安寧療護癌末病人是否需要抗生素治療

The Need of Antibiotics Treatment for Hospice Patients.

10.6537/TJHPC.2015.20(3).5

王律凱(Lu-Kai Wang)；林益卿(I-Chin Lin)；蔡佩渝(Pei-Yu Tsai)

安寧療護 ； 癌症 ； 末期病人 ； 抗生素治療 ； 效益 ； Hospice ； Cancer ； Terminal Stage ； Antibiotics ； Effectiveness

安寧療護雜誌

20卷3期（2015 / 11 / 01）

269 - 274

繁體中文

安寧療護的癌末病人合併有身體感染是很常見的合併症，對於一個安寧療護的感染癌末病人是否需要抗生素的治療，一直是個很大的爭議；安寧療護癌末病人的是否需要抗生素治療，綜合有限的結論，答案應該是「是的」或是「視病人情況而定」，雖然有限的文獻支持抗生素治療的效益及減緩癌末病人的臨床症狀， 但是對於由於抗生素治療所產生的副作用也有可能是低估的。總而言之，抗生素治療對於安寧療護癌末病人的角色是重要的；包括減緩癌末症狀、增加癌末的生活品質維持病人的尊嚴。

It’s common for hospice patients suffering from infections, and it’s also an argument between whether hospice patients should accept antibiotics treatment. Considering the need of antibiotics treatment for hospice patients, the best answer is ＂yes＂ or that ＂it depends.＂ There are limited data to support the effectiveness of antibiotics to alleviate sypmtoms in hospice patients and the risks of antibiotic-associated adverse evets are likely underappreciated. The role of antibiotics treatment for hospice patients is important, thus, rather than curing patients’ disease, antibiotics treatment goals of care are to minimize suffering, maximize quality of life, and preserve patient dignity.

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