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Pathways to optimising antibiotic use in rural China: Identifying key determinants in community and clinical settings, a mixed methods study protocol

Research output: Contribution to journalArticle

Original languageEnglish
Article numbere027819 (2019)
Number of pages7
JournalBMJ Open
Volume9
DOIs
DateAccepted/In press - 13 Jul 2019
DatePublished (current) - 10 Aug 2019

Abstract

Introduction: This 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 analysis: We 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 dissemination: The 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.

    Structured keywords

  • Physical and Mental Health

    Research areas

  • antibiotics, antimicrobial resistance, China, medical records, mixed methods, outpatients

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  • Full-text PDF (final published version)

    Rights statement: This is the final published version of the article (version of record). It first appeared online via BMJ Publishing Group at https://bmjopen.bmj.com/content/9/8/e027819 . Please refer to any applicable terms of use of the publisher.

    Final published version, 343 KB, PDF document

  • Full-text PDF (final published version)

    Rights statement: This is the final published version of the article (version of record). It first appeared online via BMJ Journals at http://dx.doi.org/10.1136/bmjopen-2018-027819 . Please refer to any applicable terms of use of the publisher.

    Final published version, 343 KB, PDF document

    Licence: CC BY

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