Palyatif Bakım Hastalarında Enfeksiyon Yönetimi
Derleme Makale
DOI:
https://doi.org/10.5281/zenodo.10404255Anahtar Kelimeler:
Palyatif Bakım, , Enfeksiyon,, KanserÖzet
Palyatif bakım yaşamı tehdit eden durumlarda hasta ve yakınlarının hayat kalitesini artırmak için yapılan multi disipliner destek tedavilerini kapsamaktadır. Palyatif bakım hastaları eşlik eden hastalıkları, sık hastane yatış öyküleri, immün süpresif durumları ve beslenme yetersizlikleri gibi nedenlere bağlı olarak daha sık enfeksiyonlara yakalanırlar. Palyatif bakım hastalarında enfeksiyonlar başta kanser ve kullanılan ilaçlara bağlı olarak atipik şekilde ortaya çıkabilir. Bu hastalarda enfeksiyonlar uzun hastane yatış süreleri ve sık antibiyotik kullanımı nedeniyle genelde dirençli mikroorganizmalarla oluşur. Palyatif bakım hastalarının kırılgan durumları nedeniyle enfeksiyonlar yüksek morbidite ve mortalite ile seyreder. Palyatif bakım kliniklerinde enfeksiyonlar, uzun hastane yatış süreleri ve artan maliyetler bir kısır döngü şeklinde birbirini artırarak seyreder. Palyatif bakım hastalarında enfeksiyonların yönetiminde hastanın bütüncül bir şekilde değerlendirilmesi gerekir. Hasta özelinde değerlendirme yapılarak tedavinin gecikmeden başlanması morbidite, mortalite ve maliyetleri ciddi oranda azaltacaktır. Bu çalışmanın amacıpalyatif bakım hastalarının enfeksiyon yönetiminde nasıl bir yol izlenmesi gerektiği konusunda öneriler sunmaktır.
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