Practical and ethical aspects antibiotic treatment in palliative care –
literature review

Joanna Pełka-Zakielarz; Iwona Filipczak-Bryniarska

doi:10.5114/pm.2023.130070

eISSN: 2081-2833
ISSN: 2081-0016

Medycyna Paliatywna/Palliative Medicine

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abstract:

Review paper

Practical and ethical aspects antibiotic treatment in palliative care – literature review

Joanna Pełka-Zakielarz

¹

,

Iwona Filipczak-Bryniarska

¹

Klinika Leczenia Bólu i Opieki Paliatywnej, Katedra Chorób Wewnętrznych i Gerontologii, Collegium Medicum Uniwersytet Jagielloński, Kraków, Polska

Medycyna Paliatywna 2023; 15(1): 7–11

DOI: https://doi.org/10.5114/pm.2023.130070

Online publish date: 2023/07/25

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Antibiotics are commonly prescribed medications, both in palliative care and in all other healthcare settings. The decision on whether to initiate antibiotic therapy requires careful consideration of benefit to the patient and its effect on the wider population, such as the development of antibiotic resistant pathogens and the cost of treatment. A vicious circle has been observed: length of stay, increased rate of infection, use of antibiotics, infection with resistant microorganisms, use of broad-spectrum antibiotics, increased length of stay, and increased cost of treatment. Further research is necessary to help determine which patients will benefit most from antibiotic therapy during end-of-life care.

keywords:

Practical and ethical aspects antibiotic treatment in palliative care – literature review

Joanna Pełka-Zakielarz 1 , Iwona Filipczak-Bryniarska 1

antibiotic treatment, palliative care, vicious circle

Joanna Pełka-Zakielarz

¹

,

Iwona Filipczak-Bryniarska

¹