학술논문

The 'Drug Bag' method: lessons from anthropological studies of antibiotic use in Africa and South-East Asia.
Document Type
Article
Source
Global Health Action. 2019 Supplement, Vol. 12, p1-9. 9p. 2 Color Photographs, 2 Diagrams, 2 Charts, 2 Graphs.
Subject
*ANTIBIOTICS
*AGRICULTURE
*ANTHROPOLOGY
*ANTI-infective agents
*COMPARATIVE studies
*DRUG monitoring
*DRUG resistance in microorganisms
*DRUG prescribing
*EXPERIENCE
*SURVEYS
*TERMS & phrases
*PHYSICIAN practice patterns
*QUALITATIVE research
*HOME environment
*QUANTITATIVE research
*ANTIMICROBIAL stewardship
Language
ISSN
1654-9716
Abstract
Understanding the prevalence and types of antibiotics used in a given human and/or animal population is important for informing stewardship strategies. Methods used to capture such data often rely on verbal elicitation of reported use that tend to assume shared medical terminology. Studies have shown the category 'antibiotic' does not translate well linguistically or conceptually, which limits the accuracy of these reports. This article presents a 'Drug Bag' method to study antibiotic use (ABU) in households and on farms, which involves using physical samples of all the antibiotics available within a given study site. We present the conceptual underpinnings of the method, and our experiences of using this method to produce data about antibiotic recognition, use and accessibility in the context of anthropological research in Africa and South-East Asia. We illustrate the kinds of qualitative and quantitative data the method can produce, comparing and contrasting our experiences in different settings. The Drug Bag method can produce accurate antibiotic use data as well as provide a talking point for participants to discuss antibiotic experiences. We propose it can help improve our understanding of antibiotic use in peoples' everyday lives across different contexts, and our reflections add to a growing conversation around methods to study ABU beyond prescriber settings, where data gaps are currently substantial. [ABSTRACT FROM AUTHOR]