Antimicrobial resistance during the COVID-19 pandemic: the missing patient perspective

Area of Science:

• Infectious Diseases
• Public Health
• Patient Experience

Background:

• Antibiotic use for secondary COVID-19 infections is documented, with guidelines for appropriate prescribing.
• Systematic patient engagement regarding antibiotic use and antimicrobial resistance (AMR) has been largely overlooked.
• Patient perspectives are crucial for understanding adherence and barriers to appropriate antibiotic stewardship.

Purpose of the Study:

• To investigate patient experiences and understanding of antibiotics and AMR in the context of COVID-19.
• To identify factors influencing patient decisions regarding antibiotic use.
• To provide actionable recommendations for reducing AMR risks by empowering patients.

Main Methods:

• Qualitative study involving interviews with patients regarding their experiences with antibiotics for COVID-19.
• Analysis of patient understanding of antimicrobial resistance (AMR) risks.
• Presentation of case examples to illustrate patient experiences.

Main Results:

• A general lack of patient awareness regarding the risks of AMR was observed.
• Fear of COVID-19 and perceived pressure from healthcare providers often superseded concerns about appropriate antibiotic use.
• Patient knowledge of AMR did not always translate into appropriate antibiotic-seeking or -accepting behavior.

Conclusions:

• Patient education on AMR risks needs enhancement, particularly during pandemics.
• Healthcare systems and providers must address patient fears and pressures to promote appropriate antibiotic stewardship.
• Empowering patients and incorporating their voices into treatment protocols is essential for combating AMR.