almost half of the total DDDs at the outpatient visit (642.1/1425.3, 45.1%), for which the macrolide antibiotic azithromycin was the most frequently prescribed antibiotic (261.3/642.1, 40.7%).
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- antibiotics
- antibiotic resistance
- fever
- acute febrile illness
- Infectious Diseases
- Infektionssjukdomar
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas
- Av författaren/redakt...
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Holloway, Bronwe ...
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Chandrasekar, Ha ...
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Purohit, Manju
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Sharma, Ashish
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Mathur, Aditya
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KC, Ashish, 1982 ...
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visa fler...
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Fernandez-Carbal ...
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Dittrich, Sabine
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Hildenwall, Hele ...
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Bergström, Anna, ...
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visa färre...
- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Folkhälsovetensk ...
- Artiklar i publikationen
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Antibiotics
- Av lärosätet
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Uppsala universitet
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Karolinska Institutet