Evidence map›Paper›PMID 31953805›Full record

ArticleAdvances in therapy2020

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

Elizabeth D Hermsen, Erina L MacGeorge, May-Lynn Andresen, Laurie M Myers, Christian J Lillis, Bernard M Rosof

Abstract read
In one paragraph

Article in Advances in therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. The elephant in the room: Exploring the influence and participation of patients in infection-related care across surgical pathways in South Africa and India.Health expectations : an international journal of public participation in health care and health policy · 2023
    Article
  7. Impact of therapeutic drug monitoring of antibiotics in the management of infective endocarditis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2022
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Ubiquitousness ofMarine drugs · 2021
    Article
  15. Article
  16. Self-prescribing of antibiotics by patients seeking care in Indian emergency departments.Journal of the American College of Emergency Physicians open · 2021
    Article
  17. Article
  18. The Role of Pharmaceutical Companies in Antimicrobial Stewardship: A Case Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Elizabeth D HermsenMerck & Co., Inc., Kenilworth, NJ, USA. elizabeth.hermsen@merck.com.
Erina L MacGeorgePenn State, University Park, PA, USA.
May-Lynn AndresenQHC Advisory Group, Lloyd Harbor, NY, USA.
Laurie M MyersMerck & Co., Inc., Kenilworth, NJ, USA.
Christian J LillisPeggy Lillis Foundation, Radnor, PA, USA.
Bernard M RosofQHC Advisory Group, Lloyd Harbor, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

Antimicrobial StewardshipDrug Resistance, BacterialHealth LiteracyAdultAgedAged, 80 and overAnti-Bacterial AgentsBacterial InfectionsFemaleHealth PromotionHumansMaleMiddle AgedOutpatientsUnited StatesAnti-Bacterial AgentsAntibiotic resistanceAntibiotic stewardshipAntibiotic useHealth literacyOutpatientOverprescribingPatient communicationPatient–provider communication

Identifiers

PMID31953805
PMCPMC6999167

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.