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Antibiotic Selection00:57

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Community-based intervention to address antibiotic resistance: protocol for an embedded mixed-methods intervention

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  • 1Foundation for Actions and Innovations Towards Health Promotion, Kolkata, West Bengal, India.

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This study addresses the critical issue of antibiotic resistance in West Bengal, India. It aims to understand resistance patterns and promote responsible antibiotic use through a novel community-based intervention, aligning with the

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Area of Science:

  • Public Health
  • Microbiology
  • One Health Approach

Background:

  • Antibiotic resistance is a significant global health challenge, exacerbated by the misuse and overuse of antibiotics in human and animal populations.
  • A 'One Health' approach is crucial for mitigating antibiotic resistance, integrating human, animal, and environmental health strategies.
  • There is a need for localized evidence on antibiotic resistance burden and community awareness in India, specifically in West Bengal.

Purpose of the Study:

  • To generate evidence on the burden of antibiotic resistance in West Bengal.
  • To assess community awareness and practices regarding proper antibiotic consumption.
  • To develop and implement a novel behavioral intervention package to combat antibiotic resistance.

Main Methods:

  • An embedded mixed-methods interventional community-based study design.
  • The study will be conducted in the greater Kolkata region and West Medinipur district, targeting adults (≥18 years).
  • A cluster-randomized controlled trial will implement a behavioral intervention package focusing on awareness and perceived risks of antibiotic resistance, supplemented by surveys, observations, interviews, and sample collection (human, animal, environmental).

Main Results:

  • Data collection and analysis are ongoing.
  • The study aims to provide empirical evidence on antibiotic resistance prevalence and the impact of the intervention.

Conclusions:

  • The findings will inform public health strategies and policy recommendations for antibiotic stewardship in India.
  • The novel intervention package is designed for potential integration into existing healthcare delivery systems.
  • This study contributes to the 'One Health' framework for addressing antibiotic resistance in the Indian context.