Department of Surgery D, Herlev Hospital, University of Copenhagen, Herlev Ringvej 75, Herlev DK2730, Denmark.
BMC Med Ethics. 2013 Dec 1;14:48. doi: 10.1186/1472-6939-14-48.
Implants and drugs with animal and human derived content are widely used in medicine and surgery, but information regarding ingredients is rarely obtainable by health practitioners. A religious perspective concerning the use of animal and human derived drug ingredients has not thoroughly been investigated. The purpose of this study was to clarify which parts of the medical and surgical treatments offered in western world-hospitals that conflicts with believers of major religions.
Religious and spiritual leaders of the six largest religions worldwide (18 branches) were contacted. A standardised questionnaire was sent out regarding their position on the use of human and animal derived products in medical and surgical treatments.
Of the 18 contacted religious branches, 10 replied representing the 6 largest religions worldwide. Hindus and Sikhs did not approve of the use of bovine or porcine derived products, and Muslims did not accept the use of porcine derived drugs, dressings or implants. Christians (including Jehovah's Witnesses), Jews and Buddhists accepted the use of all animal and human derived products. However, all religions accepted the use of all these products in case of an emergency and only if alternatives were not available.
The views here suggest that religious codes conflict with some treatment regimens. It is crucial to obtain informed consent from patients for the use of drugs and implants with animal or human derived content. However, information on the origin of ingredients in drugs is not always available to health practitioners.
在医学和外科手术中广泛使用了具有动物和人体来源的植入物和药物,但医疗从业者很少能够获得有关成分的信息。关于使用动物和人体来源的药物成分的宗教观点尚未得到充分研究。本研究的目的是阐明在西方世界的医院中提供的哪些医疗和外科治疗与主要宗教的信仰者相冲突。
联系了全球六大宗教(18 个分支)的宗教和精神领袖。向他们发送了一份关于在医疗和外科治疗中使用人类和动物来源产品的立场的标准化问卷。
在联系的 18 个宗教分支中,有 10 个代表了全球最大的 6 个宗教进行了回复。印度教徒和锡克教徒不赞成使用牛或猪来源的产品,穆斯林不接受使用猪来源的药物、敷料或植入物。基督教徒(包括耶和华见证人)、犹太教徒和佛教徒接受使用所有动物和人体来源的产品。然而,所有宗教都接受在紧急情况下使用所有这些产品,只要没有替代产品。
这里的观点表明,宗教规范与某些治疗方案相冲突。对于使用具有动物或人体来源的药物和植入物,必须获得患者的知情同意。然而,药物成分的来源信息并不总是为医疗从业者所掌握。