种族和使用抗生素的儿童住院治疗急性呼吸道感染
Jenna H Tan1, Caitlin L McGrath1,2, Adam W Brothers3
1Department of Pediatrics, Division of Infectious Diseases, University of Washington, Seattle, WA, USA.
Journal of the Pediatric Infectious Diseases Society
|March 8, 2024
概括
住院患有呼吸道感染的儿童因种族和种族而不同地接受宽谱抗生素. 需要进一步的研究来理解和解决这些在抗生素处方的差异.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 健康 公平 卫生 公平
背景情况:
- 急性呼吸道感染 (ARI) 是儿童住院治疗的常见原因.
- 在住院儿童中使用抗生素是一个重大问题,因为可能会产生耐药性.
- 在医疗保健领域的种族和民族差异已经得到了充分的证据.
研究的目的:
- 为了调查在抗生素处方的潜在差异,为儿童住院治疗ARIs.
- 检查是否使用抗生素,特别是广谱剂,因患者的种族和种族而异.
主要方法:
- 对被诊断患有ARI的住院儿童电子健康记录的回顾性分析.
- 在不同种族和种族群体中,广泛抗生素接收率的比较.
- 根据相关的临床和人口因素进行统计调整.
主要成果:
- 在各种种族和民族群体中,在接受宽频抗生素的可能性上观察到显著的差异.
- 与参考组相比,特定的种族和民族少数群体或多或少地可能接受广谱抗生素.
- 在对关键混变量进行调整后,观察到的差异仍然存在.
结论:
- 这项研究发现,在使用宽谱抗生素治疗儿科ARI方面存在种族和民族差异.
- 这些发现凸显了进一步调查这些处方变化的根本原因的需要.
- 确保公平的抗生素管理对于解决这些健康不平等至关重要.
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