State-of-the-Art Review: Use of Antimicrobials at the End of Life

作者：Daniel Karlin, Christine Pham, Daisuke Furukawa, Ishminder Kaur, Emily J. Martin, Olivia S. Kates, Tara Vijayan · 发表于：Clinical Infectious Diseases · 年份：2024 · DOI：10.1093/cid/ciad735 · 被引用次数：30 · 研究领域：Palliative Care and End-of-Life Issues、Family and Patient Care in Intensive Care Units、Patient-Provider Communication in Healthcare

Navigating antibiotics at the end of life is a challenge for infectious disease (ID) physicians who remain deeply committed to providing patient-centered care and engaging in shared decision making. ID physicians, who often see patients in both inpatient and outpatient settings and maintain continuity of care for patients with refractory or recurrent infections, are ideally situated to provide guidance that aligns with patients' goals and values. Complex communication skills, including navigating difficult emotions around end-of-life care, can be used to better direct shared decision making and assist with antibiotic stewardship.