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Protocol: a ‘One health’ two year follow-up, mixed methods study on antibiotic resistance, focusing children under 5 and their environment in rural India

Overview of attention for article published in BMC Public Health, December 2015
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Title
Protocol: a ‘One health’ two year follow-up, mixed methods study on antibiotic resistance, focusing children under 5 and their environment in rural India
Published in
BMC Public Health, December 2015
DOI 10.1186/s12889-015-2632-2
Pubmed ID
Authors

Cecilia Stålsby Lundborg, Vishal Diwan, Ashish Pathak, Manju R. Purohit, Harshada Shah, Megha Sharma, Vijay K. Mahadik, Ashok J. Tamhankar

Abstract

Antibiotic resistance has been referred to as 'the greatest malice of the 21(st) century' and a global action plan was adopted by the World Health Assembly in 2015. There is a wealth of independent studies regarding antibiotics and resistant bacteria in humans, animals and their environment, however, integrated studies are lacking, particularly ones that simultaneously also take into consideration the health related behaviour of participants and healthcare providers. Such, 'One health' studies are difficult to implement, because of the complex teamwork that they entail. This paper describes the protocol of a study that investigates 'One health' issues regarding antibiotic use and antibiotic resistance in children and their environment in Indian villages. Both quantitative and qualitative studies are planned for a cohort of children, from 6 villages, and their surrounding environment. Repeated or continues data collection is planned over 2 years for quantitative studies. Qualitative studies will be conducted once. Studies include parents' health seeking behavior for their children (1-3 years of age at the onset), prescribing pattern of formal and informal healthcare providers, analysis of phenotypic antibiotic resistance of Escherichia coli from samples of stool from children and village animals, household drinking water, village source water and waste water, and investigation on molecular mechanisms governing resistance. Analysis of interrelationship of these with each other will also be done as basis for future interventions. Ethics approval has been obtained from the Institutional Ethics Committee R.D. Gardi Medical College, Ujjain, India (No: 2013/07/17-311). The findings of the study presented in this protocol will add to our knowledge about the multi-factorial nature of causes governing antibiotic use and antibiotic resistance from a 'One health' perspective. Our study will be the first of its kind addressing antibiotic use and resistance issues related to children in a One-health approach, particularly for rural India.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 158 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 <1%
Unknown 157 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 30 19%
Student > Ph. D. Student 25 16%
Researcher 20 13%
Student > Bachelor 11 7%
Student > Postgraduate 9 6%
Other 23 15%
Unknown 40 25%
Readers by discipline Count As %
Medicine and Dentistry 26 16%
Nursing and Health Professions 16 10%
Biochemistry, Genetics and Molecular Biology 10 6%
Agricultural and Biological Sciences 9 6%
Environmental Science 9 6%
Other 41 26%
Unknown 47 30%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 31 December 2015.
All research outputs
#23,241,889
of 25,901,238 outputs
Outputs from BMC Public Health
#16,827
of 17,916 outputs
Outputs of similar age
#344,328
of 401,828 outputs
Outputs of similar age from BMC Public Health
#254
of 273 outputs
Altmetric has tracked 25,901,238 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 17,916 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 14.6. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 401,828 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 273 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.