Prioritizing Equity in Antimicrobial Stewardship Efforts (EASE): a framework for infectious diseases clinicians.
Jacinda C Abdul-MutakabbirKaren K TanCandace L JohnsonCaitlin L McGrathDanielle M ZerrJasmine R MarcelinPublished in: Antimicrobial stewardship & healthcare epidemiology : ASHE (2024)
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).
Keyphrases
- infectious diseases
- healthcare
- quality improvement
- public health
- global health
- mental health
- affordable care act
- multidrug resistant
- health information
- patient safety
- palliative care
- primary care
- risk factors
- health insurance
- type diabetes
- staphylococcus aureus
- acinetobacter baumannii
- drug resistant
- insulin resistance
- social media
- gram negative
- weight loss
- klebsiella pneumoniae
- pseudomonas aeruginosa
- skeletal muscle
- glycemic control