在临终关怀和息护理环境中使用抗生素
1Center for Bioethics, Harvard Medical School, Boston, MA, USA.
Journal of hospice and palliative care
|September 7, 2023
概括
抗生素管理在临终关怀和息护理中至关重要,以防止耐药性. 需要更多的研究来指导对终身护理患者的适当抗生素处方.
科学领域:
- 医学科学 医学科学 医学科学
- 传染性疾病 传染性疾病
- 老年病的医生 老年病的医生
背景情况:
- 抗生素经常用于临终关怀和息护理.
- 过度使用抗生素有助于抗生素耐药性病原体对公共健康的重大威胁.
- 目前在终身护理中使用抗生素的做法缺乏一致的指导方针,导致变化.
研究的目的:
- 突出需要对宿舍和息治疗中的抗生素使用进行批判性检查和审计.
- 强调有意识的抗生素决策对于临终期的患者的重要性.
- 确定当前文献中关于抗生素治疗在终身护理中的好处的空白.
主要方法:
- 对临终关怀和息治疗中当前的抗生素处方实践的文献综述.
- 分析过度使用和不适当使用抗生素的后果.
- 在终身护理环境中鉴定抗生素管理的变化.
主要成果:
- 不适当的抗生素处方是常见的,药物给患者可能没有好处或没有充分的文件.
- 在终身护理中,抗生素处方和管理存在显著差异.
- 在这些环境中缺乏针对抗生素使用的标准化指南.
结论:
- 由于过度处方的潜在危害,需要对宿舍和息护理中的抗生素处方进行更大的考虑.
- 临床医生必须在处方抗生素时谨慎,并遵守机构文档标准.
- 未来的研究应该专注于确定在终身护理期间最能从抗生素治疗中受益的患者群体.
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