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      The Potential Role of Social Media Platforms in Community Awareness of Antibiotic Use in the Gulf Cooperation Council States: Luxury or Necessity?

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          Abstract

          The increasing emergence and spread of antimicrobial resistance (AMR) is a serious public health issue. Increasing the awareness of the general public about appropriate antibiotic use is a key factor for combating this issue. Several public media campaigns worldwide have been launched; however, such campaigns can be costly and the outcomes are variable and difficult to assess. Social media platforms, including Twitter, Facebook, and YouTube, are now frequently utilized to address health-related issues. In many geographical locations, such as the countries of the Gulf Cooperation Council (GCC) States (Saudi Arabia, United Arab Emirates, Kuwait, Oman, Qatar, and Bahrain), these platforms are becoming increasingly popular. The socioeconomic status of the GCC states and their reliable communication and networking infrastructure has allowed the penetration and scalability of these platforms in the region. This might explain why the Saudi Ministry of Health is using social media platforms alongside various other media platforms in a large-scale public awareness campaign to educate at-risk communities about the recently emerged Middle East respiratory syndrome coronavirus (MERS-CoV). This paper discusses the potential for using social media tools as cost-efficient and mass education platforms to raise awareness of appropriate antibiotic use in the general public and in the medical communities of the Arabian Peninsula.

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          Most cited references53

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          World Health Organization.

          Ala Alwan (2007)
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            Middle East respiratory syndrome coronavirus: another zoonotic betacoronavirus causing SARS-like disease.

            The source of the severe acute respiratory syndrome (SARS) epidemic was traced to wildlife market civets and ultimately to bats. Subsequent hunting for novel coronaviruses (CoVs) led to the discovery of two additional human and over 40 animal CoVs, including the prototype lineage C betacoronaviruses, Tylonycteris bat CoV HKU4 and Pipistrellus bat CoV HKU5; these are phylogenetically closely related to the Middle East respiratory syndrome (MERS) CoV, which has affected more than 1,000 patients with over 35% fatality since its emergence in 2012. All primary cases of MERS are epidemiologically linked to the Middle East. Some of these patients had contacted camels which shed virus and/or had positive serology. Most secondary cases are related to health care-associated clusters. The disease is especially severe in elderly men with comorbidities. Clinical severity may be related to MERS-CoV's ability to infect a broad range of cells with DPP4 expression, evade the host innate immune response, and induce cytokine dysregulation. Reverse transcription-PCR on respiratory and/or extrapulmonary specimens rapidly establishes diagnosis. Supportive treatment with extracorporeal membrane oxygenation and dialysis is often required in patients with organ failure. Antivirals with potent in vitro activities include neutralizing monoclonal antibodies, antiviral peptides, interferons, mycophenolic acid, and lopinavir. They should be evaluated in suitable animal models before clinical trials. Developing an effective camel MERS-CoV vaccine and implementing appropriate infection control measures may control the continuing epidemic.
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              Characteristics and outcomes of public campaigns aimed at improving the use of antibiotics in outpatients in high-income countries.

              The worldwide increase in resistance to antimicrobial drugs has made reducing the unnecessary use of antibiotics a public health priority. There have been campaigns in many countries to educate the public about appropriate use of antibiotics in outpatients. By use of a comprehensive search strategy and structured interviews, we were able to identify and review the characteristics and outcomes of 22 campaigns done at a national or regional level in high-income countries between 1990 and 2007. The intensity of the campaigns varied widely, from simple internet to expensive mass-media campaigns. All but one campaign targeted the public and physicians simultaneously. Most campaigns that were formally evaluated seemed to reduce antibiotic use. The effect on resistance to antimicrobial drugs cannot be assessed accurately at present. Although the most effective interventions and potential adverse outcomes remain unclear, public campaigns can probably contribute to more careful use of antibiotics in outpatients, at least in high-prescribing countries. 2010 Elsevier Ltd. All rights reserved.
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                Author and article information

                Contributors
                Journal
                J Med Internet Res
                J. Med. Internet Res
                JMIR
                Journal of Medical Internet Research
                JMIR Publications Inc. (Toronto, Canada )
                1439-4456
                1438-8871
                October 2015
                15 October 2015
                : 17
                : 10
                : e233
                Affiliations
                [1] 1The University of Queensland, UQ Centre for Clinical Research Herston QLD 4029Australia
                [2] 2King Saud bin Abdulaziz University for Health Sciences College of Medicine RiyadhSaudi Arabia
                [3] 3WHO Collaborating Centre for Infection Prevention and Control and GCC Center for Infection Control RiyadhSaudi Arabia
                [4] 4Department of Pathology, Brigham and Women’s Hospital, Harvard Medical School Boston, MA 02215, MAUnited States
                [5] 5Department of Pathology, University of California, San Francisco CA 94143, USA, CAUnited States
                [6] 6Faculty of Medicine Taif University TaifSaudi Arabia
                [7] 7Infection Control Programme and WHO Collaborating Centre on Patient Safety University Hospitals of Geneva Rue Gabrielle-Perret-Gentil 4,Switzerland
                [8] 8School of Public Health Queensland University of Technology QLDAustralia
                Author notes
                Corresponding Author: Rihab Abdalazez Hasanain Rihab.Hasanain@ 123456student.qut.edu.au
                Author information
                http://orcid.org/0000-0002-9718-6475
                http://orcid.org/0000-0003-1786-3366
                http://orcid.org/0000-0001-8342-5976
                http://orcid.org/0000-0002-7540-8954
                http://orcid.org/0000-0002-8964-1052
                http://orcid.org/0000-0002-1229-7863
                http://orcid.org/0000-0002-3551-1025
                http://orcid.org/0000-0002-6968-2834
                http://orcid.org/0000-0002-0826-0654
                http://orcid.org/0000-0001-8757-8398
                Article
                v17i10e233
                10.2196/jmir.3891
                4642378
                26471079
                9c1ef507-7aad-4835-99e8-bde7cd625680
                ©Hosam Mamoon Zowawi, Malak Abedalthagafi, Florie A Mar, Turki Almalki, Abdullah H Kutbi, Tiffany Harris-Brown, Stephan Harbarth, Hanan H Balkhy, David L Paterson, Rihab Abdalazez Hasanain. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 15.10.2015.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.

                History
                : 24 September 2014
                : 22 April 2015
                : 5 June 2015
                : 21 June 2015
                Categories
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                Medicine
                social media,antibiotics,awareness,health campaigns,gulf states
                Medicine
                social media, antibiotics, awareness, health campaigns, gulf states

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