Evidence map›Paper›PMID 36805363›Full record

ArticleJMIR public health and surveillance2023

Technology, Training, and Task Shifting at the World's Largest Mass Gathering in 2025: An Opportunity for Antibiotic Stewardship in India.

Isaac H Y Chan, Miriam Gofine, Shitij Arora, Ahmed Shaikh, Satchit Balsari

Full text read
In one paragraph

Article in JMIR public health and surveillance, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

5 authors.

Isaac H Y ChanLakshmi Mittal and Family South Asia Institute, Harvard University, Cambridge, MA, United States.ORCID 0000-0003-3715-2182
Miriam GofineDepartment of Population Health, NYU Grossman School of Medicine, New York, NY, United States.ORCID 0000-0002-1282-7713
Shitij AroraDivision of Hospital Medicine, Department of Internal Medicine, Montefiore Medical Center, New York, NY, United States.ORCID 0000-0002-8927-6171
Ahmed ShaikhInstitute for Critical Care Medicine, Mount Sinai Hospital, New York, NY, United States.ORCID 0000-0002-0242-2392
Satchit BalsariLakshmi Mittal and Family South Asia Institute, Harvard University, Cambridge, MA, United States.ORCID 0000-0002-5492-1900

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The role of antibiotic overuse in intensifying selection pressures and contributing to the emergence of antimicrobial resistance is well established. The Kumbh Mela, a religious festival that occurs in 4 Indian cities of spiritual significance, is the world's largest mass gathering, attracting over 80 million pilgrims in 2013. Digital syndromic surveillance from the 2013 and 2015 Melas demonstrated a consistent pattern of antibiotic overuse, with an antibiotic prescribing rate of up to 31% for all patient encounters. As preparations for the 2025 Kumbh Mela begin, task shifting, point-of-care diagnostic and digital tools, robust clinician training, and community awareness can promote the restrained and evidence-based use of antibiotics, minimizing the potential for the emergence of antimicrobial resistance at the world's largest mass gathering.

Indexed as

Antimicrobial StewardshipMass GatheringsAnti-Bacterial AgentsCrowdingHumansIndiaTechnologyAnti-Bacterial Agentsantibioticsantimicrobialdigital toolsIndiainformaticsKumbh Melamass gatheringpublic healthstewardshipsurveillance

Identifiers

PMID36805363
PMCPMC10034612

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read19
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.