Evidence map›Paper›PMID 33969344›Full record

ArticleJournal of the American College of Emergency Physicians open2021

Self-prescribing of antibiotics by patients seeking care in Indian emergency departments.

Janice Blanchard, Madhumathi Solaipandian, Elina Bevin John, Moin Pandith, Binu Jeo, Sherin Saji, Anil Kumar, Larissa May, Kevin Davey, Katherine Douglass and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Self-prescribing of antibiotics by patients seeking care in Indian emergency departments.Journal of the American College of Emergency Physicians open · 2021
    Article
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

11 authors at 5 institutions in 2 countries.

Janice BlanchardDepartment of Emergency Medicine George Washington University Washington District of Columbia USA.
Madhumathi SolaipandianMeenakshi Mission Hospital Madurai India.
Elina Bevin JohnBR Life SUT Hospital Pattom Trivandrum Kerala India.
Moin PandithMax Super Specialty Hospital Patparganj, Max Delhi India.
Binu JeoBaby Memorial Hospital Calicut Kerala India.
Sherin SajiMGM Muthood Medical Centre Hospital Kozhencherry Pathanamthitta India.
Anil KumarMax Superspecialty Hospital Delhi India.
Larissa MayDepartment of Emergency Medicine University of California Davis Sacramento California USA.
Kevin DaveyDepartment of Emergency Medicine George Washington University Washington District of Columbia USA.
Katherine DouglassDepartment of Emergency Medicine George Washington University Washington District of Columbia USA.
Jeffrey SmithDepartment of Emergency Medicine George Washington University Washington District of Columbia USA.
George Washington University · USMax Super Speciality Hospital · INBaby Memorial Hospital · INMeenakshi Mission Hospital and Research Centre · INUniversity of California, Davis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectiveAntibiotic resistance is a global health threat. India has one of the highest rates of antibiotic use in the world. The objective of this study was to evaluate the prevalence of self-prescribed antibiotic use of patients presenting with febrile and infectious disease-related complaints to Indian emergency departments.

methodsThis was a prospective observational study conducted at 6 Indian emergency departments (EDs) between January 1, 2019 and December 31, 2019. Adult patients who presented with a chief complaint of febrile illness or infectious disease complaints were included. Our principal outcomes of interest were self-prescribed use of antibiotics within the prior 6 months or for the presenting complaint. We queried respondents about source of antibiotics as well as about demographic characteristics that influenced use.

resultsA total of 1421 patients were enrolled. Sixty percent (n = 856) of respondents reported using antibiotics in the prior 6 months or for their current complaint. Those who reported self-prescribing antibiotics either in the past or currently had at least some college education (

conclusionsSelf-prescribing of antibiotics occurs commonly in India. This use increases the risk for resistance due to inappropriate or unnecessary use. Promotion of antibiotic stewardship is needed to curtail such use.

Indexed as

antibioticsemergency departmentIndiaself‐prescribingstewardship

Identifiers

PMID33969344
PMCPMC8082699
OpenAlexW3159783674

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.