Abdul-Mutakabbir Jacinda C, Tan Karen K, Johnson Candace L, McGrath Caitlin L, Zerr Danielle M, Marcelin Jasmine R
Division of Clinical Pharmacy, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego, La Jolla, CA 92093, USA.
Division of Black Diaspora and African American Studies, University of California San Diego, La Jolla, CA 92093, USA.
Antimicrob Steward Healthc Epidemiol. 2024 May 3;4(1):e74. doi: 10.1017/ash.2024.69. eCollection 2024.
Health equity gaps persist across minoritized groups due to systems of oppression affecting health-related social needs such as access to transportation, education and literacy, or food and housing security. Consequently, disparities in the prevalence of multidrug-resistant infections, infectious disease outcomes, and inappropriate antimicrobial use have been reported across minoritized populations. The Joint Commission and Centers for Medicare and Medicaid Services (CMS) have formally acknowledged the importance of integrating health equity-focused initiatives into existing hospital quality improvement (QI) programs. Here, we review documented disparities in antimicrobial stewardship and offer a framework, derived from components of existing health equity and QI tools, to guide clinicians in prioritizing equity in antimicrobial stewardship efforts (EASE).
由于压迫性制度影响了与健康相关的社会需求,如交通、教育和识字率,或食品和住房安全,少数群体之间的健康公平差距依然存在。因此,据报道,在少数群体中,多重耐药感染的患病率、传染病结局和不适当的抗菌药物使用存在差异。联合委员会和医疗保险与医疗补助服务中心(CMS)已正式承认将以健康公平为重点的举措纳入现有医院质量改进(QI)计划的重要性。在此,我们回顾了抗菌药物管理方面已记录的差异,并提供了一个框架,该框架源自现有健康公平和QI工具的组成部分,以指导临床医生在抗菌药物管理工作中优先考虑公平性(EASE)。