Evidence map›Paper›PMID 32641109›Full record

ReviewAntimicrobial resistance and infection control2020

A review of animal health and drug use practices in India, and their possible link to antimicrobial resistance.

Florence Mutua, Garima Sharma, Delia Grace, Samiran Bandyopadhyay, Bibek Shome, Johanna Lindahl

Open access · goldAbstract readReview
In one paragraph

Review in Antimicrobial resistance and infection control, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
17.4field-weighted citation impact, top 1% of its field
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

41 citing papers in PubMed, 121 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Bovine MastitisAntibiotics (Basel, Switzerland) · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
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  12. Multidrug-ResistantAntibiotics (Basel, Switzerland) · 2025
    Article
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  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
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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

6 authors at 4 institutions in 3 countries.

Florence MutuaInternational Livestock Research Institute, P. O. Box 30709, Nairobi, 00100, Kenya. f.mutua@cgiar.org.
Garima SharmaInternational Livestock Research Institute, P. O. Box 30709, Nairobi, 00100, Kenya.
Delia GraceInternational Livestock Research Institute, P. O. Box 30709, Nairobi, 00100, Kenya.
Samiran BandyopadhyayIndian Veterinary Research Institute, Eastern Regional Station, 37 Belgachia Road, Kolkata, 700 037, India.
Bibek ShomeNational Institute of Veterinary Epidemiology and Disease Informatics, Bangalore, India.
Johanna LindahlInternational Livestock Research Institute, P. O. Box 30709, Nairobi, 00100, Kenya.
International Livestock Research Institute · KEIndian Veterinary Research Institute · INNational Institute Of Veterinary Epidemiology And Disease Informatics · INSwedish University of Agricultural Sciences · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLivestock production, particularly the dairy sector, is important for food and nutritional wellbeing of communities in India, it supports livelihoods of many farmers, and contributes to the economy of the country. India is a high consumer of antibiotics and antimicrobial resistant (AMR) bacteria are a major public health concern.

objectivesOur objectives were to identify animal health and drug use practices that may contribute to emergence and spread of AMR in the country, review previous AMR- mitigation strategies, and discuss "theory of change" as an approach to informing the choice of interventions.

methodsWe undertook a desk review of literature to identify practices with potential to contribute to emergence and spread of antimicrobial resistance in India. Searches were done in PubMed, Google scholar, and Google. Data were synthesized and discussed by themes.

resultsAnimal disease surveillance is less developed and infrastructure to support delivery of services is inadequate. Several groups are known to offer animal health services. The untrained "animal health workers" and para-veterinarians are more popular with farmers as they charge less for consultations (compared to veterinarians who are few and charge more). Over-the-counter access of antibiotics, without prescription, and direct marketing of drugs to farmers are common. Because of this, farmers are able to treat their animals and only consult when cases become non- responsive to treatment. Antibiotics are mostly used in management of mastitis cases. Drug withdrawal periods are rarely observed and occurrence of antibiotic- contaminated milk has been reported. Awareness on AMR is low and antimicrobial stewardship in livestock is yet to be developed. Initiatives such as the National programme for containment of AMR, National Action Plan on AMR, and the National Health policy point to government's commitment in addressing the problem of AMR in the country.

conclusionSeveral animal health and drug use practices, with potential to cause AMR, have been described, and their contribution can be discussed further by engaging stakeholders in a "theory of change" exercise. Interventions that address AMR from the animal health perspective should be promoted, and incentives to increase their adoption explored.

Indexed as

Drug Resistance, BacterialAnimalsAnti-Bacterial AgentsAntimicrobial StewardshipBacteriaBacterial InfectionsHealth PolicyHumansIndiaLivestockMilkPublic HealthVeterinariansAnti-Bacterial AgentsAnimal healthAntimicrobial resistanceAntimicrobial useTheory of change

Identifiers

PMID32641109
PMCPMC7346624
OpenAlexW3042165171

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.