Use of standardised patients to assess antibiotic dispensing for tuberculosis by pharmacies in urban India: a cross-sectional study

by Srinath Satyanarayana, Ada Kwan, Benjamin Daniels et al.
Lancet Infect Dis 2016, Published Online August 24, 2016

8 pp. 478 kB
http://thelancet.com/pdfs/journals/laninf/PIIS1473-3099(16)30215-8.pdfcov200h

Overuse and/or misuse of antibiotics has led to antimicrobial resistant superbugs pose a global health emergency. This threat is particularly great in India, that has the highest burden of TB in the world and is also the world’s largest consumer of antibiotics. In a first of its kind study the authors used standardized patients (also called ‘simulated or mystery patients’) to understand how pharmacies in 3 Indian cities treated patients presenting with TB symptoms or diagnoses and to determine whether these pharmacies were contributing to the inappropriate use of antibiotics.

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