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2
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J Antimicrob Chemother. 2023 Jul 5;78(7):1694-1700. doi: 10.1093/jac/dkad156.
3
Antibiotic use during end-of-life care: A systematic literature review and meta-analysis.临终关怀期间的抗生素使用:系统文献回顾和荟萃分析。
Infect Control Hosp Epidemiol. 2021 May;42(5):523-529. doi: 10.1017/ice.2020.1241. Epub 2020 Nov 11.
4
Reduction in antimicrobial use among medical intensive care unit patients during a cluster randomized crossover trial of palliative care consultation.在姑息治疗咨询的整群随机交叉试验期间,医学重症监护病房患者的抗菌药物使用减少。
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6
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7
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Clinical Intentions of Antibiotics Prescribed Upon Discharge to Hospice Care.抗生素出院至临终关怀时的临床应用意图。
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10
Antimicrobial use for symptom management in patients receiving hospice and palliative care: a systematic review.接受临终关怀和姑息治疗患者的症状管理中的抗菌药物使用:系统评价。
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临终时使用抗菌药物的伦理与实际问题

Ethical and Practical Issues with the Use of Antimicrobial Agents during the End of Life.

作者信息

Bantikassegn Amlak

机构信息

Atrium Health, Charlotte, North Carolina, USA.

出版信息

J Hosp Palliat Care. 2024 Sep 1;27(3):99-102. doi: 10.14475/jhpc.2024.27.3.99.

DOI:10.14475/jhpc.2024.27.3.99
PMID:39268047
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11387511/
Abstract

The use of antimicrobials in patients receiving end-of-life (EOL) care, which is generally defined as supportive care provided to patients anticipated to live less than 1 year, has been actively debated in the realm of palliative care medicine due to the nebulous nature of the topic. In this article, we explore the use of antimicrobial use near EOL as it relates to both the ethical and practical issues that face physicians. We also discuss the reasons underlying the scarcity of prospective studies on this topic.

摘要

在接受临终关怀(EOL)的患者中使用抗菌药物,通常是指为预期存活时间少于1年的患者提供的支持性护理,由于该主题性质模糊,在姑息治疗医学领域一直存在积极的争论。在本文中,我们探讨临终时抗菌药物的使用情况,因为它涉及到医生面临的伦理和实际问题。我们还讨论了关于该主题的前瞻性研究稀缺的潜在原因。