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Case Reports
. 2024 May 1;26(5):E399-407.
doi: 10.1001/amajethics.2024.399.

Examining Antimicrobial Stewardship Program Implementation in Carceral Settings

Alysse Gail Wurcel  1 , Jacinda C Abdul-Mutakabbir  2 , Shira Doron  3 , Christina Yen  4 , Justin Berk  5
Affiliations
Case Reports

Examining Antimicrobial Stewardship Program Implementation in Carceral Settings

Alysse Gail Wurcel et al. AMA J Ethics. .

Abstract

Antimicrobial resistance is a global threat that inequitably affects minoritized populations, including Black, Latinx, and Indigenous people-especially in carceral settings-and is largely driven by inappropriate antimicrobial prescribing practices. People whose identities are minoritized are more likely to be incarcerated, and people who are incarcerated experience higher disease risk than people who are not incarcerated. This article draws on a case of dental infection suffered by a woman who is incarcerated to consider key ethical and clinical complexities of antimicrobial prescribing in carceral settings.

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Conflict of interest statement

Conflict of Interest Disclosure

Dr Abdul-Mutakabbir has served on advisory boards and received honoraria from Shionogi, Entasis Therapeutics, CSL Sequiris, Innoviva Specialty Therapeutics, and Abbvie; she also reports serving as an appointed member of the CVS Health National Health Equity Advisory Board. The other authors disclosed no conflicts of interest.

Figures

Figure 1.
Figure 1.. Applying Bioethical Principles to Antimicrobial Prescribing and Stewardship in Carceral Settings
Abbreviation: ASPs, antimicrobial stewardship programs.
See this image and copyright information in PMC

References

    1. National infection and death estimates for antimicrobial resistance. Centers for Disease Control and Prevention. Reviewed December 13, 2021. Accessed October 5, 2023. https://www.cdc.gov/drugresistance/national-estimates.html
    1. Bick JA. Infection control in jails and prisons. Clin Infect Dis. 2007;45(8):1047–1055. - PubMed
    1. Blankenship KM, Del Rio Gonzalez AM, Keene DE, Groves AK, Rosenberg AP. Mass incarceration, race inequality, and health: expanding concepts and assessing impacts on well-being. Soc Sci Med. 2018;215:45–52. - PMC - PubMed
    1. Barrett FF, McGehee RF Jr, Finland M. Methicillin-resistant Staphylococcus aureus at Boston City Hospital: bacteriologic and epidemiologic observations. N Engl J Med. 1968;279(9):441–448. - PubMed
    1. Malcolm B The rise of methicillin-resistant Staphylococcus aureus in US correctional populations. J Correct Health Care. 2011;17(3):254–265. - PMC - PubMed

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