抗微生物药物耐药性时期的感染控制措施:一个团结的问题。

IF 1.6 Q2 ETHICS Monash Bioethics Review Pub Date : 2020-12-01 Epub Date: 2020-11-07 DOI:10.1007/s40592-020-00119-9
Babette Rump, Aura Timen, Marlies Hulscher, Marcel Verweij
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引用次数: 3

摘要

针对多药耐药生物携带者的控制措施传统上被视为一方面是公共利益,另一方面是个人自主之间的权衡。我们建议重新定义道德问题,并将针对运营商的控制措施视为团结的问题。与其问“采取严格措施是否合理”,不如问“如何以不给他人带来不可接受风险的方式,最好地照顾一个人的身体和健康?”团结一致的做法可包括提高预防措施的基线水平,并在风险特别大的情况下接受某些风险。一项慷慨的国家补偿政策也包括与专门护理有关的费用,这对于团结一致的做法至关重要。重新定义问题的另一个好处是,它有助于更好地认识到,受到控制措施的影响是一个高度个人化的问题。
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Infection control measures in times of antimicrobial resistance: a matter of solidarity.

Control measures directed at carriers of multidrug-resistant organisms are traditionally approached as a trade-off between public interests on the one hand and individual autonomy on the other. We propose to reframe the ethical issue and consider control measures directed at carriers an issue of solidarity. Rather than asking "whether it is justified to impose strict measures", we propose asking "how to best care for a person's carriership and well-being in ways that do not imply an unacceptable risk for others?". A solidarity approach could include elevating baseline levels of precaution measures and accepting certain risks in cases where there is exceptionally much at stake. A generous national compensation policy that also covers for costs related to dedicated care is essential in a solidarity approach. An additional benefit of reframing the questions is that it helps to better acknowledge that being subjected to control measures is a highly personal matter.

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来源期刊
CiteScore
2.70
自引率
6.20%
发文量
16
期刊介绍: Monash Bioethics Review provides comprehensive coverage of traditional topics and emerging issues in bioethics. The Journal is especially concerned with empirically-informed philosophical bioethical analysis with policy relevance. Monash Bioethics Review also regularly publishes empirical studies providing explicit ethical analysis and/or with significant ethical or policy implications. Produced by the Monash University Centre for Human Bioethics since 1981 (originally as Bioethics News), Monash Bioethics Review is the oldest peer reviewed bioethics journal based in Australia–and one of the oldest bioethics journals in the world. An international forum for empirically-informed philosophical bioethical analysis with policy relevance. Includes empirical studies providing explicit ethical analysis and/or with significant ethical or policy implications. One of the oldest bioethics journals, produced by a world-leading bioethics centre. Publishes papers up to 13,000 words in length. Unique New Feature: All Articles Open for Commentary
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