Demographic and Geographic Inequities in Antimicrobial Use and Prescribing

Christopher Evans; Zanthia Wiley

doi:10.1016/j.idc.2023.06.006

Demographic and Geographic Inequities in Antimicrobial Use and Prescribing

Infect Dis Clin North Am. 2023 Dec;37(4):715-728. doi: 10.1016/j.idc.2023.06.006. Epub 2023 Aug 9.

Authors

Christopher Evans¹, Zanthia Wiley²

Affiliations

¹ Healthcare-Associated Infections and Antimicrobial Resistance Program, Tennessee Department of Health, Andrew Johnson Tower, 3.419C 710 James Robertson Parkway, Nashville, TN 37243, USA. Electronic address: christopher.evans@tn.gov.
² Emory Division of Infectious Diseases, Emory University Hospital Midtown, 550 Peachtree Street NE, Atlanta, GA 30308, USA.

PMID: 37567855
DOI: 10.1016/j.idc.2023.06.006

Abstract

Little is known about how social determinants of health may impact antimicrobial prescribing among racial and ethnic minority populations, different age groups and genders, and across geographic regions. The factors that influence antimicrobial prescribing are complex, but evidence suggests that demographic and socioeconomic factors do influence prescribing patterns. This review describes the inequities observed in antimicrobial use and prescribing that have been heretofore published, with a focus on differences observed by race and ethnicity, age, gender, and geographic region of the United States.

Keywords: Antimicrobial prescribing; Antimicrobial stewardship; Health disparities; Health inequities; Race/ethnicity.

Publication types

Review