Appropriateness and determinants of outpatient antibiotic use among migrants in British Columbia, Canada: a population-based study
Chia-Yuan Chang, Erica Chuang, Deva Thiruchelvam, David M Patrick, Ariana Saatchi, Hannah Lishman, Kevin Brown, Bradley J Langford, Valerie Leung, Nick Daneman, Michael Silverman, Kalisha Ramlackhan, Kevin L Schwartz, Fawziah Marra · 2026
Read Appropriateness and determinants of outpatient antibiotic use among migrants in British Columbia, Canada: a population-based study by Chia-Yuan Chang, Erica Chuang, Deva Thiruchelvam, David M Patrick, Ariana Saatchi, Hannah Lishman, Kevin Brown, Bradley J Langford, Valerie Leung, Nick Daneman, Michael Silverman, Kalisha Ramlackhan, Kevin L Schwartz, Fawziah Marra (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13190276.txt.
Description
Chia-Yuan Chang and colleagues audit antibiotic prescribing for migrants in British Columbia, in this population study from twenty twenty-six. Migrants face language and access barriers that can skew care. The team used province-wide health records to grade each outpatient antibiotic course as fitting, maybe fitting, or never fitting its diagnosis.
Prescribing fell by nearly half between the year two thousand and twenty twenty-two, for migrants and non-migrants alike. But migrants still got a higher share of never-fitting prescriptions and a lower share of fitting ones, even after accounting for patient and doctor traits. Bad fits clustered in the youngest patients, the poorest groups, and prescriptions from surgeons and urologists rather than family doctors. The authors say stewardship programs should watch equity, not just totals, and coach the specialties and clinics where poor fits concentrate.
Catalog record
| CREATOR | Chia-Yuan Chang, Erica Chuang, Deva Thiruchelvam, David M Patrick, Ariana Saatchi, Hannah Lishman, Kevin Brown, Bradley J Langford, Valerie Leung, Nick Daneman, Michael Silverman, Kalisha Ramlackhan, Kevin L Schwartz, Fawziah Marra |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 33 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |