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Antimicrobial resistance disproportionately impacts minoritized groups in carceral settings due to inappropriate prescribing. This case study explores ethical and clinical challenges of antimicrobial use in jails and prisons.

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Area of Science:

  • Public Health
  • Infectious Diseases
  • Medical Ethics

Background:

  • Antimicrobial resistance (AMR) is a significant global health challenge.
  • Minitarized populations, particularly Black, Latinx, and Indigenous people, are disproportionately affected by AMR.
  • Carceral settings present unique challenges due to higher disease risk and specific prescribing practices.

Purpose of the Study:

  • To examine the ethical and clinical complexities of antimicrobial prescribing in carceral settings.
  • To highlight the impact of inappropriate antimicrobial prescribing on minoritized populations within carceral environments.
  • To use a case study of a dental infection in an incarcerated woman to illustrate these issues.

Main Methods:

  • Case study analysis of a dental infection in an incarcerated individual.
  • Review of antimicrobial prescribing practices in carceral settings.
  • Ethical and clinical considerations relevant to incarcerated populations.

Main Results:

  • Incarcerated individuals face elevated risks for infectious diseases.
  • Inappropriate antimicrobial prescribing exacerbates the threat of antimicrobial resistance.
  • Ethical dilemmas arise in balancing patient care with public health concerns in carceral settings.

Conclusions:

  • Addressing antimicrobial resistance requires focused strategies within carceral systems.
  • Equitable care for minoritized populations, including those incarcerated, is crucial in combating AMR.
  • Improved antimicrobial stewardship programs are essential in carceral facilities to mitigate resistance and ensure patient safety.