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. 2020 Sep 7;10:14737. doi: 10.1038/s41598-020-70517-w

Table 5.

Themes identified during the analysis.

Themes Subthemes
(1) Common diseases managed with antibiotics Cattle

East coast fever (ECF)

Anaplasmosis

Heartwater

Babesia

Respiratory tract infections

Humans

Malaria

Bacterial infections

Urinary tract infections

Respiratory tract infections

Typhoid

Ear, Nose and Throat infections

Wounds

(2) Common drugs consumed Cattle

Oxytetracycline in different concentrations and brands

Penicillin and streptomycin (Penstrep)

Sulphadimidine

Ivermectin

Trypanocidals

Humans

Amoxiclav

Ampiclox

Ciprofloxacin

Benzylpenicillin

Amoxicillin

Ceftriaxone

Cotrimoxazole

Dexamethasone

Metronidazole

Ampicillin

Gentamicin

Chloramphenicol

(3) Awareness of antimicrobial resistance Awareness

Many people are aware

No local term for antimicrobial resistance

We have not talked at length about antimicrobial resistance with the pastoralists

People do not know that AMR is there but they just see things failing and they blame the drugs that they are counterfeit

Source of information

Patients who have not improved on medication

Experience

(4) Drivers of antibiotic resistance

Poverty where people cannot buy full dose

No laboratories for culture to confirm resistance

Inadequate knowledge of health workers

People do not take full dose even when it is there, they leave medicine as soon as they improve

Not following instructions

Fake drugs on the market

(5) Surveillance and monitoring

It’s not done

Not heard of any

(6) Proposed intervention

Improve testing services

Stop quacks from selling medicine

Minimize drug stock-outs in government units

Provide charts for antimicrobial resistance

Bring new drugs