Antibiotic Footprint Thailand - Pilot Questionnaire Study

Study Overview
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Brief Summary
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Antimicrobial-resistant bacterial infection is an important cause of death in Thailand and in other countries worldwide. Increasing use of antibiotics in both animals and humans is one of the main drive that increase the incidence of antimicrobial resistant bacteria in human, animals and environment. National Action Plan for Combating Antibiotic-resistant Bacteria aimed to have general population taking antibiotics less than 20% when they have common cold or diarrheal symptoms. However, there is little accurate information about behaviors of Thai people. Most studies were conducted in hospitals, clinics or pharmacy. Therefore, it did not include behaviors of those who had symptoms but did not present at hospitals, clinics or pharmacy. In this study, the investigators aim to use questionnaire to Thai adult population to ask for the the amount of antibiotic used and the periods they had symptoms of common cold or diarrhea over one year period of year 2017. The main aim is to estimate the total antibiotic usage per human population, and plan for the study in the future.

Official Title
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Antibiotic Footprint Thailand - Pilot Questionnaire Study

Conditions
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Antibiotic Usage

Intervention / Treatment
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* Other: Obtain inform consent via questionnaire of Monkey Survey


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The participant may enter the study if ALL of the following apply: Participant is willing and able to give informed consent for participation in the study. Male or female, aged 18 years or above. Living in Thailand (staying in Thailand more than 6 months per year) Exclusion Criteria: None

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Contact group email of Mahidol-Oxford Research Unit (MORU)<br>The investigator aims to have at least 100 adult people who could provide information for the total of one year. This expects that at least 20 of those 100 people would have common cold or diarrhea at least one time over one year period. This should provide more than 80% power to detect whether the proportion of having antibiotics when they have common cold or diarrhea was lower than 50% or not. The hypothesized proportion was 20% as stated by the national strategy against AMR in Thailand | Other: Obtain inform consent via questionnaire of Monkey Survey<br>* This is an internet-based questionnaire study. Therefore, anyone in Thailand can access and answer the questionnaire.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Total antibiotic usage in human population |  | 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Association between the antibiotic usage and the episodes of common cold | Association between the antibiotic usage and the episodes of common cold or diarrhea in Thai adult population | 1 year | 
| Association between the antibiotic usage and the episodes of diarrhea | Association between the antibiotic usage and the episodes of common cold or diarrhea in Thai adult population | 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Antimicrobial-resistant bacterial infection, Questionaire