Pathways to optimising antibiotic use in rural China:Identifying key determinants in community and clinical settings, a mixed methods study protocol
| Autor: | Paul Kadetz, Rachel Kwiatkowska, Helen Lambert, Jing Cheng, Jilu Shen, Isabel Oliver, Linhai Zhao, Jing Chai, Karen E. Bowker, Meixuan Chen, Rui Feng, Alasdair P. MacGowan, Christie Cabral, Xing Rong Shen, Matthew Hickman, Debin Wang, Caroline Coope |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Rural Population
medicine.medical_specialty China mixed methods Decision Making Psychological intervention lcsh:Medicine Pharmacy Public Policy Global Health antibiotics 03 medical and health sciences Antimicrobial Stewardship 0302 clinical medicine Informed consent Epidemiology Health care medicine Protocol Humans 030212 general & internal medicine antimicrobial resistance Practice Patterns Physicians' Qualitative Research Primary Health Care business.industry Medical record lcsh:R General Medicine Bioethics Drug Utilization Anti-Bacterial Agents outpatients medical records Research Design Family medicine Critical Pathways Physical and Mental Health Rural area business 030217 neurology & neurosurgery |
| Zdroj: | Zhao, L, Kwiatkowska, R M, Chai, J, Cabral, C, Chen, M, Bowker, K, Coope, C, Shen, J, Shen, X R, Cheng, J, Feng, R, Kadetz, P, MacGowan, A, Oliver, I, Hickman, M, Wang, D & Lambert, H 2019, ' Pathways to optimising antibiotic use in rural China : Identifying key determinants in community and clinical settings, a mixed methods study protocol ', BMJ Open, vol. 9, e027819 (2019) . https://doi.org/10.1136/bmjopen-2018-027819 BMJ Open, Vol 9, Iss 8 (2019) BMJ Open |
| DOI: | 10.1136/bmjopen-2018-027819 |
| Popis: | IntroductionThis study aims to investigate patterns of antibiotic treatment-seeking, describe current levels of and drivers for antibiotic use for common infections (respiratory tract and urinary tract infections) and test the feasibility of determining the prevalence and epidemiology of antimicrobial resistance (AMR) in rural areas of Anhui province, in order to identify potential interventions to promote antibiotic stewardship and reduce the burden of AMR in China.Methods and analysisWe will conduct direct observations, structured and semistructured interviews in retail pharmacies, village clinics and township health centres to investigate treatment-seeking and antibiotic use. Clinical isolates from 1550 sputum, throat swab and urine samples taken from consenting patients at village and township health centres will be analysed to identify bacterial pathogens and ascertain antibiotic susceptibilities. Healthcare records will be surveyed for a subsample of those recruited to the study to assess their completeness and accuracy.Ethics and disseminationThe full research protocol has been reviewed and approved by the Biomedical Ethics Committee of Anhui Medical University (reference number: 20170271). Participation of patients and doctors is voluntary and written informed consent is sought from all participants. Findings from the study will be disseminated through academic routes including peer-reviewed publications and conference presentations, via tailored research summaries for health professionals, health service managers and policymakers and through an end of project impact workshop with local and regional stakeholders to identify key messages and priorities for action. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|