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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 89 - 97 (9page)
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초록· 키워드
오류제보하기
Many terminal patients at the end-of-life have been receiving antimicrobial therapy despite concerns including futile use, potential lack of efficacy, increased patient burden, excess costs, high risk of adverse effects, and increased antimicrobial resistance. Thus, the implementation of antimicrobial stewardship programs (ASPs) in end-of-life care needs to be discussed. But, the topics of antimicrobial therapy and ASPs have not been addressed in the Life-Sustaining Treatment Decision Act enacted in the Korea in February 2016. Antimicrobial therapy should be included in the decision-making framework for end-of-life care similar to other life-sustaining treatment decisions. If the antimicrobial therapy is legally considered as a life-sustaining treatment which can be withdrawn or withheld in patients at the end-of-life, the feasibility of implementing ASPs among this patient population may improve. Various researches on antimicrobial therapy for patients at the end-of-life need to be conducted and collaborations are required between ASPs professionals and many other concerned parties involved in the legislative process of the Life-Sustaining Treatment Decision Act. This review aims to summarize previous studies on the use of antimicrobials for end-of-life care and reveal important aspects for applying ASPs to this population in Korea.
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참고문헌 (33)
참고문헌 신청
National Agency for Management of Life-Sustaining Treatment / Hospice/palliative care and dying patient's decisions on life-sustaining treatment act (life-sustaining treatment decision act)
이상민 / 2018 / 말기와 임종과정에 대한 정의 및 의학적 판단지침 / 대한의사협회지 61(8):509~521
Oh DY / 2006 / Antibiotic use during the last days of life in cancer patients / Eur J Cancer Care(Engl) 15:74~79
Kwak YG / 2016 / Frequent prescription of antibiotics and high burden of antibiotic resistance among deceased patients in general medical wards of acute care hospitals in Korea / PLoS One 11:e0146852
Mitchell SL / 2014 / Infection management and multidrug-resistant organisms in nursing home residents with advanced dementia / JAMA Intern Med 174:1660~1667
이상민 / 2018 / 말기와 임종과정에 대한 정의 및 의학적 판단지침 / 대한의사협회지 61(8):509~521
Oh DY / 2006 / Antibiotic use during the last days of life in cancer patients / Eur J Cancer Care(Engl) 15:74~79
Kwak YG / 2016 / Frequent prescription of antibiotics and high burden of antibiotic resistance among deceased patients in general medical wards of acute care hospitals in Korea / PLoS One 11:e0146852
Mitchell SL / 2014 / Infection management and multidrug-resistant organisms in nursing home residents with advanced dementia / JAMA Intern Med 174:1660~1667
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