检查监狱环境中的抗菌药物管理计划的实施情况
Alysse Gail Wurcel1, Jacinda C Abdul-Mutakabbir2, Shira Doron3
1Infectious diseases clinician at Tufts Medical Center in Boston, Massachusetts.
AMA journal of ethics
|May 3, 2024
概括
由于处方不当,抗菌素耐药性不成比例地影响了监狱环境中的少数群体. 本案例研究探讨了监狱和监狱中使用抗微生物药物的伦理和临床挑战.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 医学伦理 医学伦理
背景情况:
- 抗菌素耐药性 (AMR) 是一个重大的全球健康挑战.
- 少数群体,特别是黑人,拉丁人和土著人,受到AMR的影响不成比例.
- 由于疾病风险较高和特定的处方做法,监狱设置存在独特的挑战.
研究的目的:
- 检查在监狱环境中对抗菌素处方的伦理和临床复杂性.
- 突出不适当的抗菌素处方对监狱环境中的少数群体的影响.
- 为了说明这些问题,使用一名被监禁妇女牙感染的案例研究来说明这些问题.
主要方法:
- 一个被监禁个体的牙感染的案例研究分析.
- 对监狱环境中抗菌素处方实践的审查.
- 与监禁人口相关的伦理和临床考虑.
主要成果:
- 监禁人员面临感染传染病的风险较高.
- 不适当的抗微生物药物处方加剧了抗微生物药物耐药性的威胁.
- 在监狱环境中平衡患者护理与公共卫生问题时,出现了道德困境.
结论:
- 解决抗微生物药物耐药性的问题需要在癌症系统内制定有针对性的战略.
- 为少数群体,包括被监禁的人群提供公平的护理,对于打击AMR至关重要.
- 改进的抗微生物药物管理计划在监狱设施中至关重要,以减轻耐药性和确保患者安全.
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