Àá½Ã¸¸ ±â´Ù·Á ÁÖ¼¼¿ä. ·ÎµùÁßÀÔ´Ï´Ù.
KMID : 1039620160060010020
Korean Journal of Family Practice
2016 Volume.6 No. 1 p.20 ~ p.25
Effect of Antibiotics on Patients¡¯ Quality of Life in a Palliative Care Unit of a Tertiary Teaching Hospital
±èÁ¤¿ø:Kim Jeong-Won
ÃÖÀ±¼±:Choi Youn-Seon/±èÁ¤Àº:Kim Jung-Eun/±èÀÌ¿¬:Kim E-Yeon/±è¼±¹Ì:Kim Seon-Mee/¿À¿¬Èñ:Oh Yeon-Hee/Á¤»ó¾Æ:Jung Sang-Ah/¾È¼Ò¾ç:An So-Yang/ÀÌÁØ¿µ:Lee June-Young
Abstract
Background: Antibiotic prescription for hospice inpatients is still in the domain of controversy and there are no generally accepted guidelines as to the administration of antibiotics to terminal cancer patients. This study investigated whether symptoms contributing to quality of life improve after antibiotic administration.

Methods: We retrospectively reviewed the records of patients admitted for symptom control to the hospice ward of Korea University Guro Hospital during 2013. A total of 76 patients were enrolled in the study who had been prescribed antibiotics for more than 3 days. We checked and compared indicators such as fever, daily oral intake, opioid maintenance dose, and the number of PRN (pro re nata) sedatives taken before and after antibiotic administration, and then recorded the number of patients who showed improved symptoms.

Results: There was no statistically significant difference between the proportion of patients whose indicators were improved by use of antibiotics and those whose indicators were made worse. For the fever indicators, the improvement of the survivor group was greater than the imminent death group, but there were no significant differences between the two groups for other indicators.

Conclusion: Antibiotics were frequently prescribed to terminal cancer patients in our study, but we did not find any significant improvement insymptoms after their use. More prospective studies on the efficacy of antibiotics should be performed, and more careful use of antibiotics in terminal cancer patients is called for.
KEYWORD
Hospices, Anti-Bacterial Agents, Quality of Life
FullTexts / Linksout information
Listed journal information
ÇмúÁøÈïÀç´Ü(KCI) ´ëÇÑÀÇÇÐȸ ȸ¿ø