Community-level antibiotic access and use (ABACUS) in low- and middle-income countries: Finding targets for social interventions to improve appropriate antimicrobial use – an observational multi-centre study

by Heiman F.L. Wertheim, Nguyen Thi Kim Chuc, Sureeporn Punpuing et al.
Wellcome Open Research 2017, 2:58, Last updated: 28 July 2017

10 pp. 1.5 MB
https://wellcomeopenresearch.org/articles/2-58/v1/pdf

In many low- and middle-income countries (LMICs), a poor link between antibiotic policies and practices exists. Numerous contextual factors may influence the degree of antibiotic access, appropriateness of antibiotic provision, and actual use in communities. Therefore, improving appropriateness of antibiotic use in different communities in LMICs probably requires interventions tailored to the setting of interest, accounting for cultural context. Here the authors present the ABACUS study (AntiBiotic ACcess and USe), which employs a unique approach and infrastructure, enabling quantitative validation, contextualization of determinants, and cross-continent comparisons of antibiotic access and use.

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