Precious Drugs & Scary Bugs Campaign: A Poster-Based Campaign to Promote Antibiotic Stewardship

Tuesday, June 21, 2016: 2:45 PM
Kahtnu 1, Dena'ina Convention Center
Suzanne Williams , Illinois Department of Public Health, Chicago, IL
Chinyere Alu , Illinois Department of Public Health, Chicago, IL
Erica Runningdeer , Illinois Department of Public Health, Chicago, IL
BACKGROUND: Over 50% of antibiotics prescribed in the outpatient setting are inappropriate or unnecessary. The misuse and overuse of antibiotics drives the evolution of antibiotic resistant infections. To promote appropriate antibiotic prescribing in outpatient settings, the Illinois Department of Public Health (IDPH) launched the ongoing statewide Precious Drugs & Scary Bugs Campaign in March 2015. Campaign participation includes completing a pre-/post- survey and displaying a poster-sized letter personalized with providers’ names and photographs that states providers’ commitment to appropriate antibiotic prescribing for acute respiratory infections. Campaign facilities may also choose to participate in educational seminars and track antibiotic prescribing data. Customized public commitment posters were an effective antibiotic stewardship activity in a 2013 study involving five outpatient clinics. IDPH assessed the feasibility and utility of a large scale roll out of the public commitment poster.

METHODS: IDPH established a workgroup with representation from medical groups, professional societies, payors, and universities to help guide campaign planning and implementation. Outpatient healthcare facilities were recruited through presentations and emails targeting medical directors. Campaign sign-up required completion of commitment forms at the facility and individual provider levels. IDPH customized, printed, and distributed the posters. Facilities were instructed to hang the posters in exam rooms. Provider interviews were conducted to evaluate how the posters were being used.

RESULTS: Thirty-eight outpatient practices signed up to participate in the campaign which represents 239 providers. Seventy-nine providers completed the commitment form and 43 completed the baseline survey. Over 500 commitment posters were printed and distributed. Over half of baseline survey respondents believed that patients would be dissatisfied if they did not get antibiotics for a cough, cold, or flu. To date, five providers have been interviewed; interviewees stated that the poster increased provider-patient communication, addressed patient expectations regarding antibiotics for acute respiratory infections, and reinforced a uniform message. Building relationships with key stakeholders through the campaign workgroup helped to secure facility buy in, however, engaging individual providers in campaign activities, such as completing the baseline survey, has been a challenge.

CONCLUSIONS: Displaying a personalized commitment poster is a promising, low cost quality improvement intervention that can be used to improve patient satisfaction.