Community-Based Surveillance of Antimicrobial Use and ...

CONTENTSProject members .................................................................................................................................. vAcknowledgements.......................................................................................................................... viiAbbreviations...................................................................................................................................... ixHow this report is organized............................................................................................................. 1Executive summary ............................................................................................................................. 11. Background, aims and general methods .................................................................................. 51.1 Background and justification ............................................................................................ 51.2 Aims and objectives............................................................................................................ 71.3 Methods followed and rationale....................................................................................... 81.3.1 AMR data ................................................................................................................................ 91.3.2 ABM use ................................................................................................................................ 121.3.3 Comparison with larger‐scale, network programmes .................................................... 141.4 Approval for the study..................................................................................................... 152. Delhi, India .................................................................................................................................. 172.1 Background information on the site............................................................................... 172.2 Methods.............................................................................................................................. 172.2.1 AMR surveillance................................................................................................................. 172.2.2 ABM use ................................................................................................................................ 182.2.3 Data management ................................................................................................................ 192.3 Findings.............................................................................................................................. 192.3.1 AMR in E. coli........................................................................................................................ 192.3.2 ABM use ................................................................................................................................ 222.3.3 Effect of ABM on AMR........................................................................................................ 252.4 Lessons learnt from this site ............................................................................................ 262.4.1 AMR ....................................................................................................................................... 262.4.2 ABM use ................................................................................................................................ 263. Vellore, India ............................................................................................................................... 273.1 Background information on the site............................................................................... 273.2 Methods.............................................................................................................................. 273.2.1 AMR surveillance................................................................................................................. 273.2.2 ABM use ................................................................................................................................ 283.2.3 Data management ................................................................................................................ 293.3 Findings.............................................................................................................................. 293.3.1 AMR in E. coli........................................................................................................................ 293.3.2 ABM use ................................................................................................................................ 343.3.3 Effect of ABM on AMR........................................................................................................ 403.4 Lessons learnt from this site ............................................................................................ 433.4.1 AMR ....................................................................................................................................... 433.4.2 ABM use ................................................................................................................................ 434. Mumbai, India............................................................................................................................. 454.1 Background information on the site............................................................................... 454.2 Methods.............................................................................................................................. 454.2.1 AMR surveillance................................................................................................................. 454.2.2 ABM use ................................................................................................................................ 464.2.3 Data management ................................................................................................................ 46i