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Ethics of Infection Control Measures for Carriers of Antimicrobial Drug-Resistant Organisms

Babette Rump, Aura Timen, Marlies Hulscher

    Emerging Infectious Diseases
    |August 21, 2018
    PubMed

    Insights

    Infection control measures for multidrug-resistant organism carriers raise ethical concerns. These measures may negatively impact individuals, necessitating greater attention to the carrier

    Area of Science:

    • Medical Ethics
    • Infectious Disease Control
    • Public Health

    Background:

    • Multidrug-resistant organisms (MDROs) pose a significant global health threat.
    • Many countries implement infection control measures targeting MDRO carriers.
    • Ethical implications of these measures require careful consideration.

    Purpose of the Study:

    • To explore the ethical implications of infection control measures for MDRO carriers.
    • To analyze consultations regarding multidrug resistance and compare them with existing literature.
    • To identify unique ethical challenges associated with MDRO carriage.

    Main Methods:

    • Analysis of 227 consultations concerning multidrug resistance.
    • Comparison of findings with literature on general communicable disease control.
    • Qualitative assessment of ethical dilemmas and their distinct features.

    Main Results:

    • Infection control measures for MDRO carriers have several negative implications.
    • Four distinct features of MDRO carriage emerged: a state of being, limited personal health relevance, minimal relevance outside healthcare, and slow threat evolution.
    • Individual carriers have limited impact on antimicrobial resistance spread.

    Conclusions:

    • Ethical dilemmas in MDRO control share similarities with other infectious diseases but have unique aspects.
    • The distinct features of MDRO carriage challenge traditional infectious disease control paradigms.
    • Increased attention to the personal experience of individual MDRO carriers is ethically warranted.
    Keywords:
    MDROantimicrobial resistancebacteriacarriercontrol measuresethicsinfection controlmultidrug-resistant organismsthe Netherlands

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