Associations between private vaccine and antimicrobial consumption across Indian states, 2009–2017

Emily Schueller, Arindam Nandi, Jyoti Joshi, Ramanan Laxminarayan, Eili Y. Klein

Research output: Contribution to journalArticlepeer-review

Abstract

Vaccines can reduce antibiotic use and, consequently, antimicrobial resistance by averting vaccine-preventable and secondary infections. We estimated the associations between private vaccine and antibiotic consumption across Indian states during 2009–2017 using monthly and annual consumption data from IQVIA and employed fixed-effects regression and the Arellano–Bond Generalized Method of Moments (GMM) model for panel data regression, which controlled for income and public sector vaccine use indicators obtained from other sources. In the annual data fixed-effects model, a 1% increase in private vaccine consumption per 1000 under-5 children was associated with a 0.22% increase in antibiotic consumption per 1000 people (P < 0.001). In the annual data GMM model, a 1% increase in private vaccine consumption per 1000 under-5 children was associated with a 0.2% increase in private antibiotic consumption (P < 0.001). In the monthly data GMM model, private vaccine consumption was negatively associated with antibiotic consumption when 32, 34, 35, and 44–47 months had elapsed after vaccine consumption, with a positive association with lags of fewer than 18 months. These results indicate vaccine-induced longer-term reductions in antibiotic use in India, similar to findings of studies from other low- and middle-income countries.

Original languageEnglish (US)
Pages (from-to)31-43
Number of pages13
JournalAnnals of the New York Academy of Sciences
Volume1494
Issue number1
DOIs
StatePublished - 2021

Keywords

  • AMR
  • India
  • antibiotic use
  • antimicrobial resistance
  • antimicrobial use
  • vaccine

ASJC Scopus subject areas

  • Neuroscience(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • History and Philosophy of Science

Fingerprint

Dive into the research topics of 'Associations between private vaccine and antimicrobial consumption across Indian states, 2009–2017'. Together they form a unique fingerprint.

Cite this