{"id":514,"date":"2026-06-23T14:33:07","date_gmt":"2026-06-23T13:33:07","guid":{"rendered":"https:\/\/medicine.st-andrews.ac.uk\/igh\/?page_id=514"},"modified":"2026-06-23T14:34:47","modified_gmt":"2026-06-23T13:34:47","slug":"maria","status":"publish","type":"page","link":"https:\/\/medicine.st-andrews.ac.uk\/igh\/research\/antimicrobial-resistance\/maria\/","title":{"rendered":"Multimorbidity, Antimicrobial Resistance and Infection Associations"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Global Section &#8211; Main Menu&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#0071b3&#8243; min_height=&#8221;38px&#8221; max_height=&#8221;150px&#8221; custom_margin=&#8221;||-20px||false|false&#8221; custom_padding=&#8221;5px||0px||false|false&#8221; saved_tabs=&#8221;all&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; 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_module_preset=&#8221;default&#8221; max_height=&#8221;201px&#8221; custom_margin=&#8221;|auto||auto|false|false&#8221; custom_padding=&#8221;5px||25px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; admin_label=&#8221;Column&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_menu menu_id=&#8221;8&#8243; active_link_color=&#8221;#FFFFFF&#8221; _builder_version=&#8221;4.24.3&#8243; _module_preset=&#8221;default&#8221; menu_font=&#8221;PT Sans|300|||||||&#8221; menu_font_size=&#8221;18px&#8221; background_color=&#8221;#00539b&#8221; background_layout=&#8221;dark&#8221; custom_margin=&#8221;-3px||-24px|||&#8221; custom_padding=&#8221;0px||1px||false|false&#8221; global_colors_info=&#8221;{}&#8221; custom_css_main_element_last_edited=&#8221;on|phone&#8221; custom_css_main_element_tablet=&#8221;content:&#8217;Navigation&#8217;;&#8221; custom_css_main_element_phone=&#8221;content:&#8217;Navigation&#8217;;&#8221;][\/et_pb_menu][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Section &#8211; Breadcrumbs&#8221; _builder_version=&#8221;4.24.3&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;25px||||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;-50px|auto||auto|false|false&#8221; custom_padding=&#8221;10px||||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][lwp_divi_breadcrumbs home_text=&#8221;IGH&#8221; font_icon=&#8221;&#x35;||divi||400&#8243; _builder_version=&#8221;4.25.0&#8243; _module_preset=&#8221;default&#8221; module_font=&#8221;||||||||&#8221; global_module=&#8221;311&#8243; saved_tabs=&#8221;all&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][\/lwp_divi_breadcrumbs][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Title Section&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#FFFFFF&#8221; custom_margin=&#8221;-110px||||false|false&#8221; locked=&#8221;off&#8221; collapsed=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.24.3&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;||0px||false|false&#8221; custom_padding=&#8221;||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_post_title meta=&#8221;off&#8221; featured_image=&#8221;off&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; title_font=&#8221;|700|||||||&#8221; title_font_size=&#8221;35px&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_post_title][et_pb_text admin_label=&#8221;Intro&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_3_font_size=&#8221;33px&#8221; header_4_line_height=&#8221;1.2em&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Multimorbidity refers to people living with two or more long-term, or chronic, conditions at the same time. When we talk about \u2018chronic conditions\u2019 we mean a whole lot of different conditions that might include diabetes, stroke, heart problems, epilepsy, liver problems, thyroid problems, kidney problems and more.<\/p>\n<p>Socioeconomic deprivation means people living with financial and social disadvantages, such as lower incomes, unemployment, poor housing, or limited access to services. These things can make it harder for people to stay healthy and access the support they need. It can be associated with chronic conditions, as well as more antibiotics for infections.\u00a0<\/p>\n<p>Some infections are caused by bacteria that are resistant to antibiotics, meaning that commonly used antibiotics no longer work effectively against them. We think that people living with multimorbidity may be at greater risk of developing infections and drug-resistant infections.