دورية أكاديمية
Generating evidence on antibiotic use across human and animal health sectors using the World Health Organization’s Access, Watch, Reserve (AWaRe) classification: Exploratory pilot study in rural Pune, India
| العنوان: | Generating evidence on antibiotic use across human and animal health sectors using the World Health Organization’s Access, Watch, Reserve (AWaRe) classification: Exploratory pilot study in rural Pune, India |
|---|---|
| المؤلفون: | Abhay Machindra Kudale, Sakshi Shantanu Hiralkar, Pravin Arun Sawant, Yogita Purushottam Hulsurkar, Nikhil Rajkumar Fatate, Priya Padmakar Waghmare, Abhishek Prakash Randive, Mugdha Sharad Phutane, Prashant Pawar, Prashant Mhase |
| المصدر: | International Journal of One Health, Vol 9, Iss 2, Pp 166-171 (2023) |
| بيانات النشر: | Veterinary World, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Medicine LCC:Medicine (General) |
| مصطلحات موضوعية: | antimicrobial resistance, antibiotics use, overlap, rural india, who aware, Medicine, Medicine (General), R5-920 |
| الوصف: | Background and Aim: Human antibiotic formulations in animal feed for therapeutic and non-therapeutic purposes have contributed to antimicrobial resistance worldwide; however, little evidence is available in low- and middle-income countries. We aimed to generate evidence of antibiotic use across the human and animal health sectors by investigating the overlap in antibiotic use in community settings in rural blocks of Pune District, India, following the World Health Organization’s (WHO) Access, Watch, Reserve (AWaRe) classification. Materials and Methods: An exploratory pilot study using a cross-sectional design in two randomly selected rural blocks of the Pune district included 138 interviews with general physicians (GPs, n = 62), pharmacists (n = 60), and veterinary practitioners (n = 16) using semi-structured interview schedules and the WHO AWaRe classification. IBM-Statistical Package for the Social Sciences, Version 21.0 software was used for descriptive statistics and to calculate the proportions of the different antibiotic groups. The WHO AWaRe classification was used to describe antibiotic use by the study participants and to assess the overlap in antibiotic use. Results: Our study provides evidence of an overlap in human and animal antibiotic use in rural community settings across the human and animal health sectors. Amoxicillin (access group), penicillin (access group), and ofloxacin (watch group) were used in both human and animal health. Amoxicillin and penicillin were used to treat common bacterial infections, ofloxacin was used to treat skin infections in humans and animals, and ofloxacin was used to treat pneumonia in animals and urinary bladder infections in humans. In contrast, azithromycin (watch group), cefixime (watch group), and amoxicillin (Access Group), with or without other antibiotics, were the most commonly used antibiotics by GPs in humans. Conclusion: We confirmed the overlap in antibiotic use across the human and animal health sectors in rural community settings, suggesting the need for interventions following the One Health approach. Further, research is required to assess the patterns of this overlap, as well as behavior, knowledge, and potential solutions to help avoid this overlap and prevent the rampant use of antibiotics in the animal and human health sectors in rural community settings. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2455-5673 2455-8931 |
| Relation: | https://www.onehealthjournal.org/Vol.9/No.2/14.pdf; https://doaj.org/toc/2455-5673; https://doaj.org/toc/2455-8931 |
| DOI: | 10.14202/IJOH.2023.166-171 |
| URL الوصول: | https://doaj.org/article/e76e7fd10e7546ffaaf8bd4b4a12f9ad |
| رقم الأكسشن: | edsdoj.76e7fd10e7546ffaaf8bd4b4a12f9ad |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 24555673 24558931 |
|---|---|
| DOI: | 10.14202/IJOH.2023.166-171 |