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Macro- and micro-influencers of antimicrobial costs…What do stewardship programs need to know?
Sheetal Kandiah1,2, Sarah Altamimi3, Kristy M Shaeer4
1Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA, USA.
Abstract:
The high cost of antimicrobials presents critical challenges for healthcare providers managing infections amidst the growing threat of antimicrobial resistance (AMR). High costs hinder access to necessary treatments, disproportionately affecting disadvantaged populations and exacerbating health disparities. High drug prices necessitate the use of less effective or more toxic alternatives, leading to suboptimal outcomes and prolonged hospitalizations. This, in turn, increases healthcare costs and undermines efforts to combat AMR. Equitable policies, national formularies, and cost caps for essential antimicrobials can ensure universal access to life-saving treatments and enable antimicrobial stewardship programs to ensure the best possible outcomes.
Insights
High antimicrobial costs impede infection treatment and worsen health disparities. Policy interventions like cost caps are crucial for equitable access and combating antimicrobial resistance (AMR).
Area of Science:
- Infectious Diseases
- Health Economics
- Public Health Policy
Background:
- High antimicrobial drug prices create significant barriers to effective infection management.
- Antimicrobial resistance (AMR) is a growing global threat, exacerbated by treatment access issues.
- Disparities in healthcare access are worsened by the prohibitive cost of essential antimicrobials.
Discussion:
- Elevated antimicrobial costs force the use of inferior or more toxic treatments, leading to poorer patient outcomes and extended hospital stays.
- Suboptimal treatment due to cost contributes to increased overall healthcare expenditures.
- The economic burden of antimicrobial treatment access challenges undermines global efforts to control AMR.
Key Insights:
- Antimicrobial cost is a critical factor in managing infections and addressing AMR.
- High prices disproportionately affect vulnerable populations, widening health inequities.
- Effective antimicrobial stewardship is compromised by financial barriers to essential medicines.
Outlook:
- Implementing equitable policies, such as national formularies and cost caps, is vital for universal access to antimicrobials.
- Policy interventions can ensure life-saving treatments are accessible, supporting robust antimicrobial stewardship programs.
- Addressing antimicrobial costs is essential for improving patient outcomes and strengthening global AMR containment strategies.
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