Evidence map›Paper›PMID 40827779›Full record

ArticleJournal of global health2025

A strategic approach to regulating new antimicrobials.

Shilpi Malhotra, Nitin Bansal, V Ramasubramanian, Veeraraghavan Balaji, Leena Menghaney, Kamini Walia

Abstract read
In one paragraph

Article in Journal of global health, 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. 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

6 authors.

Shilpi MalhotraDivision of Descriptive Research, Indian Council of Medical Research, New Delhi, India.
Nitin BansalDivision of Descriptive Research, Indian Council of Medical Research, New Delhi, India.
V RamasubramanianDepartment of Infectious Diseases, Apollo Hospitals, Chennai, India.
Veeraraghavan BalajiDepartment of Clinical Microbiology, Christian Medical College, Vellore, India.
Leena MenghaneyPharmaceuticals and Access, Médecins Sans Frontières, Delhi, India.
Kamini WaliaDivision of Descriptive Research, Indian Council of Medical Research, New Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antimicrobial resistance (AMR) is a significant threat to healthcare in India, which is experiencing increasing resistance to critical antibiotics, including last-resort treatments. Emerging data indicate that resistance to last resort life-saving drugs continues to rise, limiting treatment options for drug-resistant infections. While the introduction of new antimicrobials offers hope, historical patterns suggest that resistance may develop rapidly. Enforcement challenges of regulatory initiatives, such as Schedule H1 restrictions in India, underscore the need for a national-level strategic approach when introducing new antimicrobials in the future. We propose a regulatory and access framework designed to preserve and increase the longevity of new antimicrobials in India. Key recommendations include restricting their availability to formularies of hospitals implementing antimicrobial stewardship and infection prevention and control standards, and mandating AMR surveillance reporting. We also examine stakeholders' perspectives on policy measures necessary for the responsible introduction of these drugs.

Indexed as

Anti-Bacterial AgentsAnti-Infective AgentsAntimicrobial StewardshipDrug Resistance, BacterialHealth PolicyHumansIndiaAnti-Bacterial AgentsAnti-Infective Agents

Identifiers

PMID40827779
PMCPMC12363153

What OpenQuestion holds

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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.