Technology, Training, and Task Shifting at the World’s Largest Mass Gathering in 2025: An Opportunity for Antibiotic Stewardship in India

Autor: Isaac H Y Chan, Miriam Gofine, Shitij Arora, Ahmed Shaikh, Satchit Balsari
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: JMIR Public Health and Surveillance, Vol 9, p e45121 (2023)
Druh dokumentu: article
ISSN: 2369-2960
DOI: 10.2196/45121
Popis: The role of antibiotic overuse in intensifying selection pressures and contributing to the emergence of antimicrobial resistance is well established. The Kumbh Mela, a religious festival that occurs in 4 Indian cities of spiritual significance, is the world’s largest mass gathering, attracting over 80 million pilgrims in 2013. Digital syndromic surveillance from the 2013 and 2015 Melas demonstrated a consistent pattern of antibiotic overuse, with an antibiotic prescribing rate of up to 31% for all patient encounters. As preparations for the 2025 Kumbh Mela begin, task shifting, point-of-care diagnostic and digital tools, robust clinician training, and community awareness can promote the restrained and evidence-based use of antibiotics, minimizing the potential for the emergence of antimicrobial resistance at the world’s largest mass gathering.
Databáze: Directory of Open Access Journals