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Antimicrobial overuse in India: A symptom of broader societal issues including resource limitations and financial pressures.
- Source :
- Global Public Health; Jul2021, Vol. 16 Issue 7, p1079-1087, 9p
- Publication Year :
- 2021
-
Abstract
- 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. [ABSTRACT FROM AUTHOR]
- Subjects :
- ANTIMICROBIAL stewardship
WORK
ATTITUDES of medical personnel
RESEARCH methodology
GOVERNMENT regulation
ANTI-infective agents
PHYSICIANS' attitudes
INTERVIEWING
INAPPROPRIATE prescribing (Medicine)
MEDICAL care use
PHARMACISTS
QUALITATIVE research
FINANCIAL stress
PSYCHOSOCIAL factors
EXPERIENTIAL learning
DRUG prescribing
RESEARCH funding
DESCRIPTIVE statistics
DRUG resistance in microorganisms
PHYSICIAN practice patterns
JUDGMENT sampling
THEMATIC analysis
METROPOLITAN areas
STATISTICAL sampling
PSYCHOLOGY of physicians
MEDICAL education
Subjects
Details
- Language :
- English
- ISSN :
- 17441692
- Volume :
- 16
- Issue :
- 7
- Database :
- Complementary Index
- Journal :
- Global Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 150797724
- Full Text :
- https://doi.org/10.1080/17441692.2020.1839930