Reducing the Ethical Burdens of Antimicrobial Stewardship using a Social Determinants Approach

IF 1.3 Q3 ETHICS Asian Bioethics Review Pub Date : 2022-01-29 DOI:10.1007/s41649-022-00202-9

Vijayaprasad Gopichandran

引用次数: 0

Abstract

Antimicrobial resistance is an emerging global health problem. Antimicrobial stewardship interventions attempt at regulating the prescription and use of antimicrobials so that the emergence of resistance is reduced. But antimicrobial stewardship interventions have several ethical issues such as inequity in access to antimicrobials among the poor who need them more, and limitation of the autonomy of prescribers and patients. Several upstream social determinants influence susceptibility to infections, antimicrobial prescription practices, and emergence of antimicrobial resistance. Some of these social determinants impose ethical burdens on the antimicrobial stewardship interventions. Addressing these social determinants with a public health approach will help reduce antimicrobial resistance. This article argues that the social determinants approach helps reduce the ethical burdens of antimicrobial stewardship.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

使用社会决定因素方法减轻抗菌药物管理的道德负担

抗微生物耐药性是一个新出现的全球健康问题。抗菌药物管理干预措施旨在规范抗菌药物的处方和使用，从而减少耐药性的出现。但抗菌药物管理干预措施存在一些伦理问题，如更需要抗菌药物的穷人在获得抗菌药物方面的不公平，以及处方医生和患者的自主权受到限制。几个上游社会决定因素影响感染易感性、抗菌药物处方实践和抗菌药物耐药性的出现。其中一些社会决定因素给抗菌药物管理干预措施带来了道德负担。用公共卫生方法解决这些社会决定因素将有助于减少抗微生物耐药性。本文认为，社会决定因素方法有助于减轻抗菌药物管理的道德负担。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Asian Bioethics Review Multiple-

CiteScore

6.20

自引率

3.40%

发文量

期刊介绍： Asian Bioethics Review (ABR) is an international academic journal, based in Asia, providing a forum to express and exchange original ideas on all aspects of bioethics, especially those relevant to the region. Published quarterly, the journal seeks to promote collaborative research among scholars in Asia or with an interest in Asia, as well as multi-cultural and multi-disciplinary bioethical studies more generally. It will appeal to all working on bioethical issues in biomedicine, healthcare, caregiving and patient support, genetics, law and governance, health systems and policy, science studies and research. ABR provides analyses, perspectives and insights into new approaches in bioethics, recent changes in biomedical law and policy, developments in capacity building and professional training, and voices or essays from a student’s perspective. The journal includes articles, research studies, target articles, case evaluations and commentaries. It also publishes book reviews and correspondence to the editor. ABR welcomes original papers from all countries, particularly those that relate to Asia. ABR is the flagship publication of the Centre for Biomedical Ethics, Yong Loo Lin School of Medicine, National University of Singapore. The Centre for Biomedical Ethics is a collaborating centre on bioethics of the World Health Organization.