{"id":3290,"date":"2021-05-31T14:13:07","date_gmt":"2021-05-31T13:13:07","guid":{"rendered":"http:\/\/med.st-andrews.ac.uk\/staahr\/?page_id=3290"},"modified":"2021-05-31T14:13:07","modified_gmt":"2021-05-31T13:13:07","slug":"care","status":"publish","type":"page","link":"https:\/\/medicine.st-andrews.ac.uk\/staahr\/network-partners\/projects\/care\/","title":{"rendered":"Covid-19 and Antimicrobial Resistance in East Africa"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.9.10&#8243; custom_margin=&#8221;120px||||false|false&#8221;][et_pb_row column_structure=&#8221;1_4,3_4&#8243; _builder_version=&#8221;4.9.0&#8243; _module_preset=&#8221;default&#8221;][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.9.0&#8243; _module_preset=&#8221;default&#8221;][et_pb_image src=&#8221;https:\/\/medicine.st-andrews.ac.uk\/staahr\/wp-content\/uploads\/sites\/49\/2021\/06\/20210628-CARELogo.png&#8221; alt=&#8221;CARE Logo&#8221; url=&#8221;https:\/\/med.st-andrews.ac.uk\/igh\/care&#8221; admin_label=&#8221;CARE Image&#8221; _builder_version=&#8221;4.9.4&#8243; _module_preset=&#8221;default&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;3_4&#8243; _builder_version=&#8221;4.9.0&#8243; _module_preset=&#8221;default&#8221;][et_pb_text admin_label=&#8221;Main Text&#8221; _builder_version=&#8221;4.9.10&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h1>Covid-19 and Antimicrobial Resistance in East Africa<\/h1>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-3168 alignnone size-full\" src=\"https:\/\/medicine.st-andrews.ac.uk\/staahr\/wp-content\/uploads\/sites\/49\/2021\/05\/20210520-OrangeLine.png\" alt=\"\" width=\"78\" height=\"9\" \/><\/p>\n<p><a href=\"https:\/\/med.st-andrews.ac.uk\/igh\/care\/\">CARE<\/a> is an 18-month study that seeks to investigate the extent to which COVID-19 has changed health-seeking behaviour for common bacterial illnesses and the availability and usage of ABs. in East Africa.<\/p>\n<p>There is mounting evidence that COVID-19 prevention measures are changing patient treatment-seeking behaviours for other illnesses. This includes changes in antibiotic (AB) usage which risks driving up antimicrobial resistance (AMR). This is a priority concern within LMIC countries, including those of East Africa, where the circulating pathogen population is responsible for a high burden of infectious disease.<\/p>\n<p>This project will address the knowledge gap of the impact that COVID-19 is having on AB usage and provision, and gather evidence to inform policy and interventions to reduce inappropriate AB usage.<\/p>\n<p>Employing an interdisciplinary approach, we will conduct a program of research in Uganda and Tanzania by targeting three interconnected AMR domains: Landscape &#8211; we will investigate the impact of COVID-19 on formal health care providers\u2019 and community drug sellers\u2019 experiences and attitudes to antibiotic provision and response to official COVID-19 advice; Patients &#8211; in health clinics we will enrol patients and examine how COVID-19 restrictions are affecting patient treatment seeking, AB use, and understanding of illness, and for a subset we will assess shifts in the AMR profile of urinary pathogens; and Communities \u2013 we will investigate how community members have received and responded to health messages on COVID-19 and how perceptions about illness and medications may have altered.<\/p>\n<p>Data will be compared to baseline data from our ongoing study that was collected in the study areas pre-COVID-19 to investigate changes in AB usage and provision and linkage to COVID-19 disease and\/or interventions. A synthesis of the findings will be provided to a range of stakeholders from communities to governmental, to help improve AB stewardship activities and messaging as part of the pandemic response in East Africa and beyond.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Covid-19 and Antimicrobial Resistance in East Africa CARE is an 18-month study that seeks to investigate the extent to which COVID-19 has changed health-seeking behaviour for common bacterial illnesses and the availability and usage of ABs. in East Africa. There is mounting evidence that COVID-19 prevention measures are changing patient treatment-seeking behaviours for other illnesses. 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