Evidence map›Paper›PMID 31339473›Full record

ArticleGlobal health action2019

The 'Drug Bag' method: lessons from anthropological studies of antibiotic use in Africa and South-East Asia.

Justin Dixon, Eleanor MacPherson, Salome Manyau, Susan Nayiga, Yuzana Khine Zaw, Miriam Kayendeke, Christine Nabirye, Laurie Denyer Willis, Coll de Lima Hutchison, Clare I R Chandler

Abstract read
In one paragraph

Article in Global health action, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed.

  1. Article
  2. Impact of reducing colistin use on colistin resistance inOne health (Amsterdam, Netherlands) · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Justin Dixona Department of Global Health and Development, London School of Hygiene & Tropical Medicine , London , UK.ORCID 0000-0002-7706-7305
Eleanor MacPhersonb Liverpool School of Tropical Medicine, Malawi-Liverpool Wellcome Trust , Blantyre , Malawi.ORCID 0000-0002-7142-1158
Salome Manyaua Department of Global Health and Development, London School of Hygiene & Tropical Medicine , London , UK.ORCID 0000-0002-0452-5475
Susan Nayigaa Department of Global Health and Development, London School of Hygiene & Tropical Medicine , London , UK.ORCID 0000-0002-1895-4035
Yuzana Khine Zawa Department of Global Health and Development, London School of Hygiene & Tropical Medicine , London , UK.ORCID 0000-0002-3171-7691
Miriam Kayendeked Infectious Diseases Research Collaboration , Kampala , Uganda.
Christine Nabiryed Infectious Diseases Research Collaboration , Kampala , Uganda.ORCID 0000-0002-7724-9635
Laurie Denyer Willisa Department of Global Health and Development, London School of Hygiene & Tropical Medicine , London , UK.ORCID 0000-0003-2630-9092
Coll de Lima Hutchisona Department of Global Health and Development, London School of Hygiene & Tropical Medicine , London , UK.ORCID 0000-0002-0065-6507
Clare I R Chandlera Department of Global Health and Development, London School of Hygiene & Tropical Medicine , London , UK.ORCID 0000-0001-6499-7522

Funding

Medical Research Council MR/S004793/1
6 · The paper itself

Abstract

Understanding the prevalence and types of antibiotics used in a given human and/or animal population is important for informing stewardship strategies. Methods used to capture such data often rely on verbal elicitation of reported use that tend to assume shared medical terminology. Studies have shown the category 'antibiotic' does not translate well linguistically or conceptually, which limits the accuracy of these reports. This article presents a 'Drug Bag' method to study antibiotic use (ABU) in households and on farms, which involves using physical samples of all the antibiotics available within a given study site. We present the conceptual underpinnings of the method, and our experiences of using this method to produce data about antibiotic recognition, use and accessibility in the context of anthropological research in Africa and South-East Asia. We illustrate the kinds of qualitative and quantitative data the method can produce, comparing and contrasting our experiences in different settings. The Drug Bag method produce accurate antibiotic use data as well as provide a talking point for participants to discuss antibiotic experiences. We propose it can help improve our understanding of antibiotic use in peoples' everyday lives across different contexts, and our reflections add to a growing conversation around methods to study ABU beyond prescriber settings, where data gaps are currently substantial.

Indexed as

Drug Resistance, MicrobialResearch DesignAfricaAnimalsAnti-Bacterial AgentsAsia, SoutheasternDrug UtilizationFemaleHumansMalePrevalenceAnti-Bacterial AgentsAntibiotic ResistanceAntibiotic useantimicrobial resistancehousehold surveyspile sorting

Identifiers

PMID31339473
PMCPMC6711116

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.