治疗Mycoplasma genitalium (怀孕期间):一个社会和生殖正义问题
Ulla McKnight1, Bobbie Farsides2, Suneeta Soni3
1The Sociology and Criminology Department, University of Sussex, Freeman Building G30, Falmer Brighton, BN1 9QE, UK. u.mcknight@sussex.ac.uk.
Monash bioethics review
|July 11, 2024
概括
抗微生物药物管理必须考虑患者自己的成本效益分析,这些分析是由社会正义经验所塑造的. 纳入这些患者的观点对于有效的抗菌药物管理和保持抗生素疗效至关重要.
科学领域:
- 公共卫生 公共卫生
- 医学伦理 医学伦理
- 传染性疾病 传染性疾病
背景情况:
- 抗生素耐药性 (AMR) 对全球健康构成重大威胁,需要采取战略来保持抗生素的有效性.
- 抗生素管理 (AMS) 计划旨在优化抗生素的使用,但往往忽视了超出合规范围的患者特定因素.
- 关于谁为AMR做出牺牲的道德考虑是AMS的核心.
研究的目的:
- 探索抗微生物管理的伦理,投机和实际复杂性.
- 检查患者对社会和生殖 (不) 正义的经历如何影响他们在医疗保健中的决策.
- 为将患者特异性成本效益分析纳入AMS研究和实践辩论.
主要方法:
- 使用怀孕的有色人种妇女和被诊断患有Mycoplasma genitalium的移民妇女的图片进行定性分析.
- 检查抗微生物药物管理中的伦理问题和实际紧张关系.
- 探索受社会正义影响的以患者为导向的成本效益分析.
主要成果:
- 患者参与成本效益分析,受社会 (不) 正义和投机变量体验的影响.
- 这些以患者为导向的分析可以影响治疗的直接感染之外的结果.
- 目前的AMS实践很少充分考虑这些患者特定变量.
结论:
- 抗微生物药物管理工作必须适应并纳入患者的推测变量和生活经验.
- 必须认识到AMS与更广泛的社会正义问题 (如种族主义,移民,经济正义) 之间的联系.
- 未来的AMS研究和实践应该承认并整合这些复杂的以患者为中心的因素.
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