Infectious diseases clinician at Tufts Medical Center in Boston, Massachusetts.
Assistant professor of clinical pharmacy in the Division of Clinical Pharmacy at the Skaggs School of Pharmacy and Pharmaceutical Sciences at the University of California, San Diego.
AMA J Ethics. 2024 May 1;26(5):E399-407. doi: 10.1001/amajethics.2024.399.
Antimicrobial resistance is a global threat that inequitably affects minoritized populations, including Black, Latinx, and Indigenous people-especially in carceral settings-and is largely driven by inappropriate antimicrobial prescribing practices. People whose identities are minoritized are more likely to be incarcerated, and people who are incarcerated experience higher disease risk than people who are not incarcerated. This article draws on a case of dental infection suffered by a woman who is incarcerated to consider key ethical and clinical complexities of antimicrobial prescribing in carceral settings.
抗菌药物耐药性是一个全球性威胁,不平等地影响少数族裔群体,包括黑人、拉丁裔和原住民——尤其是在监禁环境中——并且在很大程度上是由不适当的抗菌药物处方实践驱动的。身份属于少数族裔的人更有可能被监禁,而被监禁的人比未被监禁的人面临更高的疾病风险。本文通过一个被监禁的妇女感染牙齿的案例,考虑了在监禁环境中抗菌药物处方的关键伦理和临床复杂性。