Evidence map›Paper›PMID 40225469›Full record

ArticleCureus2025

Understanding Antimicrobial Self-Medication Practices in the Andaman and Nicobar Islands in India.

Yashwant Sridhar, Aanchal Anand, Ajay Sethuraman, Samar Hossain

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Observational
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

4 authors.

Yashwant SridharCommunity Medicine, Andaman & Nicobar Islands Institute of Medical Sciences, Sri Vijaya Puram, IND.
Aanchal AnandCommunity Medicine, Andaman & Nicobar Islands Institute of Medical Sciences, Sri Vijaya Puram, IND.
Ajay SethuramanCommunity Medicine, Andaman & Nicobar Islands Institute of Medical Sciences, Sri Vijaya Puram, IND.
Samar HossainCommunity Medicine, Andaman & Nicobar Islands Institute of Medical Sciences, Sri Vijaya Puram, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Antimicrobial resistance (AMR) is a growing global health concern, primarily driven by the irrational and excessive use of antimicrobials. Self-medication with antibiotics, often without a medical prescription, contributes significantly to the emergence of resistant bacteria strains. This study aims to assess the patterns of antimicrobial consumption and its role in the development of antibiotic resistance. Aim and objective The aim and objective of the study are to evaluate the prevalence, determinants, and associated factors of self-medication with antimicrobials in a rural area of the Andaman and Nicobar Islands. Materials and methods A cross-sectional study was conducted among 437 participants in the community. Data on socio-demographic characteristics, self-medication patterns, and reasons for antimicrobial use were collected using a structured questionnaire. The data was analyzed by using SPSS version 26.0 (IBM Corp., Armonk, NY, US) to assess associations between self-medication and socio-demographic variables. Results The study found that 64.3% of participants self-medicated with antimicrobials, while 35.7% did not. The most common sources for determining the dosage included pharmacists (27.8%), hospital staff (21.7%), and personal experience (19.3%). A significant proportion (65.4%) altered the dosage during the course of treatment, primarily due to symptom improvement (53.4%) or lack of improvement (25.1%). A statistically significant association was observed between self-medication and age (p = 0.024), gender (p = 0.0095), religion (p = 0.00), and socio-economic status (p = 0.01). Conclusion High rates of self-medication with antimicrobials, coupled with inappropriate usage patterns, contribute to the increasing burden of antibiotic resistance. Strengthening public awareness, implementing stricter regulations on antimicrobial sales, and promoting rational prescribing practices are essential measures to combat AMR.

Indexed as

andaman and nicobar islandsantimicrobial resistancedrug misuserural communityself-medication behaviors

Identifiers

PMID40225469
PMCPMC11990781

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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.