生命末期的患者何时应该服用抗菌药物?
1Senior infectious disease fellow at Beth Israel Deaconess Medical Center in Boston, Massachusetts.
AMA journal of ethics
|June 4, 2024
概括
临床医生应与临终期 (EOL) 患者讨论抗微生物药物的益处和危害. 伦理推理对于EOL护理中的抗菌药物决策至关重要,考虑患者的危害和抗菌素耐药性.
科学领域:
- 医学伦理 医学伦理
- 抚慰性护理是一种缓解性护理.
- 传染性疾病 传染性疾病
背景情况:
- 抗菌药物经常被处方给接近生命终点 (EOL) 的患者.
- 在事先的护理计划中,关于这些药物的益处和危害的讨论往往不存在.
- 抗微生物药物的使用可能会对患者造成伤害,并导致抗微生物药物耐药性的公共卫生危机.
研究的目的:
- 讨论EOL护理中抗菌药物决策的挑战和策略.
- 倡导将道德推理纳入EOL患者的抗菌素处方.
- 强调平衡患者福祉与抗菌素耐药性的更广泛问题的重要性.
主要方法:
- 这篇文章介绍了一个临床病例的评论.
- 它探讨了在生命末期处方抗微生物药物的伦理考虑.
- 讨论了改善决策的策略.
主要成果:
- 对EOL患者的预先护理规划往往忽视了关于抗菌药物治疗的关键讨论.
- 伦理框架是必要的,以导航复杂的抗微生物选择在EOL设置.
- 解决抗微生物药物耐药性的问题是这些决定中的一个关键考虑因素.
结论:
- 伦理推理应指导终身患者的抗微生物药物处方.
- 改善临床医生和患者之间关于抗微生物药物的风险和益处的沟通至关重要.
- 负责任的抗菌药物管理至关重要,特别是在易受伤害的EOL人群中.
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