<\/p>\n<p>However, we do not yet fully understand how multimorbidity, infection, antimicrobial resistance, and socioeconomic deprivation interact and affect people\u2019s health outcomes. The MARIA study aims to improve our understanding of these relationships. The study will consist of four linked studies:<\/p>\n<ul>\n<li>A review of what is currently known about the topic (systematic literature review and meta-analyses)<\/li>\n<li>A project looking back at hospital admissions in Scotland over 25 years to investigate how multimorbidity and socioeconomic deprivation interact to affect infection-related admissions and outcomes<\/li>\n<li>A study of infections in NHS Fife and NHS Tayside in individuals both living with multimorbidity and those living without multimorbidity. We will focus on urinary tract infections (UTI) s to see whether people living with multimorbidity are more likely to develop UTIs, whether these UTIs are more likely to be drug resistance, and to see whether they experience worsening health following an infection<\/li>\n<li>A study looking at how bacteria are spread using genomic data.<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#f1f1f1&#8243; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;Title&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;|700|||||||&#8221; header_2_font=&#8221;|700|||||||&#8221; header_3_font=&#8221;|700|||||||&#8221; header_3_font_size=&#8221;33px&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Team<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_3,1_3,1_3&#8243; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; _builder_version=&#8221;4.24.3&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.24.3&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_blurb title=&#8221;Rebecca (Becky) Stout&#8221; image=&#8221;https:\/\/medicine.st-andrews.ac.uk\/igh\/wp-content\/uploads\/sites\/67\/2026\/06\/RS.png&#8221; alt=&#8221;Alun Hughes&#8221; icon_placement=&#8221;left&#8221; admin_label=&#8221;Blurb &#8211; Rebecca (Becky)&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;|700|||on||||&#8221; header_text_color=&#8221;#0071b3&#8243; header_font_size=&#8221;22px&#8221; link_option_url=&#8221;https:\/\/research-portal.st-andrews.ac.uk\/en\/persons\/rebecca-catherine-stout\/&#8221; border_radii_image=&#8221;on|100px|100px|100px|100px&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>PhD Student and Principal Investigator\u00a0<\/p>\n<p>[\/et_pb_blurb][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.24.3&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_blurb title=&#8221;Prof Nicholas Feasey&#8221; image=&#8221;https:\/\/medicine.st-andrews.ac.uk\/igh\/wp-content\/uploads\/sites\/67\/2025\/11\/NF.png&#8221; alt=&#8221;Alun Hughes&#8221; icon_placement=&#8221;left&#8221; admin_label=&#8221;Blurb &#8211; Nick&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;|700|||on||||&#8221; header_text_color=&#8221;#0071b3&#8243; header_font_size=&#8221;22px&#8221; link_option_url=&#8221;https:\/\/www.st-andrews.ac.uk\/medicine\/people\/naf6\/&#8221; border_radii_image=&#8221;on|100px|100px|100px|100px&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Director of Research and Primary Supervisor<\/p>\n<p>[\/et_pb_blurb][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.24.3&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_blurb title=&#8221;Dr Sarah Mills &#8221; image=&#8221;https:\/\/medicine.st-andrews.ac.uk\/igh\/wp-content\/uploads\/sites\/67\/2026\/06\/20240415-SarahMills.png&#8221; alt=&#8221;Alun Hughes&#8221; icon_placement=&#8221;left&#8221; admin_label=&#8221;Blurb &#8211; Sarah&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;|700|||on||||&#8221; header_text_color=&#8221;#0071b3&#8243; header_font_size=&#8221;22px&#8221; link_option_url=&#8221;https:\/\/research-portal.st-andrews.ac.uk\/en\/persons\/sarah-mills\/&#8221; border_radii_image=&#8221;on|100px|100px|100px|100px&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Secondary Supervisor<\/p>\n<p>[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_3,1_3,1_3&#8243; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_blurb title=&#8221;Professor Colin McCowan &#8221; image=&#8221;https:\/\/medicine.st-andrews.ac.uk\/igh\/wp-content\/uploads\/sites\/67\/2026\/06\/20240412-ColinMcCowan.png&#8221; alt=&#8221;Alun Hughes&#8221; icon_placement=&#8221;left&#8221; admin_label=&#8221;Blurb &#8211; Colin&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;|700|||on||||&#8221; header_text_color=&#8221;#0071b3&#8243; header_font_size=&#8221;22px&#8221; link_option_url=&#8221;https:\/\/research-portal.st-andrews.ac.uk\/en\/persons\/colin-mccowan\/&#8221; border_radii_image=&#8221;on|100px|100px|100px|100px&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Secondary Supervisor\u00a0<\/p>\n<p>[\/et_pb_blurb][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;Title&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;|700|||||||&#8221; header_2_font=&#8221;|700|||||||&#8221; header_3_font=&#8221;|700|||||||&#8221; header_3_font_size=&#8221;33px&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Patient and Public Involvement and Engagement\u00a0<\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Throughout the project we are keen to hear from people affected by these topics. We did an outreach activity at the Dundee Science Festival in February 2026, where we spoke to children and their caregivers about infections and drug-resistant infections as well as how we use data in research.<\/p>\n<p>We are running a further public engagement activity in <a href=\"https:\/\/www.methilcentre.org.uk\/\">Methill Community Centre<\/a> on Monday 10<sup>th<\/sup> of August 2026, where we will have free tea and coffee, a fun activity, and would love to hear from you and have a chat!\u00a0<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; background_color=&#8221;#f1f1f1&#8243; sticky_enabled=&#8221;0&#8243;][et_pb_row _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;Title&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;|700|||||||&#8221; header_2_font=&#8221;|700|||||||&#8221; header_3_font=&#8221;|700|||||||&#8221; header_3_font_size=&#8221;33px&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Funding<\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Rebecca Stout is a <a href=\"https:\/\/wellcome.org\/\">Wellcome<\/a> clinical PhD fellow on the Multimorbidity Doctoral Training Programme for Health Professionals at the University of St Andrews (grant number 223499\/Z\/21\/Z).<\/p>\n<p>This project is part of EOSIN (East of Scotland Infection Network).<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p><div class=\"et_pb_module lwp_divi_breadcrumbs lwp_divi_breadcrumbs_0\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t<div class=\"lwp-breadcrumbs\"> <span class=\"before\"><\/span> <span vocab=\"https:\/\/schema.org\/\" typeof=\"BreadcrumbList\"><span property=\"itemListElement\" typeof=\"ListItem\"><a property=\"item\" typeof=\"WebPage\" href=\"https:\/\/medicine.st-andrews.ac.uk\/igh\/\" class=\"home\"><span property=\"name\">IGH<\/span><\/a><meta property=\"position\" content=\"1\"><\/span> <span class=\"separator et-pb-icon\">5<\/span> <\/span><\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>Multimorbidity refers to people living with two or more long-term, or chronic, conditions at the same time. When we talk about \u2018chronic conditions\u2019 we mean a whole lot of different conditions that might include diabetes, stroke, heart problems, epilepsy, liver problems, thyroid problems, kidney problems and [&hellip;]<\/p>\n","protected":false},"author":6525,"featured_media":0,"parent":56,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"footnotes":""},"class_list":["post-514","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/medicine.st-andrews.ac.uk\/igh\/wp-json\/wp\/v2\/pages\/514","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicine.st-andrews.ac.uk\/igh\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/medicine.st-andrews.ac.uk\/igh\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/medicine.st-andrews.ac.uk\/igh\/wp-json\/wp\/v2\/users\/6525"}],"replies":[{"embeddable":true,"href":"https:\/\/medicine.st-andrews.ac.uk\/igh\/wp-json\/wp\/v2\/comments?post=514"}],"version-history":[{"count":4,"href":"https:\/\/medicine.st-andrews.ac.uk\/igh\/wp-json\/wp\/v2\/pages\/514\/revisions"}],"predecessor-version":[{"id":522,"href":"https:\/\/medicine.st-andrews.ac.uk\/igh\/wp-json\/wp\/v2\/pages\/514\/revisions\/522"}],"up":[{"embeddable":true,"href":"https:\/\/medicine.st-andrews.ac.uk\/igh\/wp-json\/wp\/v2\/pages\/56"}],"wp:attachment":[{"href":"https:\/\/medicine.st-andrews.ac.uk\/igh\/wp-json\/wp\/v2\/media?parent=514"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}