Bacterial infections in palliative care: antibiotics and therapeutic limitations
The benefits of antibiotics treatments are not obvious at the end of life except for the symptomatic urinary infections. The numerous antibiotics prescribed raise economic and ecological problems in terms of bacterial resistances development and also in terms of quality of life. The control of sympt...
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| Veröffentlicht in: | La Presse médicale (1983) 2009-06, Vol.38 (6), p.935-944 |
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| container_title | La Presse médicale (1983) |
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| creator | Béziaud, Nicolas Pavese, Patricia Barnoud, Didier Laval, Guillemette |
| description | The benefits of antibiotics treatments are not obvious at the end of life except for the symptomatic urinary infections. The numerous antibiotics prescribed raise economic and ecological problems in terms of bacterial resistances development and also in terms of quality of life. The control of symptoms has to be the main indication to prescribe antibiotics at the end of life. It is the general state, the prognostic of the patient, his wishes and those of his family, and his symptoms, controlled or not, that direct the decision to prescribe an antibiotic. Physicians must consider the objective of antibiotic treatment, the risk of side effects and the constraints related to this treatment before prescribing it for terminally ill people. They have to respect the bioethical principles, primarily the principles of beneficence, non-maleficience, and the respect to autonomy of the patient. In the event of decision of an antibiotic treatment at a patient at the end of the lifetime, the choice of this one must answer obviously the same requirements as in the other medical situations, within the framework of comprehensive and rigorous process. |
| doi_str_mv | 10.1016/j.lpm.2008.10.013 |
| format | Article |
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The numerous antibiotics prescribed raise economic and ecological problems in terms of bacterial resistances development and also in terms of quality of life. The control of symptoms has to be the main indication to prescribe antibiotics at the end of life. It is the general state, the prognostic of the patient, his wishes and those of his family, and his symptoms, controlled or not, that direct the decision to prescribe an antibiotic. Physicians must consider the objective of antibiotic treatment, the risk of side effects and the constraints related to this treatment before prescribing it for terminally ill people. They have to respect the bioethical principles, primarily the principles of beneficence, non-maleficience, and the respect to autonomy of the patient. 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| fulltext | fulltext |
| identifier | EISSN: 2213-0276 |
| ispartof | La Presse médicale (1983), 2009-06, Vol.38 (6), p.935-944 |
| issn | 2213-0276 |
| language | fre |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Anti-Bacterial Agents - therapeutic use Bacterial Infections - diagnosis Bacterial Infections - drug therapy Bacterial Infections - epidemiology Bacterial Infections - etiology Comorbidity Decision Making Decision Trees Drug Resistance, Bacterial Humans Infection Control Palliative Care - ethics Palliative Care - methods Palliative Care - psychology Patient Selection - ethics Physician's Role Prevalence Principle-Based Ethics Prognosis Quality of Life - psychology Research Design Risk Factors Survival Rate Treatment Outcome |
| title | Bacterial infections in palliative care: antibiotics and therapeutic limitations |
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