抗菌药物管理工作中的公平优先(EASE):传染病临床医生框架。

Antimicrobial stewardship & healthcare epidemiology : ASHE Pub Date : 2024-05-03 eCollection Date: 2024-01-01 DOI:10.1017/ash.2024.69
Jacinda C Abdul-Mutakabbir, Karen K Tan, Candace L Johnson, Caitlin L McGrath, Danielle M Zerr, Jasmine R Marcelin
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引用次数: 0

摘要

由于压迫制度影响了与健康有关的社会需求,如交通、教育和扫盲,或食品和住房安全,少数群体之间的健康公平差距持续存在。因此,据报道,少数群体在耐多药感染率、传染病结果和抗菌药物使用不当方面存在差距。联合委员会(Joint Commission)和医疗保险与医疗补助服务中心(CMS)已正式承认,在现有的医院质量改进(QI)计划中纳入注重健康公平的举措非常重要。在此,我们回顾了抗菌药物管理中存在的差异,并从现有的健康公平和 QI 工具中提炼出一个框架,用于指导临床医生优先考虑抗菌药物管理中的公平问题 (EASE)。
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Prioritizing Equity in Antimicrobial Stewardship Efforts (EASE): a framework for infectious diseases clinicians.

Health equity gaps persist across minoritized groups due to systems of oppression affecting health-related social needs such as access to transportation, education and literacy, or food and housing security. Consequently, disparities in the prevalence of multidrug-resistant infections, infectious disease outcomes, and inappropriate antimicrobial use have been reported across minoritized populations. The Joint Commission and Centers for Medicare and Medicaid Services (CMS) have formally acknowledged the importance of integrating health equity-focused initiatives into existing hospital quality improvement (QI) programs. Here, we review documented disparities in antimicrobial stewardship and offer a framework, derived from components of existing health equity and QI tools, to guide clinicians in prioritizing equity in antimicrobial stewardship efforts (EASE).

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