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. 2020 Feb;37(2):918-932.
doi: 10.1007/s12325-019-01203-1. Epub 2020 Jan 17.

Decreasing the Peril of Antimicrobial Resistance Through Enhanced Health Literacy in Outpatient Settings: An Underrecognized Approach to Advance Antimicrobial Stewardship

Elizabeth D Hermsen  1 , Erina L MacGeorge  2 , May-Lynn Andresen  3 , Laurie M Myers  4 , Christian J Lillis  5 , Bernard M Rosof  3   6
Affiliations

Decreasing the Peril of Antimicrobial Resistance Through Enhanced Health Literacy in Outpatient Settings: An Underrecognized Approach to Advance Antimicrobial Stewardship

Elizabeth D Hermsen et al. Adv Ther. 2020 Feb.

Abstract

Globally, antimicrobial resistance (AMR) is a serious problem causing 700,000 deaths annually. By 2050, AMR is expected to cause approximately 10 million deaths globally each year if allowed to increase at the present rate. Many individuals have limited knowledge regarding appropriate antibiotic use and AMR. Most antibiotic use occurs in the outpatient setting, with approximately 30% of antibiotics prescribed deemed unnecessary. Antimicrobial stewardship (AMS) is a means to reduce inappropriate antibiotic use and AMR. While existing AMS efforts generally focus on the inpatient setting, a significant gap is present in the outpatient setting. A common theme across various national action plans to reduce AMR is the need for education and awareness. The importance of communicating information in a manner easily comprehended by the patient in addition to productive clinician-patient dialogue cannot be overestimated. Enhancing the public's and patients' AMS health literacy is an underrecognized approach to help address AMR. We describe Four Core Elements of Enhancing AMS Health Literacy in the Outpatient Setting, utilizing the Centers for Disease Control and Prevention's framework: (1) leadership commitment, (2) intervention/action, (3) tracking/reporting, and (4) education/expertise. We call upon leaders in outpatient settings to embrace this approach to curb inappropriate antimicrobial use.

Keywords: Antibiotic resistance; Antibiotic stewardship; Antibiotic use; Health literacy; Outpatient; Overprescribing; Patient communication; Patient–provider communication.

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Figures

Fig. 1
Fig. 1
Depiction of a segment of a C. difficile brochure before and after applying health literacy principles
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References

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