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KMID : 0856920070100010043
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Journal of Hospice and Palliative Care
2007 Volume.10 No. 1 p.43 ~ p.47
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Antibiotics Use in Infected Patients with Terminal Stage of Cancer -Based on Seminar of Korean Family Medicine Palliative Medicine Research Group-
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Jeong Hwee-Soo
Kim Dae-Young
Song Kyoung-Po
Suh Sang-Yeon
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Abstract
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Decision-making of antibiotics use in infected patients with terminal stage of cancer was difficult for physicians, because of responsibility of solving a medical problem and burden on patients distressed by worthless life expansion. Korean Family Medicine Palliative Medicine Research Group discussed this subject using a case of a 65 year-old male having terminal stage of sigmoid colon cancer with extended cutaneous infection who was treated local antibiotics, improved but expired at the 12th hospital day. We reviewed related literatures and proposed a guide for antibiotics use in infected patients with terminal stage of cancer. Antibiotics should be used for symptom control as major indication, especially when patients suffered from urinary symptoms. Appropriate antibiotics should be chosen based on sensitivity test. the most important considering factor should be patient and family members’ wish about antibiotics use. (Korean J Hosp Palliat Care 2007;10:43-47)
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KEYWORD
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Terminal cancer, Antibiotics, Symptom control
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