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.
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。
相似文献
1
Ethical and Practical Issues with the Use of Antimicrobial Agents during the End of Life.临终时使用抗菌药物的伦理与实际问题
J Hosp Palliat Care. 2024 Sep 1;27(3):99-102. doi: 10.14475/jhpc.2024.27.3.99.
2
Antimicrobial Use at the End of Life.生命末期的抗菌药物使用。
Infect Dis Clin North Am. 2017 Dec;31(4):639-647. doi: 10.1016/j.idc.2017.07.009.
3
Factors Associated with Antimicrobial Use at the End-Of-Life Among Hospitalized Cancer Patients.与癌症住院患者临终期抗菌药物使用相关的因素。
Am J Hosp Palliat Care. 2024 Jan;41(1):8-15. doi: 10.1177/10499091231160185. Epub 2023 Feb 22.
4
When Should Patients at the End of Life Get Antimicrobials?生命终末期患者何时应使用抗菌药物？
AMA J Ethics. 2024 Jun 1;26(6):E456-462. doi: 10.1001/amajethics.2024.456.
5
Initiating palliative care conversations: lessons from Jewish bioethics.开启缓和医疗对话：犹太生物伦理学的经验教训
J Support Oncol. 2013 Mar;11(1):1-7. doi: 10.1016/j.suponc.2012.07.003.
6
"Choice" in end-of-life decision making: researching fact or fiction?临终决策中的“选择”：探究事实还是虚构？
Gerontologist. 2002 Oct;42 Spec No 3:114-28. doi: 10.1093/geront/42.suppl_3.114.
7
The role of nurses in antimicrobial stewardship near the end of life in aged-care homes: A qualitative study.护士在老年护理院临终关怀中的抗菌药物管理作用：一项定性研究。
Int J Nurs Stud. 2020 Apr;104:103502. doi: 10.1016/j.ijnurstu.2019.103502. Epub 2019 Dec 11.
8
End-of-life issues in caring for patients with dementia: the case for palliative care in management of terminal dementia.痴呆患者护理中的临终问题：姑息治疗在终末期痴呆管理中的作用
Am J Hosp Palliat Care. 2012 Feb;29(1):9-12. doi: 10.1177/1049909111410306. Epub 2011 Jun 10.
9
Patient autonomy and advance care planning: a qualitative study of oncologist and palliative care physicians' perspectives.患者自主性和预先医疗指令：对肿瘤学家和姑息治疗医生观点的定性研究。
Support Care Cancer. 2018 Feb;26(2):565-574. doi: 10.1007/s00520-017-3867-5. Epub 2017 Aug 28.
10
Ethical and practical considerations for HIV cure-related research at the end-of-life: a qualitative interview and focus group study in the United States.终末期与 HIV 治愈相关研究的伦理与实践考量：美国的定性访谈和焦点小组研究。
BMC Med Ethics. 2022 Jan 11;23(1):2. doi: 10.1186/s12910-022-00741-8.
本文引用的文献
1
The Use of Antibiotics in Hospice and Palliative Care Settings.临终关怀与姑息治疗环境中抗生素的使用
J Hosp Palliat Care. 2022 Mar 1;25(1):50-54. doi: 10.14475/jhpc.2022.25.1.50.
2
Antibiotic prescription patterns during last days of hospitalized patients with advanced cancer: the role of palliative care consultation.晚期癌症住院患者临终前抗生素处方模式：姑息治疗咨询的作用。
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。
Infect Control Hosp Epidemiol. 2019 Apr;40(4):491-492. doi: 10.1017/ice.2019.34. Epub 2019 Mar 6.
5
Palliative care infections and antibiotic cost: a vicious circle.姑息治疗相关感染与抗生素费用：恶性循环。
Aging Male. 2020 Jun;23(2):98-105. doi: 10.1080/13685538.2019.1575353. Epub 2019 Mar 1.
6
Antimicrobial prescribing in patients with advanced-stage illness in the antimicrobial stewardship era.抗菌药物管理时代晚期疾病患者的抗菌药物处方
Infect Control Hosp Epidemiol. 2018 Sep;39(9):1023-1029. doi: 10.1017/ice.2018.167. Epub 2018 Aug 2.
7
Antimicrobial therapy in palliative care: an overview.姑息治疗中的抗菌治疗：概述。
Support Care Cancer. 2018 May;26(5):1361-1367. doi: 10.1007/s00520-018-4090-8. Epub 2018 Feb 12.
8
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。
J Am Geriatr Soc. 2018 Mar;66(3):565-569. doi: 10.1111/jgs.15246. Epub 2018 Jan 18.
9
Preliminary data from an advanced dementia consult service: integrating research, education, and clinical expertise.高级痴呆症咨询服务的初步数据：整合研究、教育和临床专业知识。
J Am Geriatr Soc. 2013 Nov;61(11):2008-12. doi: 10.1111/jgs.12530. Epub 2013 Nov 1.
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。
J Palliat Med. 2013 Dec;16(12):1568-74. doi: 10.1089/jpm.2013.0276. Epub 2013 Oct 23.
Zotero 插件