生命末期患者何时应该使用抗菌药物？

Q2 Social Sciences

AMA journal of ethics Pub Date : 2024-06-01 DOI:10.1001/amajethics.2024.456

Noah Boton, Jeffrey Larnard

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引用次数: 0

摘要

尽管抗菌药物是生命末期（EOL）患者的常用处方药，但临床医生可能不会在预先护理规划过程中与患者讨论抗菌药物的益处和害处。这篇病例评论讨论了临终患者在抗菌药物决策方面所面临的挑战和策略。由于抗菌药物的使用可能会对某些患者造成伤害，而且抗菌药物的耐药性仍然是一个紧迫的公共卫生问题，因此本文提倡用伦理推理来指导临终患者的抗菌药物决策。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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When Should Patients at the End of Life Get Antimicrobials?

Although antimicrobial medications are commonly prescribed to patients at the end of life (EOL), clinicians might not discuss the benefits and harms of antimicrobials with their patients in the advance care planning process. This commentary on a case discusses challenges and strategies in antimicrobial decision making for patients at the EOL. As antimicrobial use can harm some patients, and as antimicrobial resistance remains an urgent public health issue, this article advocates for ethical reasoning to guide antimicrobial decision making for patients at the EOL.

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来源期刊

AMA journal of ethics Social Sciences-Health (social science)

CiteScore

1.90

自引率

0.00%

发文量

146

期刊介绍： The AMA Journal of Ethics exists to help medical students, physicians and all health care professionals navigate ethical decisions in service to patients and society. The journal publishes cases and expert commentary, medical education articles, policy discussions, peer-reviewed articles for journal-based and audio CME, visuals, and more. Since its inception as an editorially-independent journal, we promote ethics inquiry as a public good.